CAREMED PLUS P.C. (NPI# 1720637150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720637150 |
Entity Type | Organization |
Organization Name | CAREMED PLUS P.C. |
Practice Address |
508 Hamburg Tpke Ste 107 Wayne NJ 07470-8482 |
Practice Telephone | 2012979517 |
Mailing Telephone | 2012979517 |
Enumeration Date | 2019-09-09 |
Last Update Date | 2019-09-09 |
Authorized Official Name | DR. ALEXANDER IVANOV (OWNER/OPERATOR) |
Authorized Official Telephone | 2012979517 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 1790825222 | 05 | |
NJ | 1689726374 | 05 |
Street Address |
508 HAMBURG TPKE STE 107 |
City | WAYNE |
State | NJ |
Zip Code | 07470-8482 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
Find all providers in zip 07470 |
Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1003375023 | Center for Network Therapy | Psychiatry & Neurology | 20 Gibson Pl Ste 103, Freehold, NJ 07728-4837 | 2019-03-19 |
1548751258 | Garden State Treatment Center LLC | Psychiatry & Neurology | 350 Sparta Ave Ste A-201, Sparta, NJ 07871 | 2018-05-29 |
1295255149 | Bergen Psychiatric Care LLC | Psychiatry & Neurology | 65 N Maple Ave Ste 104, Ridgewood, NJ 07450-3233 | 2017-06-21 |
1255654752 | Tamer William Wassef | Psychiatry & Neurology | 424 Baldwin Ave, Jersey City, NJ 07306 | 2010-03-11 |
1861651077 | Jeffrey H Simon | Psychiatry & Neurology | 1930 Marlton Pike E Ste U100, Cherry Hill, NJ 08003-4212 | 2008-06-03 |
1730353814 | Joseph Glen Vitolo | Psychiatry & Neurology | 27 Hillsborough Dr, Monroe, NJ 08831-4746 | 2008-04-18 |
1992927859 | Todd Meredith Wilding | Psychiatry & Neurology | 7 Macculloch Ave., 2nd Floor, Morristown, NJ 07960 | 2007-05-02 |
1174648232 | Jacob H Jacoby | Psychiatry & Neurology | 654 Ave C, Suite 201, Bayonne, NJ 07002 | 2007-03-20 |
1265506158 | Cecilia Kalijman Karol | Psychiatry & Neurology | 1055 River Rd, Apt.511 S., Edgewater, NJ 07020-1364 | 2006-11-20 |
1437223161 | Carlos Mora | Psychiatry & Neurology | 26 Stephen Street, Montclair, NJ 07042-5032 | 2006-11-17 |
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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.