NEW JERSEY TRAVEL CLINIC, LLC (NPI# 1699116392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699116392 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY TRAVEL CLINIC, LLC |
| Practice Address |
205 Browertown Rd Suite #202 Woodland Park NJ 07424-2671 |
| Mailing Address |
Po Box 1 Midland Park NJ 07432-0001 |
| Practice Telephone | 2013454550 |
| Mailing Telephone | 2013454550 |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2013-07-10 |
| Authorized Official Name | JACQUELINE M. VIERHEILIG (PHYSICIAN) |
| Authorized Official Telephone | 2013454550 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
25MA06298300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
205 BROWERTOWN RD SUITE #202 |
| City | WOODLAND PARK |
| State | NJ |
| Zip Code | 07424-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790023570 | Basilisa Pacheco | Nurse Practitioner | 205 Browertown Rd, Suite 202, Woodland Park, NJ 07424-2671 | 2013-01-29 |
| 1134448178 | Woodland Park Pediatrics PC | Pediatrics | 205 Browertown Rd, Suite 001, Woodland Park, NJ 07424-2671 | 2010-05-28 |
| 1710167184 | Nadia Mohsin Razzak | Pediatrics | 205 Browertown Rd, Suite 001, Woodland Park, NJ 07424-2671 | 2007-11-13 |
| 1063618908 | Matthew Aaron Grossman | Internal Medicine | 205 Browertown Rd, Suite 204, Woodland Park, NJ 07424-2671 | 2007-06-26 |
| 1366595308 | Jeffrey Ruggiero | Dentist | 205 Browertown Rd, Suite 004, Woodland Park, NJ 07424-2671 | 2007-01-22 |
| 1265463830 | Northeastern Spinal Health and Rehabilitation LLC | Chiropractor | 205 Browertown Rd, Suite 106, Woodland Park, NJ 07424 | 2006-07-05 |
| 1083640627 | Mannan Razzak | Pediatrics | 205 Browertown Rd, Suite 001, Woodland Park, NJ 07424-2671 | 2006-06-24 |
| 1205883600 | Michael Roman Czupak | Chiropractor | 205 Browertown Rd, Suite 106, Woodland Park, NJ 07424-2671 | 2006-05-30 |
| 1497701981 | Emily Anna Stoppiello-czupak | Chiropractor | 205 Browertown Rd, Suite 106, Woodland Park, NJ 07424-2671 | 2006-05-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316502438 | Daniel E Brito | Licensed Practical Nurse | 163 E Main St 2nd Floor, Little Falls, NJ 07424 | 2019-05-03 |
| 1073008041 | Liza Imperial | Registered Nurse | 188 Newark Pompton Turnpike, Little Falls, NJ 07424 | 2018-06-22 |
| 1770962326 | Matthew Schinelli | Kinesiotherapist | 661 Upper Mountain Avenue, Little Falls, NJ 07424 | 2015-05-28 |
| 1003247073 | Parabolic Performance & Rehabilitation Little Falls LLC | Clinic/Center | 28 Clove Rd, Floyd Hall Arena, Little Falls, NJ 07424 | 2013-12-02 |
| 1013351675 | Natasha Chhabra | Internal Medicine | 1031 Mcbride Avenue, Suite D212, Woodland Park, NJ 07424 | 2013-04-24 |
| 1487903043 | Mali Desantis | Speech-Language Pathologist | 156 Haverhill Ave, Woodland Park, NJ 07424 | 2012-08-29 |
| 1043452014 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 228 Browertown Rd, Little Falls, NJ 07424 | 2009-04-06 |
| 1366640815 | For The Love of Life Inc | Chiropractor | 603 Lackawanna Avenue, West Paterson, NJ 07424 | 2007-07-06 |
| 1134326374 | Kimberly Physical Therapy | Physical Therapist | 153 Route 23, Little Falls, NJ 07424 | 2007-06-29 |
| 1467673483 | Jeanne M. Kilroy | Nurse Practitioner | 275 Patterson Avenue, 1st Floor, Little Falls, NJ 07424 | 2007-05-01 |
| Find all providers in zip 07424 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1730135682 | West Paterson Specialty Clinic Inc | Internal Medicine | 871 Mcbride Ave, Woodland Park, NJ 07424-2748 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588224018 | Bergen Infectious Diseases Associates Inc | Internal Medicine | 185 Cedar Ln Ste U8, Teaneck, NJ 07666-4303 | 2019-06-17 |
| 1326604943 | Malik Medical Associates Usa Inc | Internal Medicine | 377 Jersey Ave Ste No410, Jersey City, NJ 07302-4393 | 2019-05-20 |
| 1134626815 | Hackensack Infectious Disease Associates, LLC | Internal Medicine | 311 S Irving St, Ridgewood, NJ 07450-5101 | 2018-04-10 |
| 1285146845 | Dr Pooja P Shah Mdpc Inc | Internal Medicine | 1964 Oak Tree Rd Ste B, Edison, NJ 08820-2016 | 2017-11-03 |
| 1740704931 | Divine Care LLC | Internal Medicine | 37 Van Zandt Rd, Skillman, NJ 08558-2100 | 2017-07-28 |
| 1073922324 | Ahmed Abdul Azim | Internal Medicine | 125 Paterson St, Meb 362, New Brunswick, NJ 08901-1962 | 2014-08-11 |
| 1437566205 | Uchenna Okereke | Internal Medicine | 93 Clerk St, Jersey City, NJ 07305-4323 | 2014-07-14 |
| 1487069167 | Mark Dinubile | Internal Medicine | 505 Bartram Rd, Moorestown, NJ 08057-1833 | 2014-06-21 |
| 1275964371 | Anand Athavale | Internal Medicine | 127 Old Short Hills Rd, Apt 236, West Orange, NJ 07052-1014 | 2013-11-28 |
| 1003158247 | Joseph L Derose | Internal Medicine | 151 Fries Mill Rd Ste 102, Turnersville, NJ 08012-2056 | 2013-03-26 |
| Find all providers with the same taxonomy | ||||
| City | WOODLAND PARK |
| Zip Code | 07424 |
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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.