DR. TANISHA MATHUR (NPI# 1669634671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669634671 |
| Entity Type | Individual |
| Full Name | DR. TANISHA MATHUR |
| Credential | M.D |
| Practice Address |
33 Overlook Road, Suite 211 Overlook Hospital Summit NJ 07902 |
| Mailing Address |
Po Box 416457 Boston MA 02241-6457 |
| Practice Telephone | 9085987947 |
| Practice Fax Number | 9085985447 |
| Mailing Telephone | 9736566280 |
| Mailing Fax Number | 9732907495 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2017-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
A149525 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
33 OVERLOOK ROAD, SUITE 211 OVERLOOK HOSPITAL |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07902 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437297280 | Rosemary Theresa Walsh | Counselor | 46-48 Beauvoir Avenue, Summit, NJ 07902 | 2007-02-02 |
| 1649408972 | Sharon A Drozdowski | Counselor | 99 Beauvoir Avenue, Crisis Intervention, Summit, NJ 07902 | 2009-06-25 |
| 1992980098 | Bethany Bryant | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07902 | 2008-01-08 |
| 1881741379 | Overlook Cardiac Testing | Specialist | 99 Beauvoir Avenue, Summit, NJ 07902 | 2007-01-05 |
| 1750445680 | Marcie Lynn Rabin | Psychiatry & Neurology | 99 Beauvoir Ave, Overlook Medical Center --dept of Neurology, Summit, NJ 07902 | 2006-12-22 |
| 1588734958 | Peter W. Mitchell | Counselor | 46-48 Beauvoir Avenue, Summit, NJ 07902 | 2006-11-09 |
| 1376559450 | Joel A. Roth | Specialist | Overlook Hospital, 99 Beauvoir Ave, Summit, NJ 07902-0220 | 2006-07-31 |
| 1518027622 | Mary C Santorelli | Registered Nurse | 99 Beauvoir Avenue, Suite 46-48 Beauvoir, Summit, NJ 07902-0220 | 2006-12-11 |
| 1326058595 | Barbara Brennan Ferguson | Clinical Nurse Specialist | 99 Beauvoir Avenue, Summit, NJ 07902-3533 | 2006-08-09 |
| 1649284639 | Peter M Bolo | Psychiatry & Neurology | 99 Beauvoir Avenue, Summit, NJ 07902-3533 | 2006-07-28 |
| Find all providers in zip 07902 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1629462965 | Nicholas P Vaughn | Internal Medicine | 36500 Aurora Dr, Summit, WI 53066-4899 | 2015-03-25 |
| 1871864371 | Krissy Choi | Internal Medicine | 33 Overlook Rd Ste L01, Summit, NJ 07901 | 2012-01-16 |
| 1982783981 | Jeffrey David Greenberg | Internal Medicine | 33 Overlook Rd, Suite L01, Summit, NJ 07901-3570 | 2006-11-02 |
| 1174585145 | Elliot David Rosenstein | Internal Medicine | 33 Overlook Rd, Suite L01, Summit, NJ 07901-3570 | 2006-04-05 |
| 1306808746 | Neil Kramer | Internal Medicine | 33 Overlook Rd, Suite L01, Summit, NJ 07901-3570 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245894971 | Revive Rheumatology of North Jersey, LLC | Internal Medicine | 100 Willowbrook Ct, Paramus, NJ 07652-1833 | 2019-04-29 |
| 1669981221 | Center for Arthritis and Osteoporosis PC | Internal Medicine | 1235 Whitehorse Mercerville Rd Ste 206, Trenton, NJ 08619-3810 | 2017-09-27 |
| 1134642994 | Advocare, LLC | Internal Medicine | 1051 W Sherman Ave Ste C1b, Vineland, NJ 08360-6931 | 2017-07-24 |
| 1073035309 | Garden State Rheumatology Associates LLC | Internal Medicine | 101 Prospect St Ste 216, Lakewood, NJ 08701-5003 | 2017-07-07 |
| 1982009551 | Humane Center for Arthritis and Rheumatism | Internal Medicine | 2424 Morris Ave Ste 110, Union, NJ 07083-5710 | 2014-10-24 |
| 1912315938 | Kenneth Truitt | Internal Medicine | 385 Hartshorn Dr, Short Hills, NJ 07078-1939 | 2014-07-23 |
| 1669888376 | Sehris Khawaja | Internal Medicine | 2 Capital Way Ste 550, Pennington, NJ 08534-2521 | 2014-07-02 |
| 1821309154 | Nickolas M Tyris | Internal Medicine | 150 Delsea Dr, Suite B, Sewell, NJ 08080-9478 | 2010-07-01 |
| 1164741641 | Michael Jay Yellin | Internal Medicine | 138 Buckingham Rd, Montclair, NJ 07043-2307 | 2010-05-24 |
| 1992940860 | Alexandru Filip Kimel | Internal Medicine | 1415 Queen Anne Road, Suite 102, Teaneck, NJ 07666 | 2008-12-08 |
| 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.