ALEXANDER M. PANOSSIAN (NPI# 1699743906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699743906 |
| Entity Type | Individual |
| Full Name | ALEXANDER M. PANOSSIAN |
| Credential | MD |
| Practice Address |
230 E Ridgewood Ave #6-204 Paramus NJ 07652-4131 |
| Mailing Address |
204 Hempstead Rd Ridgewood NJ 07450-4810 |
| Practice Telephone | 2014476117 |
| Practice Fax Number | 2014473638 |
| Mailing Telephone | 2014476117 |
| Mailing Fax Number | 2014473638 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 25MA03259000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4721900 | 05 | |
| NJ | LICENSE | 25MA03259000 | 01 |
| Street Address |
230 E RIDGEWOOD AVE #6-204 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-4131 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851399588 | Justito Malazarte | Specialist | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2005-07-07 |
| 1760092662 | Sarah Noreika | Dietitian, Registered | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2020-08-05 |
| 1518577873 | Elizabeth Aronoff | Counselor | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2020-08-03 |
| 1386260008 | Danielle Monaco | Social Worker | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2020-06-18 |
| 1497377162 | Frank Wolak | Student in an Organized Health Care Education/Training Program | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2020-05-15 |
| 1881216828 | Robert Arnold | Student in an Organized Health Care Education/Training Program | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2020-05-13 |
| 1881216919 | Min Kyu Yang | Student in an Organized Health Care Education/Training Program | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2020-05-12 |
| 1003438169 | Sukaina Rizvi | Student in an Organized Health Care Education/Training Program | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2020-05-12 |
| 1730701897 | Narmada Neerja Bhimanadham | Student in an Organized Health Care Education/Training Program | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2020-05-12 |
| 1013539147 | Mohammed Faizur Rahman | Student in an Organized Health Care Education/Training Program | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2020-05-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982673489 | Jack H Vitenson | Urology | 277 Forest Ave, Suite 206, Paramus, NJ 07652-5410 | 2006-03-16 |
| 1396984944 | Steve Lebovitch | Urology | 277 Forest Ave, Suite 206, Paramus, NJ 07652-5428 | 2009-02-05 |
| 1316990690 | Urologic Institute of Nj Pa | Urology | 277 Forest Ave, Suite 206, Paramus, NJ 07652-5410 | 2006-05-18 |
| 1568431070 | Sergey Rome | Urology | 277 Forest Ave, Suite 206, Paramus, NJ 07652-5410 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144834532 | Advanced Urology Associates Enterprises | Urology | 525 Jack Martin Blvd Ste 304, Brick, NJ 08724-7737 | 2020-09-02 |
| 1922646132 | Pierre Mendoza Md LLC | Urology | 9 Mule Rd Ste 5, Toms River, NJ 08755-5052 | 2019-12-18 |
| 1215579297 | Jsmk Urology PC | Urology | 140 Sylvan Ave Ste 202, Englewood Cliffs, NJ 07632-2559 | 2019-10-11 |
| 1942854724 | Braga Urologic LLC | Urology | 106 Court House South Dennis Rd Ste 201, Cape May Court House, NJ 08210-2126 | 2019-07-30 |
| 1043863848 | Pedro R Paulino | Urology | 78 Highland St, Paterson, NJ 07524-1906 | 2019-07-20 |
| 1730683905 | Urgent Specialists Nj LLC | Urology | 185 Hudson St, Jersey City, NJ 07311-1209 | 2018-03-21 |
| 1861942393 | A E Feldman LLC | Urology | 125 Matthews Dr, Bedminster, NJ 07921-2624 | 2016-10-07 |
| 1033584057 | Howard Leitner & Perlmutter Urologic Associates | Urology | 2401 State Route 35, Manasquan, NJ 08736-1158 | 2015-12-02 |
| 1124499041 | Hunterdon Specialty Care, PC | Urology | 121 Highway 31, Suite 1200, Flemington, NJ 08822-5744 | 2015-10-19 |
| 1881089654 | Chirag G Gordhan | Urology | 2401 E Evesham Rd Ste F, Voorhees, NJ 08043-9590 | 2015-03-30 |
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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.