ALFRED A. LARDIZABAL (NPI# 1518051721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518051721 |
Entity Type | Individual |
Full Name | ALFRED A. LARDIZABAL |
Credential | M.D. |
Practice Address |
225 Warren St 1st Floor Newark NJ 07103-3535 |
Mailing Address |
30 Bergen St Admc 12 1205 Newark NJ 07107-3000 |
Practice Telephone | 9739726232 |
Practice Fax Number | 9739723832 |
Enumeration Date | 2006-10-03 |
Last Update Date | 2009-07-14 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
25MA06188100 | NJ | Allopathic & Osteopathic Physicians |
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
25MA06188100 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 6690602 | 05 |
Street Address |
225 WARREN ST 1ST FLOOR |
City | NEWARK |
State | NJ |
Zip Code | 07103-3535 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205851359 | Lee B. Reichman | Internal Medicine | 225 Warren St, 1st Floor, Newark, NJ 07103-3535 | 2006-07-12 |
1437352705 | Suzanne Tortoriello | Registered Nurse | 225 Warren St, 1 St Floor East Wing, Newark, NJ 07103-3535 | 2007-06-06 |
1811107493 | New Jersey Medical School-global Tuberculosis Institute | Clinic/Center | 225 Warren St, 1st Floor, East Wing, Newark, NJ 07103-3535 | 2007-05-23 |
1861586141 | Bonita T. Mangura | Internal Medicine | 225 Warren St, 1st Floor, Newark, NJ 07103-3535 | 2006-10-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
Find all providers in zip 07103 |
Taxonomy Code | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063654135 | Deirdre Colgan | Internal Medicine | 1200 Driving Park Avenue, Po Box 111, Newark, NY 14513-1090 | 2009-04-03 |
1467536623 | Pulmonary & Critical Care Associates | Internal Medicine | 268-306 Dr M.l.k. Blvd, Newark, NJ 07102 | 2006-10-24 |
1124109319 | Richard A. Miller | Internal Medicine | 268 -306 Martin Luther King Blvd, Newark, NJ 07102 | 2006-10-17 |
1871512616 | Saroj Sehgal | Internal Medicine | 1023 S Orange Ave, Newark, NJ 07106-1718 | 2006-07-19 |
1205851359 | Lee B. Reichman | Internal Medicine | 225 Warren St, 1st Floor, Newark, NJ 07103-3535 | 2006-07-12 |
1932178357 | Hemantkumar G Patel | Internal Medicine | 646 Sanford Ave, Newark, NJ 07106-3036 | 2006-03-16 |
1346669496 | Carlos E Osorio | Internal Medicine | 150 Bergen St, Newark, NJ 07103-2496 | 2014-04-15 |
1124445200 | Katherine Chiapaikeo-poco | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2014-03-26 |
1891138236 | Marc Isaiah Lindner | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2013-04-16 |
1225320427 | Andrew Ryan Deitchman | Internal Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2011-05-05 |
Find all providers in NEWARK |
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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.