DR. JENNIFER KMIECZAK (NPI# 1497798953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497798953 |
| Entity Type | Individual |
| Full Name | DR. JENNIFER KMIECZAK |
| Credential | DPM |
| Practice Address |
142 Engle St Englewood NJ 07631-2507 |
| Practice Telephone | 2015680033 |
| Practice Fax Number | 2015683453 |
| Mailing Telephone | 2015680033 |
| Mailing Fax Number | 2015683453 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2011-09-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | MD02491 | NJ | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8151105 | 05 |
| Street Address |
142 ENGLE ST |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073556643 | Jeffrey Cohen | Podiatrist | 142 Engle St, Englewood, NJ 07631-2507 | 2006-06-13 |
| 1154950269 | Medical Associates of Englewood, PC | Podiatrist | 142 Engle St, Englewood, NJ 07631-2547 | 2020-04-02 |
| 1902043912 | Katherine M Chen | Podiatrist | 142 Engle St, Englewood, NJ 07631-2507 | 2009-01-13 |
| 1972546430 | Ritchard Rosen | Podiatrist | 142 Engle St, Englewood, NJ 07631-2507 | 2006-06-13 |
| 1588607048 | Gregory Kaufman | Podiatrist | 142 Engle St, Englewood, NJ 07631-2507 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801050778 | Yoon O Han | Podiatrist | 15 Engle St Ste 202, Englewood, NJ 07631-2920 | 2008-07-10 |
| 1487813663 | Cohen Rosen & Kmieczak Dpm Pa | Podiatrist | 142 Engle Street, Englewood, NJ 07631-2507 | 2008-06-03 |
| 1326221722 | Advanced Foot and Ankle Care I LLC | Podiatrist | 500 Grand Ave Ste 2nd, Englewood, NJ 07631-4967 | 2007-12-10 |
| 1851453278 | Herbert Tommy Lane | Podiatrist | 2400 South Mccall Rd, Suite F, Englewood, FL 34224 | 2006-12-14 |
| 1568555233 | Lyle G Vasher D P M P A | Podiatrist | 1861 Placida Rd., Suite# 103, Englewood, FL 34223-4911 | 2006-10-02 |
| 1720001167 | Jill Hagen | Podiatrist | 363 Grand Ave, Englewood, NJ 07631-4104 | 2006-07-26 |
| 1891724779 | Zhanna Erenshteyn | Podiatrist | 275 Engle St, J4, Englewood, NJ 07631-2427 | 2006-07-02 |
| 1073556643 | Jeffrey Cohen | Podiatrist | 142 Engle St, Englewood, NJ 07631-2507 | 2006-06-13 |
| 1699716134 | Podiatry- Foot and Ankle Surgery Associates,p.c. | Podiatrist | 151 East Palisade Av. Apt C12, Englewood, NJ 07631-2255 | 2006-06-08 |
| 1669444311 | Edward Lester Mintz | Podiatrist | 81 Grand Ave, #1e, Englewood, NJ 07631-3530 | 2006-02-06 |
| Find all providers in ENGLEWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.