DMITRY PRIMAK (NPI# 1609860733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609860733 |
| Entity Type | Individual |
| Full Name | DMITRY PRIMAK |
| Credential | MD |
| Practice Address |
14-25 Plaza Rd Suite N26 Fair Lawn NJ 07410-3546 |
| Mailing Address |
23 Sandford Rd Fair Lawn NJ 07410-4202 |
| Practice Telephone | 2017968008 |
| Mailing Telephone | 2017968008 |
| Enumeration Date | 2005-09-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
25MA064744 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
14-25 PLAZA RD SUITE N26 |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-3546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285274985 | Physione Physical Therapy P.C. | Physical Therapist | 14-25 Plaza Rd, Fair Lawn, NJ 07410-3546 | 2020-01-10 |
| 1093351082 | Gianna Paladino | Physical Therapist | 14-25 Plaza Rd, Fair Lawn, NJ 07410-3546 | 2019-11-25 |
| 1629545025 | Catherine Lawrence | Counselor | 14-25 Plaza Rd, Fair Lawn, NJ 07410-3546 | 2018-10-24 |
| 1356824056 | Angela Lazarevska | Physical Therapist | 14-25 Plaza Rd, Ste 3-1, Fair Lawn, NJ 07410-3546 | 2018-09-10 |
| 1871968446 | Victoria Helen Wacha | Psychologist | 14-25 Plaza Rd, Suite 2-7n, Fair Lawn, NJ 07410-3546 | 2015-12-08 |
| 1144561416 | Jointkare Physical Therapy and Services Professional Association | Specialist | 14-25 Plaza Rd, S 3-1, Fair Lawn, NJ 07410-3546 | 2013-03-11 |
| 1942574330 | Thomas Grace Psy.d. | Clinic/Center | 14-25 Plaza Rd, Suite N-2-4, Fair Lawn, NJ 07410-3546 | 2012-03-01 |
| 1568735728 | Advanced Acupuncture Center LLC | Acupuncturist | 14-25 Plaza Rd, Fair Lawn, NJ 07410-3546 | 2012-02-20 |
| 1801167085 | Nicole E. Grace, Lcsw, Psya, LLC | Social Worker | 14-25 Plaza Rd, Suite N 2-4, Fair Lawn, NJ 07410-3546 | 2012-01-20 |
| 1689944647 | Thomas Charles Grace | Psychologist | 14-25 Plaza Rd, Suite N-2-4, Fair Lawn, NJ 07410-3546 | 2012-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669569604 | Aida Margolin | Psychiatry & Neurology | 25 15 Fair Lawn Ave, Fair Lawn, NJ 07410 | 2006-10-10 |
| 1831105113 | Craig Madden Morris | Psychiatry & Neurology | 17 07 Romaine St, Fair Lawn, NJ 07410 | 2006-07-31 |
| 1710925094 | Ron Hirsh | Psychiatry & Neurology | 11-15 Elaine Ter, Fair Lawn, NJ 07410-5730 | 2006-06-02 |
| 1528013547 | Igor Gefter | Psychiatry & Neurology | 12-71 3rd St, Fair Lawn, NJ 07410-1104 | 2006-05-24 |
| 1003261504 | Natasha G Baron | Psychiatry & Neurology | 12-15 Broadway, 2a, Fair Lawn, NJ 07410-2031 | 2016-05-03 |
| 1104263516 | Fair Lawn Behavioral Health, LLC | Psychiatry & Neurology | 12-15 Broadway, Fair Lawn, NJ 07410-2031 | 2013-05-24 |
| 1497945398 | Janet Elizabeth Strozeski | Psychiatry & Neurology | 17-07 Romaine St, Fair Lawn, NJ 07410-2150 | 2007-07-26 |
| 1740407600 | Vanaja Associates Md,p.c | Psychiatry & Neurology | 15-01 Broadway, Suite 10 - B, Fair Lawn, NJ 07410-6003 | 2007-04-19 |
| 1275697716 | Igor Gefter Md PC | Psychiatry & Neurology | 12-71 3rd St, Fair Lawn, NJ 07410-1104 | 2006-12-20 |
| 1225113723 | Martin N Weiner, Md Pa | Psychiatry & Neurology | 4-14 Saddle River Rd, Suite #203, Fair Lawn, NJ 07410-5632 | 2006-10-25 |
| Find all providers in FAIR LAWN | ||||
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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.