PANACEA ID HEALTH LLC (NPI# 1588108062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588108062 |
| Entity Type | Organization |
| Organization Name | PANACEA ID HEALTH LLC |
| Practice Address |
20 Overlook Rd Mountain Lakes NJ 07046-1509 |
| Practice Telephone | 9084643636 |
| Practice Fax Number | 9084646711 |
| Mailing Telephone | 9084643636 |
| Mailing Fax Number | 9084646711 |
| Enumeration Date | 2016-12-19 |
| Last Update Date | 2016-12-19 |
| Authorized Official Name | DR. ANNETA V GOLUBCHIK (OWNER) |
| Authorized Official Telephone | 9084643636 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
25MA08153500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
20 OVERLOOK RD |
| City | MOUNTAIN LAKES |
| State | NJ |
| Zip Code | 07046-1509 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974420 | Evan Cupo | Music Therapist | 60 Midvale Road, Mountain Lakes, NJ 07046 | 2018-08-30 |
| 1164893293 | Morris Speech Therapy Associates, LLC | Speech-Language Pathologist | 155 Route 46, Building F, Mountain Lakes, NJ 07046 | 2015-10-15 |
| 1134349335 | Eva Balogh | Dentist | 115 Rt 46 West, B15, Mt Lakes, NJ 07046 | 2007-04-27 |
| 1023106556 | Peggy Elizabeth Lambe | Occupational Therapist | 7 Craven Rd, Mountain Lakes, NJ 07046 | 2006-10-10 |
| 1154335347 | Seton Ann Scott | Nurse Practitioner | 415 Blvd., Mountain Lakes, NJ 07046 | 2006-07-27 |
| 1962499772 | Magnetic Imaging of Morris P.a. | Clinic/Center | 420 Blvd, Suite 103, Mtn Lakes, NJ 07046 | 2005-10-06 |
| 1235226960 | Hyeun S Park | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046 | 2006-10-06 |
| 1134190903 | Keith S Leibowitz | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046 | 2006-01-30 |
| 1740250380 | Michael D Blick | Internal Medicine | 415 Boulevard, Mountain Lake, NJ 07046 | 2006-01-25 |
| 1174512776 | Philip S Rogers | Internal Medicine | 415 Boulevard, Mountain Lakes, NJ 07046 | 2005-10-17 |
| Find all providers in zip 07046 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1588224018 | Bergen Infectious Diseases Associates Inc | Internal Medicine | 185 Cedar Ln Ste U8, Teaneck, NJ 07666-4303 | 2019-06-17 |
| 1326604943 | Malik Medical Associates Usa Inc | Internal Medicine | 377 Jersey Ave Ste No410, Jersey City, NJ 07302-4393 | 2019-05-20 |
| 1134626815 | Hackensack Infectious Disease Associates, LLC | Internal Medicine | 311 S Irving St, Ridgewood, NJ 07450-5101 | 2018-04-10 |
| 1285146845 | Dr Pooja P Shah Mdpc Inc | Internal Medicine | 1964 Oak Tree Rd Ste B, Edison, NJ 08820-2016 | 2017-11-03 |
| 1740704931 | Divine Care LLC | Internal Medicine | 37 Van Zandt Rd, Skillman, NJ 08558-2100 | 2017-07-28 |
| 1073922324 | Ahmed Abdul Azim | Internal Medicine | 125 Paterson St, Meb 362, New Brunswick, NJ 08901-1962 | 2014-08-11 |
| 1437566205 | Uchenna Okereke | Internal Medicine | 93 Clerk St, Jersey City, NJ 07305-4323 | 2014-07-14 |
| 1487069167 | Mark Dinubile | Internal Medicine | 505 Bartram Rd, Moorestown, NJ 08057-1833 | 2014-06-21 |
| 1275964371 | Anand Athavale | Internal Medicine | 127 Old Short Hills Rd, Apt 236, West Orange, NJ 07052-1014 | 2013-11-28 |
| 1003158247 | Joseph L Derose | Internal Medicine | 151 Fries Mill Rd Ste 102, Turnersville, NJ 08012-2056 | 2013-03-26 |
| Find all providers with the same taxonomy | ||||
| City | MOUNTAIN LAKES |
| Zip Code | 07046 |
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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.