DR. CHARLES STEPHEN DAVIS (NPI# 1689641490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689641490 |
| Entity Type | Individual |
| Full Name | DR. CHARLES STEPHEN DAVIS |
| Credential | MD |
| Practice Address |
321 Summit Ave Hackensack NJ 07601-1429 |
| Practice Telephone | 2013432434 |
| Practice Fax Number | 2013433917 |
| Mailing Telephone | 2013432434 |
| Mailing Fax Number | 2013433917 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2010-08-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
149827 | NY | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MA49376 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447726435 | Charles Wayne Davis | Pharmacist | 1900 Patterson St Ste 200, Nashville, TN 37203-2167 | 2018-10-17 |
| 1588073175 | Charles R. Davis Jr. | Home Health Aide | 436 E Carpenter Dr, New Carlisle, OH 45344-2529 | 2014-08-07 |
| 1841601739 | Charles Davis | Pharmacist | 4333 W. Pierson Rd. G, Flint, MI 48504 | 2014-05-13 |
| 1285055715 | Charles Andre Davis | Counselor | 1211 Putnam Ave, Brooklyn, NY 11221-4909 | 2013-12-31 |
| 1154669026 | Charles King Davis Jr. | Surgery | 755 Woodland Dr, Paducah, KY 42001-4677 | 2013-01-28 |
| 1417260936 | Charles A Davis Jr. | Dentist | 303 S Boulevard, Apt 10, Richmond, VA 23220-5769 | 2010-07-26 |
| 1417287160 | Charles F Davis | Physical Therapist | 232 Oleander Ave, Palm Beach, FL 33480-3807 | 2009-12-31 |
| 1548427818 | Charles M Davis Jr. | Pharmacist | 2530 Marilyn St, Pocatello, ID 83201-8022 | 2008-05-22 |
| 1174719033 | Charles Henry Davis | Orthotist | 4859 Shed Rd, Suite 200, Bossier City, LA 71111 | 2007-09-24 |
| 1831306349 | Charles Gentry Davis Jr. | Dentist | 331 De Baliviere Ave, Saint Louis, MO 63112-1803 | 2007-05-16 |
| Street Address |
321 SUMMIT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679865109 | 321 Summit Medical | Internal Medicine | 321 Summit Ave, Hackensack, NJ 07601-1429 | 2011-05-03 |
| 1760626048 | Timothy S Kowal | Internal Medicine | 321 Summit Ave, Hackensack, NJ 07601-1429 | 2009-04-30 |
| 1518088202 | Mordecai Wertheim | Internal Medicine | 321 Summit Ave, Hackensack, NJ 07601-1429 | 2007-04-02 |
| 1861504169 | Miriam M Benoff | Nurse Practitioner | 321 Summit Ave, Hackensack, NJ 07601-1429 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1649372558 | Florentino Abueg | Internal Medicine | 360 Essex St Ste 401, Hackensack, NJ 07601-8566 | 2006-09-01 |
| 1073501094 | Sarita Rastogi | Internal Medicine | 140 Summit Ave, Hackensack, NJ 07601-1310 | 2005-10-13 |
| 1619141561 | Inderpreet Sachar | Internal Medicine | 15 Anderson St, Hackensack, NJ 07601-4508 | 2008-04-22 |
| 1639342686 | Internal Medicine Associates of Bergen County P.c | Internal Medicine | 15 Anderson St, Hackensack, NJ 07601-4508 | 2008-04-10 |
| 1295921773 | Isao Iwata | Internal Medicine | 360 Essex St Ste 401, Hackensack, NJ 07601 | 2007-09-19 |
| 1386782043 | Hackensack Internal Medicine Specialists, LLC | Internal Medicine | 155 Polifly Rd Ste 207, Hackensack, NJ 07601-1749 | 2007-02-02 |
| 1326186487 | Sarita Rastogi Md Pa | Internal Medicine | 140 Summit Ave, Hackensack, NJ 07601-1310 | 2007-02-01 |
| 1649352857 | Kalpana Cheeti | Internal Medicine | 15 Anderson St, Hackensack, NJ 07601-4508 | 2006-10-19 |
| 1881776193 | Padmaja Surapaneni | Internal Medicine | 15 Anderson St, Hackensack, NJ 07601-4508 | 2006-10-19 |
| 1326136417 | Laura Monica Chavez | Internal Medicine | 15 Anderson St, Hackensack, NJ 07601-4508 | 2006-10-11 |
| Find all providers in HACKENSACK | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
Please comment or provide details below to improve the information on DR. CHARLES STEPHEN DAVIS.
| 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.