GREGORY MUKALIAN (NPI# 1659372910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659372910 |
| Entity Type | Individual |
| Full Name | GREGORY MUKALIAN |
| Credential | D.O. |
| Practice Address |
1113 Hospital Dr Suite 304 Willingboro NJ 08046-1103 |
| Mailing Address |
301 Lippincott Dr Ste 410 Marlton NJ 08053-4197 |
| Practice Telephone | 6098355821 |
| Practice Fax Number | 6098355827 |
| Mailing Telephone | 8563550340 |
| Mailing Fax Number | 8563550330 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2020-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 25MB06369000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7031904 | 05 |
| Street Address |
1113 HOSPITAL DR SUITE 304 |
| City | WILLINGBORO |
| State | NJ |
| Zip Code | 08046-1103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451823 | Lisa Ann Medvetz | Family Medicine | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2005-07-19 |
| 1396020756 | Lourdes Medical Associates, P.a. | Surgery | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2011-10-18 |
| 1679866818 | Lourdes Medical Associates, Pa | Internal Medicine | 1113 Hospital Dr, Suite 203, Willingboro, NJ 08046-1103 | 2011-05-20 |
| 1558595801 | Cynthia Louise Malin | Nurse Practitioner | 1113 Hospital Dr, 1st Floor, Willingboro, NJ 08046-1103 | 2009-05-14 |
| 1427203694 | Robert Jaron Shmuts | Internal Medicine | 1113 Hospital Dr, Suite 305, Willingboro, NJ 08046-1103 | 2008-12-01 |
| 1386842987 | Michael J Horwitz | Internal Medicine | 1113 Hospital Dr, Professional East Bldg, Suite 202 A, Willingboro, NJ 08046-1103 | 2007-07-05 |
| 1336346493 | Carol Ellen Mest | Clinical Nurse Specialist | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2007-06-29 |
| 1265578850 | Affiliated Oral Surgery Group,pc | Dentist | 1113 Hospital Dr, Suite 300, Willingboro, NJ 08046-1103 | 2007-01-30 |
| 1013020387 | Foot Health Centers, P.a. | Podiatrist | 1113 Hospital Dr, Bld E., Suite 106, Willingboro, NJ 08046-1103 | 2006-08-17 |
| 1417964768 | Joseph P Focarile | Dentist | 1113 Hospital Dr, Suite 300, Willingboro, NJ 08046-1103 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548910 | Meghan Chan | Pharmacist | 4296 Us-130, Willingboro, NJ 08046 | 2020-11-02 |
| 1861004251 | Magdalena Alicja Szostak | Pharmacist | Pharmacy Dept 5987, 4296 Route 130, Willingboro Nj, Willingboro, NJ 08046 | 2020-08-18 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1144702804 | Iyanuoluwa Oluwafunmiso Alonge | Specialist/Technologist | 2009 Lewis Drive, Willingboro, NJ 08046 | 2018-08-29 |
| 1972095826 | Felicia Ann Ellis | Behavior Technician | 38 Trinity Turn, Wilingboro, NJ 08046 | 2018-06-05 |
| 1134630510 | Acme Markets Inc | Durable Medical Equipment & Medical Supplies | 2091 Route 130 N, Willingboro, NJ 08046 | 2017-10-12 |
| 1205387560 | Lj's Senior Care Services LLC | Home Health | 8 Peartree Lane, Willingboro, NJ 08046 | 2016-10-20 |
| 1174976963 | Dungarvin New Jersey, LLC-rancocas Day Program | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1000 Rev Dr Martin Luther King Jr Dr, Willingboro, NJ 08046 | 2016-07-18 |
| 1548633845 | Caringhouse Projects, Inc | Respite Care | 48 Toledo Lane, Willingboro, NJ 08046 | 2015-11-09 |
| 1275927352 | Cheryl Louise Avent-price | Social Worker | 130 Tiffany Lane, Willingboro, NJ 08046 | 2015-03-26 |
| Find all providers in zip 08046 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275975161 | Lisa Diane Iucci | Surgery | 1113 Hospital Dr Ste 100a, Willingboro, NJ 08046-1128 | 2013-07-22 |
| 1306178157 | Louis S Ruvolo M D LLC | Surgery | 1000 Salem Rd Ste A, Willingboro, NJ 08046-2852 | 2010-02-04 |
| 1174697312 | Neerja Dube II | Surgery | 200 Sunset Rd, Willingboro, NJ 08046-1110 | 2006-11-20 |
| 1457352791 | Samuel Wasser | Surgery | 1000 Salem Rd, Suite A, Willingboro, NJ 08046-2852 | 2005-08-09 |
| 1396020756 | Lourdes Medical Associates, P.a. | Surgery | 1113 Hospital Dr, Suite 100, Willingboro, NJ 08046-1103 | 2011-10-18 |
| 1457425654 | Pravinkumar K Mashru II | Surgery | 200 Sunset Rd, Willingboro, NJ 08046-1110 | 2006-11-20 |
| 1760556906 | R & R Surgical Services | Surgery | 200 Sunset Rd, Willingboro, NJ 08046-1110 | 2006-11-20 |
| 1326049693 | Arnold Baskies | Surgery | 1000 Salem Rd, Suite A, Willingboro, NJ 08046-2852 | 2005-08-09 |
| 1629079942 | Louis Ruvolo | Surgery | 1000 Salem Rd, Suite A, Willingboro, NJ 08046-2852 | 2005-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861002867 | Herrmann Rnfa LLC | Surgery | 37 Center Ave, Cedar Grove, NJ 07009-1015 | 2020-08-04 |
| 1003437492 | New Jersey Robotic Surgery Associates PC | Surgery | 114 Essex St Ste 102, Rochelle Park, NJ 07662-4342 | 2020-04-27 |
| 1386273803 | Felere Cherfils | Surgery | 10 Wyckoff Dr, Pittstown, NJ 08867-4236 | 2020-04-06 |
| 1841829983 | Naeem Patel | Surgery | 1209 89th St, North Bergen, NJ 07047-4462 | 2020-04-01 |
| 1184255119 | Impact Medical & Diagnostics of Nj PC | Surgery | 145 N Franklin Tpke Ste 106, Ramsey, NJ 07446-1634 | 2020-01-29 |
| 1598316143 | Heritage Laparoscopy Acute Care Surgery PC | Surgery | 9 Post Rd Ste M7, Oakland, NJ 07436-1615 | 2019-09-25 |
| 1013570506 | Atlanticare Center for Orthopedic Surgery | Surgery | 2500 English Creek Ave Ste 1201, Egg Harbor Twp, NJ 08234-5549 | 2019-04-19 |
| 1881157550 | Somerset Surgical Associates,llc | Surgery | 575 Route 28 # 3107, Raritan, NJ 08869-1354 | 2019-04-10 |
| 1154884203 | Buchholz Bariatrics | Surgery | 1647 Bay Ave, Point Pleasant Boro, NJ 08742-4501 | 2019-04-07 |
| 1023589553 | L.i.v. Medical Hydration Therapy LLC | Surgery | 201 3rd Ave Apt 3b, Belmar, NJ 07719-2050 | 2018-12-10 |
| Find all providers with the same taxonomy | ||||
| City | WILLINGBORO |
| Zip Code | 08046 |
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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.