DR. ELLEN E URRUTIA (NPI# 1629046388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629046388 |
| Entity Type | Individual |
| Full Name | DR. ELLEN E URRUTIA |
| Credential | MD |
| Practice Address |
946 Bloomfield Avenue Glen Ridge NJ 07028 |
| Mailing Address |
946 Bloomfield Avenue Main Level Glen Ridge NJ 07028 |
| Practice Telephone | 9737431121 |
| Practice Fax Number | 9737432627 |
| Mailing Telephone | 9737431121 |
| Mailing Fax Number | 9737432627 |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2013-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA062552 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5131103 | 05 |
| Street Address |
946 BLOOMFIELD AVENUE |
| City | GLEN RIDGE |
| State | NJ |
| Zip Code | 07028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053570713 | Linda Ann Monaghan | Nurse Practitioner | 946 Bloomfield Avenue, Glen Ridge, NJ 07028 | 2008-06-06 |
| 1801864061 | Carlos Alfonso | Internal Medicine | 946 Bloomfield Avenue, Glen Ridge, NJ 07028 | 2006-03-14 |
| 1023086691 | Joseph Degregorio | Internal Medicine | 946 Bloomfield Avenue, Glen Ridge, NJ 07028 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862463 | Kamlesh Mehrotra | Counselor | 192 Midland Ave, Glen Ridge, NJ 07028 | 2020-05-12 |
| 1821648965 | Sally Pitanga | Social Worker | 46 Victor Avenue, Glen Ridge, NJ 07028 | 2019-09-19 |
| 1487782579 | Kamlesh Khanna | Pediatrics | 401 Ridgewood Ave, Glen Ridge, NJ 07028 | 2007-03-01 |
| 1326111238 | Geraldine S Meanor | Internal Medicine | 150 Ridgewood Avenue, Glen Ridge, NJ 07028 | 2006-11-16 |
| 1134210305 | Cheryl D Ackerman | Dermatology | 368 Ridgewood Ave, Glen Ridge, NJ 07028 | 2006-09-27 |
| 1679530588 | Reuben Rozanski | Dermatology | 200 Highland Avenue, Glen Ridge, NJ 07028 | 2006-04-26 |
| 1487632436 | Gastroenterology Group of New Jersey Pa | Internal Medicine | 123 Highland Avenue, Suite 103, Glen Ridge, NJ 07028 | 2006-01-09 |
| 1689668683 | Efthymios I Daniskas | Internal Medicine | 311 Bay Ave, Mmg Pulmonology, Glen Ridge, NJ 07028 | 2005-09-06 |
| 1255833281 | Lavinia May Couture | Physician Assistant | 230 Sherman Ave, Glen Ridge, NJ 07028 | 2018-03-06 |
| 1104205111 | B3yond Nutrition, LLC | Dietitian, Registered | 2 Ardsley Rd, Glen Ridge, NJ 07028 | 2015-05-22 |
| Find all providers in zip 07028 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1134353964 | David Farrell Armstrong | Internal Medicine | 123 Highland Ave Ste 302, Glen Ridge, NJ 07028-1575 | 2009-05-07 |
| 1639171457 | Asad M Cheema | Internal Medicine | 946 Bloomfield Ave, Glen Ridge, NJ 07028-1304 | 2005-08-11 |
| 1801916135 | Montclair Cardiology Group | Internal Medicine | 123 Highland Avenue, #302, Glen Ridge, NJ 07028 | 2007-03-30 |
| 1851320758 | Bart De Gregorio Md LLC | Internal Medicine | 946 Bloomfield Ave, Glen Ridge, NJ 07028-1308 | 2006-07-02 |
| 1134173586 | Francis E Wanat | Internal Medicine | 123 Highland Ave, Suite 302, Glen Ridge, NJ 07028-1527 | 2006-05-20 |
| 1982658613 | Alan L Saroff | Internal Medicine | 123 Highland Ave, Suite 302, Glen Ridge, NJ 07028-1527 | 2006-05-19 |
| 1023062866 | Dusan Knezevic | Internal Medicine | 123 Highland Ave, Suite 302, Glen Ridge, NJ 07028-1527 | 2006-05-19 |
| 1801864061 | Carlos Alfonso | Internal Medicine | 946 Bloomfield Avenue, Glen Ridge, NJ 07028 | 2006-03-14 |
| 1023086691 | Joseph Degregorio | Internal Medicine | 946 Bloomfield Avenue, Glen Ridge, NJ 07028 | 2006-03-09 |
| 1457327975 | Domenic L Mariano | Internal Medicine | 946 Bloomfield Ave, Glen Ridge, NJ 07028 | 2006-02-24 |
| Find all providers in GLEN RIDGE | ||||
| City | GLEN RIDGE |
| Zip Code | 07028 |
Please comment or provide details below to improve the information on DR. ELLEN E URRUTIA.
| 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.