DR. MAURIZIO A. MIGLIETTA (NPI# 1710973243) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710973243 |
| Entity Type | Individual |
| Full Name | DR. MAURIZIO A. MIGLIETTA |
| Credential | DO |
| Practice Address |
222 Cedar Ln Ste 201 Teaneck NJ 07666-4312 |
| Mailing Address |
800 Park Ave Apt 2903 Fort Lee NJ 07024-3779 |
| Practice Telephone | 8883200922 |
| Practice Fax Number | 8889094197 |
| Mailing Telephone | 8883200922 |
| Mailing Fax Number | 8889094197 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2020-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 25MB0670800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
225720 | NY | Allopathic & Osteopathic Physicians |
| N | 2086S0127X |
Surgery Specialization: Trauma Surgery |
MB67018 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0233768 | 05 | |
| NJ | 7648707 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 103 River Rd, Suite 101, Edgewater, NJ 070201016 | 8883200922 | 8889094197 |
| Street Address |
222 CEDAR LN STE 201 |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4312 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568816403 | Ryan Hernandez | Nurse Practitioner | 222 Cedar Ln Ste 201, Teaneck, NJ 07666-4312 | 2016-04-18 |
| 1942525290 | North Jersey Laproscopic Associates, LLC | Psychologist | 222 Cedar Ln Ste 201, Teaneck, NJ 07666-4312 | 2010-03-30 |
| 1619125580 | Cedar Medical | Clinic/Center | 222 Cedar Ln Ste 201, Teaneck, NJ 07666-4312 | 2008-09-04 |
| 1255451746 | Palisades Surgical Associates, P.C. | Surgery | 222 Cedar Ln Ste 201, Teaneck, NJ 07666-4312 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 2086S0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Critical Care |
| A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255451746 | Palisades Surgical Associates, P.C. | Surgery | 222 Cedar Ln Ste 201, Teaneck, NJ 07666-4312 | 2007-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407244437 | Edge Surgical Group PC | Surgery | 36 Mcgrath Dr, Cresskill, NJ 07626-1745 | 2014-12-29 |
| 1558641738 | Frank Victor Mclean Booth | Surgery | 190 Sayre Dr, Princeton, NJ 08540-5801 | 2011-08-19 |
| 1073816351 | Ravikumar B Brahmbhatt | Surgery | 355 Grand St, 3 East, Dept of Surgery, Jersey City, NJ 07302-4321 | 2010-12-08 |
| 1265743967 | Benjamin Harrison Rebein | Surgery | 703 Main Street Paterson, Paterson, NJ 07503 | 2010-06-28 |
| 1285896316 | J. Martin Perez, Md, LLC | Surgery | 5 Summit Ave Ste 105, Hackensack, NJ 07601-1271 | 2008-06-30 |
| 1780846832 | Peter J. Stewart, Md LLC | Surgery | 5 Summit Avenue, Suite 105, Hackensack, NJ 17601-8503 | 2008-06-30 |
| 1144431362 | George Manis | Surgery | 1401 Norwood Way, Whippany, NJ 07981-1435 | 2007-05-28 |
| 1114096815 | Jeffrey Hammond | Surgery | 15 Mendham Rd, Gladstone, NJ 07934-2123 | 2006-11-07 |
| 1912971607 | Catherine A. Dudick | Surgery | 1925 Pacific Avenue, Atlanticare Regional Medical Center, Atlantic City, NJ 08401 | 2006-02-17 |
| 1699770081 | Stephen Anthony Becker | Surgery | 111 Princeton Ave, Brick, NJ 08724-4358 | 2005-06-14 |
| 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.