CEDAR MEDICAL (NPI# 1619125580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619125580 |
| Entity Type | Organization |
| Organization Name | CEDAR MEDICAL |
| Practice Address |
222 Cedar Ln Ste 201 Teaneck NJ 07666-4312 |
| Practice Telephone | 2019280101 |
| Practice Fax Number | 2019280505 |
| Mailing Telephone | 2019280101 |
| Mailing Fax Number | 2019280505 |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2008-09-04 |
| Authorized Official Name | MARC D POLIMENI (OWNER) |
| Authorized Official Telephone | 2019280101 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA05504100 | NJ | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington Corporation | CEDAR MEDICAL, LLC | 3502 TIETON DR, YAKIMA, WA 98902-3661 |
| Virginia Business Entity | Cedar Medical, LLC | 301 MAPLE AVENUE WEST STE 330, VIENNA, VA 22180 |
| Street Address |
222 CEDAR LN STE 201 |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710973243 | Maurizio A. Miglietta | Surgery | 222 Cedar Ln Ste 201, Teaneck, NJ 07666-4312 | 2005-09-20 |
| 1568816403 | Ryan Hernandez | Nurse Practitioner | 222 Cedar Ln Ste 201, Teaneck, NJ 07666-4312 | 2016-04-18 |
| 1942525290 | North Jersey Laproscopic Associates, LLC | Psychologist | 222 Cedar Ln Ste 201, Teaneck, NJ 07666-4312 | 2010-03-30 |
| 1255451746 | Palisades Surgical Associates, P.C. | Surgery | 222 Cedar Ln Ste 201, Teaneck, NJ 07666-4312 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962809798 | Rheumatology Associates of North Jersey | Clinic/Center | 1415 Queen Anne Rd, Suite 101, Teaneck, NJ 07666-3521 | 2014-11-21 |
| 1841600160 | West Englewood Pediatrics | Clinic/Center | 629 W Englewood Ave, Teaneck, NJ 07666-2939 | 2014-05-08 |
| 1861719718 | Garden State Geriatrics LLC | Clinic/Center | 773 Teaneck Road, Teaneck, NJ 07666 | 2010-04-30 |
| 1689852907 | Bethel Health Care LLC | Clinic/Center | 765 Teaneck Rd, Suite 1 R, Teaneck, NJ 07666-4248 | 2008-02-08 |
| 1023064052 | Internal Medicine, P.a. | Clinic/Center | 155 Cedar Ln, Teaneck, NJ 07666-4301 | 2006-05-25 |
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| 1417580887 | Community Urgent Care Nj Pa | Clinic/Center | 101 Clifton Ave, Lakewood, NJ 08701-3334 | 2020-02-13 |
| 1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| 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.