LASER SKIN THERAPIES AT NOTCHVIEW-PINE BROOK, LLC (NPI# 1588824262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588824262 |
| Entity Type | Organization |
| Organization Name | LASER SKIN THERAPIES AT NOTCHVIEW-PINE BROOK, LLC |
| Practice Address |
1033 Us Highway 46 Clifton NJ 07013-2473 |
| Mailing Address |
18 Hook Mountain Rd Pine Brook NJ 07058-9798 |
| Practice Telephone | 9737793911 |
| Practice Fax Number | 9734712730 |
| Mailing Telephone | 9732270169 |
| Mailing Fax Number | 9732278942 |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | DR. SUSAN MEDITERRANEO (MEMBER) |
| Authorized Official Telephone | 9732270169 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
25MA05503100 | NJ | Ambulatory Health Care Facilities |
| Street Address |
1033 US HIGHWAY 46 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-2473 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750329538 | Charles George Haddad | Obstetrics & Gynecology | 1033 Us Highway 46, Suite 102, Clifton, NJ 07013-2473 | 2006-06-03 |
| 1679011886 | Clifton Maternal Fetal Medicine, P.C. | Obstetrics & Gynecology | 1033 Us Highway 46, Suite 102, Clifton, NJ 07013-2473 | 2017-02-08 |
| 1881084648 | Clifton Obgyn, LLC | Obstetrics & Gynecology | 1033 Us Highway 46, Suite 102, Clifton, NJ 07013-2473 | 2015-02-02 |
| 1255643615 | Jacqueline Marie Smith | Obstetrics & Gynecology | 1033 Us Highway 46, Ste 102, Clifton, NJ 07013-2473 | 2010-07-13 |
| 1033239819 | North Jersey Hip and Knee Center PC | Orthopaedic Surgery | 1033 Us Highway 46, Suite A206, Clifton, NJ 07013-2473 | 2007-03-29 |
| 1811055585 | Notchview Pediatrics, LLC | Clinic/Center | 1033 Us Highway 46, Clifton, NJ 07013-2473 | 2006-12-05 |
| 1104923846 | Nyota Afi Peace | Obstetrics & Gynecology | 1033 Us Highway 46, Ste. 102, Clifton, NJ 07013-2473 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1053662692 | Pm&r First Medical P.C. | Clinic/Center | 1187 Main Ave, Suite 1d, Clifton, NJ 07011-2252 | 2012-09-22 |
| 1962772483 | North Jersey Primary Care & Sports Medicine Institute LLC | Clinic/Center | 6 Brighton Road, Suite 101, Clifton, NJ 07012-1647 | 2012-01-02 |
| 1386883346 | Clifton Medicine | Clinic/Center | 1233 Main Ave, Clifton, NJ 07011-2241 | 2009-02-16 |
| 1225238074 | Best Medical Care New Jersey, LLC | Clinic/Center | 467 Clifton Avenue, Clifton, NJ 07011-3263 | 2007-07-19 |
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| 1235779877 | Premier Vein Care of N.j., L.L.C. | Clinic/Center | 822 North Wood Ave, 3rd Floor, Suite 2, Linden, NJ 07036 | 2020-01-12 |
| 1578129490 | Beaute Medispa, LLC | Clinic/Center | 195 Route 9 Ste 101, Manalapan, NJ 07726-8294 | 2019-05-16 |
| 1437627023 | Point Pediatrics | Clinic/Center | 800 Route 88 Ste 3, Point Pleasant Boro, NJ 08742-4085 | 2018-11-13 |
| 1770067126 | Skin Cancer and Cosmetic Surgery Center of New Jersey, LLC | Clinic/Center | 10 Parsonage Rd Ste 312, Edison, NJ 08837-2429 | 2018-09-21 |
| 1780165100 | Renew Med Spa and Clinic LLC | Clinic/Center | 601 Hamburg Tpke Ste 101, Wayne, NJ 07470-2049 | 2018-08-23 |
| 1497243232 | Tristate Multispecialty Medical Services PC | Clinic/Center | 126 State St Fl 1, Hackensack, NJ 07601-5448 | 2018-04-26 |
| 1285136226 | Robinson-gallaro Gi Health & Solutions | Clinic/Center | 717 N Beers St Ste 2c, Holmdel, NJ 07733-1525 | 2018-03-06 |
| 1821505462 | Integrative Wellness & Cosmetics, Inc | Clinic/Center | 601 9th St, Hoboken, NJ 07030-6428 | 2018-01-04 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 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.