SUBURBAN ENDOSCOPY CENTER, LLC (NPI# 1659649549) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659649549 |
Entity Type | Organization |
Organization Name | SUBURBAN ENDOSCOPY CENTER, LLC |
Other Organization Name | UAP VERONA ENDO |
Practice Address |
799 Bloomfield Ave Suite 101 Verona NJ 07044-1367 |
Practice Telephone | 9735711600 |
Practice Fax Number | 9735711882 |
Mailing Telephone | 9735711600 |
Mailing Fax Number | 9735711882 |
Enumeration Date | 2011-12-06 |
Last Update Date | 2011-12-06 |
Authorized Official Name | JENETHA D MORAN (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 9727633893 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 367500000X | Nurse Anesthetist, Certified Registered | Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
UAP Verona Endo | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275801672 | Suburban Endoscopy Center, LLC | Specialist | 799 Bloomfield Ave, Suite 101, Verona, NJ 07044-1367 | 2011-12-13 |
1235178146 | Suburban Endoscopy Center, LLC | Clinic/Center | 799 Bloomfield Ave, Ste 101, Verona, NJ 07044-1301 | 2006-06-06 |
Street Address |
799 BLOOMFIELD AVE SUITE 101 |
City | VERONA |
State | NJ |
Zip Code | 07044-1367 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205800885 | Ragheda Saba | Pediatrics | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2006-02-13 |
1285260208 | Michelle Berman | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2020-03-21 |
1891254702 | Donald Fru | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2019-03-19 |
1396204376 | Silvia Khalil | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2019-03-18 |
1811484850 | Marwah Khalid Tareen | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2018-04-16 |
1548764004 | Joseph Joshua Perez | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2018-03-20 |
1033651690 | Amna Vahidy Mehmood | Physician Assistant | 799 Bloomfield Ave, Suite 301, Verona, NJ 07044-1367 | 2016-11-14 |
1275995805 | Beqir M Sopi | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2016-03-23 |
1720440241 | Rima Amin | Student in an Organized Health Care Education/Training Program | 799 Bloomfield Ave, Verona, NJ 07044-1367 | 2016-03-23 |
1861854739 | Bettina George | Family Medicine | 799 Bloomfield Ave, Suite 201, Verona, NJ 07044-1367 | 2016-03-22 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831726017 | John Roland Yeiser IIi | Student in an Organized Health Care Education/Training Program | Mountainside Family Practice Group, 799 Bloomfield Ave, 2nd Floor, Verona, NJ 07044 | 2020-03-26 |
1962989582 | Karen E Carlough | Massage Therapist | 80 Pompton Ave, 3rd Floor, Verona, NJ 07044 | 2018-07-26 |
1063935302 | Our House, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 21 Green Acres, #75, Verona, NJ 07044 | 2017-07-19 |
1891224150 | Karen Gorman | Counselor | 12 Kenwood Ave, Verona, NJ 07044 | 2017-06-08 |
1154706208 | Leonard Gallo | Counselor | 3 Overhill Rd, Verona, NJ 07044 | 2015-07-29 |
1932527082 | Ekta Sharma | Family Medicine | 799 Bloomfield Avenue, Ste 201, Verona, NJ 07044 | 2014-04-04 |
1457676454 | Nadine Lauer | Marriage & Family Therapist | 685 Bloomfield Ave, Suite 201, Verona, NJ 07044 | 2010-04-01 |
1003147026 | Anthony Goss | Occupational Therapist | 276 Linden Avenue, Verona, NJ 07044 | 2010-01-15 |
1487836243 | Jerome Geyer | Dentist | 338 Bloomfield Avenue, Verona, NJ 07044 | 2007-12-03 |
1942407861 | Satya D Narisety | Allergy & Immunology | 197 Bloomfield Avenue, Verona, NJ 07044 | 2007-07-03 |
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Taxonomy Code | 367500000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Anesthetist, Certified Registered |
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275944530 | Tara Jean Schaaf | Nurse Anesthetist, Certified Registered | 432 Parker St, Verona, PA 15147-1414 | 2014-05-08 |
1760458285 | Sally Goodpasture Schroeder | Nurse Anesthetist, Certified Registered | 2794 Cross Country Cir, Verona, WI 53593-9711 | 2006-02-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871105338 | John T Yoo | Nurse Anesthetist, Certified Registered | 72 Netherwood Cir, Edison, NJ 08820-1659 | 2020-08-17 |
1013543826 | Akinbiyi Akindunbi | Nurse Anesthetist, Certified Registered | 14 Marlborough Ave, Middlesex, NJ 08846-2020 | 2020-03-13 |
1841836632 | Hesha J. Parekh | Nurse Anesthetist, Certified Registered | 98 W Warren St, Iselin, NJ 08830-1138 | 2019-11-27 |
1033760277 | Lauren Christine Bradley | Nurse Anesthetist, Certified Registered | 1003 Boston Ave, Point Pleasant Beach, NJ 08742-3322 | 2019-09-27 |
1235691585 | Philip Huang | Nurse Anesthetist, Certified Registered | 324 Elm Pl, Leonia, NJ 07605-1707 | 2019-04-04 |
1245722164 | Jeffrey Adam Fehder | Nurse Anesthetist, Certified Registered | Capital Health Medical Center - Hopewell, 1 Capital Way - Second Floor, Anesthesia Offices, Pennington, NJ 08534 | 2018-06-06 |
1972094910 | Amy Lynn Whitlock | Nurse Anesthetist, Certified Registered | Jersey Shore Medical Center, 1945 Route 33, Neptune, NJ 07753 | 2018-05-25 |
1801332556 | Joseph Ferguson | Nurse Anesthetist, Certified Registered | 120 Madison Ave Ste E, Mount Holly, NJ 08060-2055 | 2017-01-18 |
1205387065 | Nisha Vijay | Nurse Anesthetist, Certified Registered | 5 J Ari Drive, Somerset, NJ 08873 | 2016-10-17 |
1194176800 | Tejash Shah | Nurse Anesthetist, Certified Registered | 137 Haddenfield Rd, Clifton, NJ 07013-3907 | 2016-06-23 |
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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.