NEW JERSEY TRAUMA AND CRITICAL CARE ASSOCIATES, PC (NPI# 1558313650) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558313650 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY TRAUMA AND CRITICAL CARE ASSOCIATES, PC |
| Practice Address |
30 Prospect Ave Faculty Practice Office Hackensack NJ 07601-1914 |
| Practice Telephone | 2019962816 |
| Practice Fax Number | 2013439823 |
| Mailing Telephone | 2019962816 |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2010-11-26 |
| Authorized Official Name | MARILYN EMERSON (DIRECTOR OF PROCESSIONAL SERVICES) |
| Authorized Official Telephone | 2019965633 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
30 PROSPECT AVE FACULTY PRACTICE OFFICE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1914 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955279 | Despee Bockarie Konneh | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2005-07-14 |
| 1629675616 | Jena Marie Ahmed | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-10-03 |
| 1114532173 | Caroline Castro | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-15 |
| 1013521244 | Stephanie Akanbi | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-04 |
| 1639781388 | Caitlin Brianna Powers | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-08-22 |
| 1457960270 | Neha Bhasin | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-28 |
| 1083232375 | James Robert Hoff IIi | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-13 |
| 1043834336 | Daniel Sheldon | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-06-02 |
| 1710500780 | Ferdinand Pontejos | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| 1972126969 | Eric Hugenberg | Pharmacist | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447412622 | John J. Locurto, Md,facs Limited Liability Company | Surgery | 5 Summit Ave, Suite 105, Hackensack, NJ 07601-8503 | 2008-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609137348 | Christopher Alan Butts | Surgery | 125 Paterson St Ste 6300, New Brunswick, NJ 08901 | 2012-05-30 |
| 1265452221 | Bruno Molino | Surgery | Jersey City Medical Center, Dept. of Surgery, 355 Grand Street, Jersey City, NJ 07302 | 2006-07-20 |
| 1689606956 | Liberty Surgical Associates | Surgery | 377 Jersey Avenue, Suite 220, Jersey City, NJ 07302-4396 | 2006-07-07 |
| 1376572198 | Richard Edward Constable | Surgery | 655 Amboy Ave Ste C, Woodbridge, NJ 07095-3159 | 2006-07-02 |
| 1396799565 | Vincent Lavaughn Moss | Surgery | 98 James St 202, Edison, NJ 08820-3902 | 2006-05-20 |
| 1356730873 | Nikolas Sebastian Kappy | Surgery | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2015-01-21 |
| 1609215029 | Amanda Liane Teichman | Surgery | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2013-06-19 |
| 1477825891 | Tanya Egodage | Surgery | 1 Cooper Plz, Camden, NJ 08103-1461 | 2012-01-31 |
| 1083907224 | Capital Health Surgical Group | Surgery | 40 Fuld St, Suite 303, Trenton, NJ 08638-5247 | 2011-05-20 |
| 1679884431 | Anna Goldenberg | Surgery | 1 Cooper Plz, Camden, NJ 08103-1461 | 2010-06-27 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on NEW JERSEY TRAUMA AND CRITICAL CARE ASSOCIATES, PC.
| 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.