PETER HOE CLINIC @SMMC (NPI# 1619119211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619119211 |
| Entity Type | Organization |
| Organization Name | PETER HOE CLINIC @SMMC |
| Practice Address |
111 Central Ave Peter Hoe Clinic Newark NJ 07102-1909 |
| Mailing Address |
1160 Raymond Blvd 9th Floor - Physician Services Newark NJ 07102-4168 |
| Practice Telephone | 9738775649 |
| Mailing Telephone | 9734912958 |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |
| Authorized Official Name | RONALD J NAPIORSKI (VICE PRESIDENT FINANCE) |
| Authorized Official Telephone | 9736903514 |
| Is Organization Subpart | Y |
| Parent Organization Name | SAINT MICHAELS MEDICAL CENTER INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | PENDING | 05 |
| Street Address |
111 CENTRAL AVE PETER HOE CLINIC |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780687806 | Sandhya R Makkapati | Specialist | 111 Central Ave, Newark, NJ 07102-1909 | 2005-05-23 |
| 1740892496 | Stella Monday Wangai | Nurse Practitioner | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-22 |
| 1144832932 | Sonya Wali | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-21 |
| 1023620358 | Chrystina Mildred Kiwan | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-18 |
| 1518579838 | Alicia Kovach | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-18 |
| 1861003659 | Riyashat Kazmi | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-13 |
| 1114537610 | Kalee Larsen | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-09 |
| 1215547567 | Nirav Patel | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-08-02 |
| 1720697238 | Sneha Bijoy | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-07-30 |
| 1407465891 | Ruhma Ali | Student in an Organized Health Care Education/Training Program | 111 Central Ave, Newark, NJ 07102-1909 | 2020-07-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
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| 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 |
|---|---|---|---|---|
| 1295006948 | Byungwoo Choi | Internal Medicine | 537 Stanton Christiana Rd Ste 201, Newark, DE 19713-2148 | 2012-01-25 |
| 1174802557 | Gilda Bontempo | Internal Medicine | 185 S Orange Ave Msb I-689, Newark, NJ 07103-2757 | 2011-08-16 |
| 1942456272 | Melinda Sheron Brown | Internal Medicine | St James Health Center, 228 Lafayette Street, Newark, NJ 07105 | 2008-08-18 |
| 1902967508 | Alfred E Bacon IIi | Internal Medicine | 78 Omega Dr, Bldg C, Newark, DE 19713-2064 | 2006-12-13 |
| 1912068529 | Stephanie A Lee | Internal Medicine | 78 Omega Dr Bldg C, Newark, DE 19713-2064 | 2006-12-13 |
| 1811942766 | St Michael Infectious Disease Associates | Internal Medicine | 265 Dr Martin Luther King Jr Blvd, Newark, NJ 07102-2012 | 2006-05-22 |
| 1922497635 | Tilly Varughese | Internal Medicine | 185 S Orange Ave, Newark, NJ 07103-2757 | 2015-01-19 |
| 1417379983 | Maria Elaine Szabela | Internal Medicine | 111 Central Ave, Newark, NJ 07102-1909 | 2014-01-17 |
| 1841634623 | Tanzila Salim | Internal Medicine | 140 Bergen St # D, Newark, NJ 07103-2425 | 2013-04-23 |
| 1487914834 | Kristen Leigh Facciolo | Internal Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-05-19 |
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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.