DAUGHTERS OF MIRIAM CTR PHYSICIAN GROUP (NPI# 1699859249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699859249 |
| Entity Type | Organization |
| Organization Name | DAUGHTERS OF MIRIAM CTR PHYSICIAN GROUP |
| Practice Address |
155 Hazel St Clifton NJ 07011-3423 |
| Practice Telephone | 9732535210 |
| Practice Fax Number | 9737728243 |
| Mailing Telephone | 9732535210 |
| Mailing Fax Number | 9737728243 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRANK DASILVA (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 9732535210 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7063202 | 05 |
| Street Address |
155 HAZEL ST |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07011-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285620591 | Daughters of Miriam | Skilled Nursing Facility | 155 Hazel St, Clifton, NJ 07011-3423 | 2005-09-22 |
| 1164920609 | Jose Cabrera | Physical Therapy Assistant | 155 Hazel St, Clifton, NJ 07011-3423 | 2018-01-30 |
| 1831579994 | Daughters of Miriam Center | Day Training/Habilitation Specialist | 155 Hazel St, Clifton, NJ 07011-3423 | 2015-06-04 |
| 1366831984 | Integrative Rehabilitation Associates LLC | Specialist | 155 Hazel St, Clifton, NJ 07011-3423 | 2015-01-20 |
| 1558554253 | Melissa Rusli | Physical Medicine & Rehabilitation | 155 Hazel St, Clifton, NJ 07011-3423 | 2007-08-26 |
| 1831393917 | Daughters of Miriam | Skilled Nursing Facility | 155 Hazel St, Clifton, NJ 07011-3423 | 2007-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285101980 | Trucare Adult Medical Day Care | Clinic/Center | 111 Paulison Avenue, Clifton, NJ 07011 | 2018-10-31 |
| 1801389903 | Sonja Abbassi Md | Internal Medicine | 1618 Main Avenue, 1618 Main Avenue, Clifton, NJ 07011 | 2018-06-13 |
| 1346747003 | Laquanda Kiera Turner | Social Worker | 139 Lake Avenue, Clifton, NJ 07011 | 2018-04-10 |
| 1083120414 | Castellaro Chiropractic | Chiropractor | 385 Lakeview Avenue, Clifton, NJ 07011 | 2017-12-21 |
| 1982124707 | Rana Garris | Student in an Organized Health Care Education/Training Program | 327 Luddington Avenue, 1st Floor, Clifton, NJ 07011 | 2017-06-22 |
| 1528501335 | Mental Health Association In Passaic County | Clinic/Center | 404 Clifton Ave., Clifton, NJ 07011 | 2016-11-28 |
| 1346694114 | Desjet LLC | Emergency Medicine | 35 Ackerman Avenue, Clifton, NJ 07011 | 2016-04-19 |
| 1437524493 | Pooja Jainish Vashi | Physical Therapist | 246 Clifton Ave Ste 5, Clifton, NJ 07011 | 2015-12-02 |
| 1093122830 | Truecare | Ambulance | 135 Demott Ave, 135, Clifton, NJ 07011 | 2014-07-14 |
| 1952641391 | Y.a.f.a. Group LLC | Ambulance | 11 Richmond St, Clifton, NJ 07011 | 2013-02-21 |
| Find all providers in zip 07011 | ||||
| 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 |
|---|---|---|---|---|
| 1366983033 | Liberty Med Associates LLC | Internal Medicine | 999 Palmer Ave Ste 1, Holmdel, NJ 07733 | 2017-03-15 |
| 1013369461 | Pankaj Gupta | Internal Medicine | 31 Southfield Rd, Edison, NJ 08820-3141 | 2016-07-11 |
| 1780091736 | Sukhwinder K. Hundle M.d., P.a. | Internal Medicine | 721 N Beers St Ste 1a, Holmdel, NJ 07733-1500 | 2014-07-22 |
| 1649602897 | David M Lackner | Internal Medicine | 2107 Aqueduct Ln, Cherry Hill, NJ 08002-1932 | 2013-07-30 |
| 1841633369 | Zahava Nilly Brodt | Internal Medicine | 125 Paterson St Ste 2300, New Brunswick, NJ 08901-1962 | 2013-04-15 |
| 1871866632 | Anna H Zezon | Internal Medicine | 197 Cedar Ln Ste 2, Teaneck, NJ 07666-4300 | 2012-02-09 |
| 1760759740 | Ashvini Health Services | Internal Medicine | 2271 State Highway 33 Ste 110, Hamilton, NJ 08690-1749 | 2011-11-19 |
| 1518241934 | Hygiea Healthcare,llc | Internal Medicine | 100 Plainsboro Rd, Plainsboro, NJ 08536-1914 | 2011-10-04 |
| 1578857066 | Raymond Cogen | Internal Medicine | 72 Grange Ave, Fair Haven, NJ 07704-3004 | 2011-06-02 |
| 1871804534 | Medical and Geratric Associate PC | Internal Medicine | 2239 Center Ave, Fort Lee, NJ 07024-6123 | 2010-06-28 |
| 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.