DR. CHARLES THEODORE LADOULIS (NPI# 1538321609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538321609 |
| Entity Type | Individual |
| Full Name | DR. CHARLES THEODORE LADOULIS |
| Credential | M.D. |
| Practice Address |
5 Grand Tour Locust NJ 07760-2343 |
| Practice Telephone | 7322919446 |
| Practice Fax Number | 7328722797 |
| Mailing Telephone | 7322919446 |
| Mailing Fax Number | 7328722797 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2008-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
195890 | NY | Allopathic & Osteopathic Physicians |
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
MD014026E | PA | Allopathic & Osteopathic Physicians |
| Street Address |
5 GRAND TOUR |
| City | LOCUST |
| State | NJ |
| Zip Code | 07760-2343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831614528 | Providing Hope, Inc. | Clinic/Center | 120 East River Road, Suite 3, Rumson, NJ 07760 | 2017-08-03 |
| 1528319415 | Glynnis Elise Wood | Psychologist | 50 Navesink Avenue, Rumson, NJ 07760 | 2012-10-02 |
| 1851540322 | Nikki Paige Woods | Social Worker | 61 Carton St, Rumson, NJ 07760 | 2008-09-09 |
| 1457572505 | Stephen Allen Kardos | Pediatrics | 17 Sailers Way, Rumson, NJ 07760 | 2007-05-02 |
| 1013945104 | Beinhard Z Hou | Anesthesiology | 91 Rumson Rd, Rumson, NJ 07760 | 2006-06-29 |
| 1134451222 | Navesink Wellness Center, LLC | Social Worker | 61 Carton St, Rumson, NJ 07760 | 2010-02-01 |
| 1437791993 | Dig It | Clinical Neuropsychologist | 5 Elm Ln, Rumson, NJ 07760-1001 | 2019-10-16 |
| 1396012811 | Ole A Lindefjeld | Personal Emergency Response Attendant | 4 Laurel Ln, Rumson, NJ 07760-1004 | 2011-11-29 |
| 1376719179 | Nancy L Mooradian | Internal Medicine | 25 Riverside Dr, Rumson, NJ 07760-1026 | 2008-05-01 |
| 1841739331 | Avigdor Medical Health LLC | Surgery | 6 Sycamore Ln, Rumson, NJ 07760-1035 | 2017-02-16 |
| Find all providers in zip 07760 | ||||
| Taxonomy Code | 207ZP0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. [7/1/2007: definition added, source added, 7/1/2009: defintion reformatted; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology (note: this taxonomy code identifies the "anatomic pathology only" route). To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437704905 | Ethel Diagnostic Laboratory | Pathology | 4 Ethel Road, Suite 402a, Edison, NJ 08817 | 2019-08-01 |
| 1588179063 | Diosdado Non Medical Services LLC | Pathology | 525 Route 70 Ste 1f, Brick, NJ 08723-4022 | 2017-12-06 |
| 1205213402 | Andrew Myles Parrott | Pathology | 50 Rockledge Dr, Livingston, NJ 07039-1902 | 2015-04-27 |
| 1750672119 | Daniel Jonas Fix | Pathology | 30 Prospect Ave Dept Of, Hackensack, NJ 07601-1915 | 2011-04-20 |
| 1487978862 | Marina Penteado Sandoval | Pathology | 12 Canterbury Dr, North Caldwell, NJ 07006-4229 | 2010-03-15 |
| 1447371794 | Siucok O. Ang | Pathology | 69 First Ave, Raritan, NJ 08869 | 2007-04-03 |
| 1811078892 | Adnan Tabrez Savera | Pathology | 16 Quail Run, Florham Park, NJ 07932-1754 | 2006-10-18 |
| 1083709208 | Leza N Gallo | Pathology | Quest Diagnostics, 1 Malcolm Avenue, Teterboro, NJ 07608 | 2006-10-04 |
| 1972608313 | Adam Kuehn | Pathology | 3311 Brunswick Pike, Lawrenceville, NJ 08648 | 2006-09-13 |
| 1932143112 | Manjula Vara | Pathology | Trinitas Hospital, 225 Williamson St, Elizabeth, NJ 07207 | 2006-06-16 |
| 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.