ADAM SIVITZ (NPI# 1508872631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508872631 |
| Entity Type | Individual |
| Full Name | ADAM SIVITZ |
| Credential | MD |
| Practice Address |
201 Lyons Ave Newark NJ 07112-2027 |
| Practice Telephone | 9739262484 |
| Practice Fax Number | 9732820562 |
| Mailing Telephone | 9739262484 |
| Mailing Fax Number | 9732820562 |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2009-09-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
25MA08446300 | NJ | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | MD11817 | RI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1508872631 | 01 | |
| RI | 7058391 | 05 | |
| RI MEDICARE GROUP NUMBER | 939025129 | 01 |
| Street Address |
201 LYONS AVE |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607149 | Dong Chen | Anesthesiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2005-05-23 |
| 1558962100 | Chris Kemen | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-11-02 |
| 1275132904 | Special LLC | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-23 |
| 1326646019 | University Medical Associates (om) | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1063010742 | University Pediatric Associates (om) | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1932716586 | University Physician Associates of New Jersey, Inc. | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-28 |
| 1225642200 | Cresencia E Leopold | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-07 |
| 1538786546 | Uri Netanel Schneider | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-25 |
| 1275158032 | Nneka E Emenaka | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-08 |
| 1447874151 | Sarah Karron | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912211277 | Virteeka Sinha | Emergency Medicine | 185 S Orange Ave, Newark, NJ 07103-2757 | 2010-07-28 |
| 1164547360 | John Bickford | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112 | 2007-03-20 |
| 1821018334 | Diane P Calello | Emergency Medicine | 140 Bergen St, Suite G1600, Newark, NJ 07103-2425 | 2006-07-20 |
| 1528036787 | Samir Vinodkumar Joshi | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2006-03-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023351079 | Caroline O Black | Emergency Medicine | Pediatric Emergency Department, 30 Prospect Ave, Hackensack, NJ 07601-0760 | 2013-03-28 |
| 1922491547 | Hussain Shakir | Emergency Medicine | 254 Easton Ave, Department of Pediatrics, New Brunswick, NJ 08901-1766 | 2015-03-05 |
| 1235422171 | Mihir Vyas | Emergency Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2011-05-25 |
| 1417188772 | Ursula Laskowski-kos | Emergency Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-08-05 |
| 1669616595 | Alexander Paul Materna | Emergency Medicine | 1 Hamilton Health Pl, Hamilton, NJ 08690-3542 | 2009-04-22 |
| 1558536920 | Elisabeth Fishbein | Emergency Medicine | 350 Engle Street, Englewood, NJ 07631 | 2008-04-28 |
| 1467640458 | Lisa A Drago | Emergency Medicine | 1 Cooper Plz, Cooper University Emergency Physicians, Camden, NJ 08103-1461 | 2007-10-04 |
| 1174646244 | Trinitas Emergency Solutions PC | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07207 | 2007-04-06 |
| 1942330980 | Jeffrey A. Seiden | Emergency Medicine | 100 Bowman Dr, Chop Care Network At Virtua Voorhees Hospital, Voorhees, NJ 08043-9612 | 2007-03-07 |
| 1659416360 | Liesl Pia Iledan | Emergency Medicine | 99 Route 37 W, Toms River, NJ 08755-6423 | 2007-02-20 |
| Find all providers with the same taxonomy | ||||
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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.