DR. MICHELLE MARIA TACLOB (NPI# 1619131398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619131398 |
| Entity Type | Individual |
| Full Name | DR. MICHELLE MARIA TACLOB |
| Credential | MD |
| Practice Address |
100 Main St Paterson NJ 07505-1024 |
| Practice Telephone | 9735230317 |
| Practice Fax Number | 9736848590 |
| Mailing Telephone | 9735230317 |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2012-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA09036900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | MEDICAL LICENSE | 25MA09036900 | 01 |
| Street Address |
100 MAIN ST |
| City | PATERSON |
| State | NJ |
| Zip Code | 07505-1024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740848399 | Paterson Optometric Group | Optometrist | 100 Main St, Paterson, NJ 07505-1024 | 2019-05-30 |
| 1619378239 | 100 Main Medical Associates | Internal Medicine | 100 Main St, Paterson, NJ 07505-1024 | 2014-09-15 |
| 1912041229 | Renal Hypertension Associates Pa | Clinic/Center | 100 Main St, Paterson, NJ 07505-1024 | 2007-02-19 |
| 1902958861 | Paterson Eye Associates | Ophthalmology | 100 Main St, Paterson, NJ 07505-1024 | 2007-01-18 |
| 1184647273 | Erlinda V Taclob | Internal Medicine | 100 Main St, Paterson, NJ 07505-1024 | 2006-07-26 |
| 1164446209 | Lowell T Taclob | Internal Medicine | 100 Main St, Paterson, NJ 07505-1024 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598283202 | Cerebral Palsy of North Jersey | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 685 691 14th St, Paterson, NJ 07505 | 2017-09-01 |
| 1700031283 | Robert Rekker | Psychologist | 100 Hamilton Plz Ste 101, Paterson, NJ 07505 | 2008-11-25 |
| 1568664951 | James John Hussey | Social Worker | 56 Hamilton S, Paterson, NJ 07505 | 2007-06-05 |
| 1659414910 | Stephen Sherman | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterson, NJ 07505 | 2007-02-15 |
| 1629089909 | Smile Central Dental PC | Dentist | 140 Market Street, 3rd Floor, Paterson, NJ 07505 | 2006-08-11 |
| 1619969581 | Damon House, Inc. | Substance Abuse Rehabilitation Facility | 175 Market St., Paterson, NJ 07505 | 2005-08-17 |
| 1295228377 | Jayasree Dokku | Pharmacist | 102 Broadway, Paterson, NJ 07505 | 2018-06-12 |
| 1619473089 | Meena Al-talib | Dentist | 140 Market St, Paterson, NJ 07505 | 2018-04-03 |
| 1083830384 | Mahir Saleh | Dentist | 1 West Broadway, West Broadway Dental Pa, Paterson, NJ 07505 | 2007-04-17 |
| 1801929591 | West Broadway Dental Pa | Dentist | 1 West Broadway, Paterson, NJ 07505 | 2007-03-13 |
| Find all providers in zip 07505 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1114311214 | Riley Medical Corporation | Internal Medicine | 543 14th Ave, Paterson, NJ 07504-2205 | 2015-03-26 |
| 1396906913 | Nader Ahmad Mahmood | Internal Medicine | 1040 Main St Fl 3, Paterson, NJ 07503 | 2008-06-17 |
| 1528198124 | Hector Luis Castillo | Internal Medicine | 1000 Madison Ave., Paterson, NJ 07501-3566 | 2007-03-06 |
| 1740315225 | East 29th St Medical Associates, P.C. | Internal Medicine | 542 E 29th Street, Paterson, NJ 07504-1814 | 2007-02-23 |
| 1184765513 | Nalini Shah | Internal Medicine | 415 21st Ave, Paterson, NJ 07513-1612 | 2007-02-09 |
| 1316032014 | Ramon Antonio Sandoval | Internal Medicine | 416 Park Ave, Paterson, NJ 07504-1930 | 2006-10-04 |
| 1558453225 | Luis F Luna | Internal Medicine | 32 Hine St Ste 103, Paterson, NJ 07503 | 2006-09-29 |
| 1093749467 | Dinesh H Shah | Internal Medicine | 350 21st Ave, Paterson, NJ 07501-3641 | 2006-07-10 |
| 1669400248 | Ferraro Medical Associates, Pa | Internal Medicine | 414 Broadway, Paterson, NJ 07501-2105 | 2006-06-30 |
| Find all providers in PATERSON | ||||
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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.