JORGE IMAE TIRADO BIENTZ (NPI# 1689212516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689212516 |
| Entity Type | Individual |
| Full Name | JORGE IMAE TIRADO BIENTZ |
| Credential | MD |
| Practice Address |
314 Palmer St Elizabeth NJ 07202-3920 |
| Practice Telephone | 2014148043 |
| Mailing Telephone | 2014148043 |
| Enumeration Date | 2019-12-10 |
| Last Update Date | 2019-12-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 17 Palmer St, Elizabeth, NJ 072023915 | 2014148043 |
| Street Address |
314 PALMER ST |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07202-3920 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
| 1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
| 1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
| 1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
| 1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
| 1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
| 1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
| 1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
| 1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| Find all providers in zip 07202 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
| 1588226161 | Latika Patel | Student in an Organized Health Care Education/Training Program | 224 Williamson Street, Elizabeth, NJ 07201 | 2019-07-03 |
| 1922665892 | Glenn Edward Garcia Jr. | Student in an Organized Health Care Education/Training Program | 330 W Jersey St Apt 6g, Elizabeth, NJ 07202-1862 | 2019-05-24 |
| 1285198374 | Lisa Alexandra Greenstein | Student in an Organized Health Care Education/Training Program | 655 Elizabeth Ave, Elizabeth, NJ 07206-1164 | 2019-01-23 |
| 1891279527 | Juliana A Romero | Student in an Organized Health Care Education/Training Program | 443 Union Ave, Elizabeth, NJ 07208-3264 | 2018-09-19 |
| 1821357021 | Jessica Claribel Marine | Student in an Organized Health Care Education/Training Program | 142 Livingston St., Floor 1, Elizabeth, NJ 07206-1731 | 2012-05-08 |
| 1649887977 | Melanie Pazmino | Student in an Organized Health Care Education/Training Program | 655 Westfield Ave, Elizabeth, NJ 07208 | 2020-09-30 |
| 1134736853 | Mahsa Mohammadian | Student in an Organized Health Care Education/Training Program | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2020-09-27 |
| 1346857406 | Shannon Pentz | Student in an Organized Health Care Education/Training Program | 655 Westfield Ave, Elizabeth, NJ 07208-1325 | 2020-09-23 |
| 1083228019 | Ahmed Mowafy | Student in an Organized Health Care Education/Training Program | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2020-09-08 |
| Find all providers in ELIZABETH | ||||
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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.