DR. CYNTHIA R PRESTIGIACOMO (NPI# 1730275207) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730275207 |
| Entity Type | Individual |
| Full Name | DR. CYNTHIA R PRESTIGIACOMO |
| Credential | MD |
| Practice Address |
80 Bloomfield Avenue Second Floor Caldwell NJ 07006-5342 |
| Mailing Address |
Lb# 7550 Po Box 95000 Philadelphia PA 19195-7550 |
| Practice Telephone | 9736189990 |
| Practice Fax Number | 9736189991 |
| Mailing Telephone | 8443621735 |
| Mailing Fax Number | 9732907495 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2017-11-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA06407700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA | 5932171 | 01 |
| NJ | HEALTHNET | 1K2417 | 01 |
| NJ | CIGNA | 413844 | 01 |
| NJ | EMPIRE | 545631 | 01 |
| NJ | HORIZON MANAGED CARE | J7679 | 01 |
| NJ | TAX ID | 223685542 | 01 |
| NJ | UNITED HEALTHCARE | 1466998 | 01 |
| NJ | OXFORD | P410290 | 01 |
| Street Address |
80 BLOOMFIELD AVENUE SECOND FLOOR |
| City | CALDWELL |
| State | NJ |
| Zip Code | 07006-5342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306931787 | David J Strader | Pediatrics | 80 Bloomfield Avenue, Second Floor, Caldwell, NJ 07006-5342 | 2006-10-03 |
| 1811081409 | Sarah Nielsen | Pediatrics | 80 Bloomfield Avenue, Second Floor, Caldwell, NJ 07006-5342 | 2006-10-03 |
| 1912092453 | Nancy Mallon | Pediatrics | 80 Bloomfield Avenue, Second Floor, Caldwell, NJ 07006-5342 | 2006-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063984979 | Ethan and The Bean A New Jersey Non Profit Corporation | Assistant Behavior Analyst | 31 Fairfield Avenue, West Caldwell, NJ 07006 | 2018-12-18 |
| 1083104228 | A Plus Rehab LLC | Physical Medicine & Rehabilitation | 9 Bloomfield Ave, North Caldwell, NJ 07006 | 2018-05-14 |
| 1326556564 | Salvatrice Rosalia Polizzotto | Social Worker | 249 Bloomfield Avenue, 2nd Floor, Caldwell, NJ 07006 | 2018-01-22 |
| 1750820452 | Caldwell University | Behavioral Analyst | 120 Bloombfield Avenue, Caldwell, NJ 07006 | 2017-02-15 |
| 1790151116 | Bankim Shah | Internal Medicine | 32 Wakefield Pl, Caldwell, NJ 07006 | 2015-08-19 |
| 1598157638 | Lisa Santeramo | Behavioral Analyst | 309 Westville Avenue, West Caldwell, NJ 07006 | 2015-02-26 |
| 1871832774 | Theodore K Chang | Dentist | 749 Bloomfield Ave Ste D, West Caldwell, NJ 07006 | 2013-02-12 |
| 1801132535 | Booyoung Chung | Pharmacist | 560 Passiac Ave Cvs, West Caldwell, NJ 07006 | 2012-12-28 |
| 1750611802 | Christopher Jones, Dds, P.a. | Dentist | 1129 Bloomfield Avenue, West Caldwell, NJ 07006 | 2010-01-12 |
| 1194976837 | Arthur Edward Halprin | Dentist | 277 Bloomfield Ave., Caldwell, NJ 07006 | 2008-09-30 |
| Find all providers in zip 07006 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265609929 | Merle L. Keller IIi | Pediatrics | 315 E. Elm Ste 100, Caldwell, ID 83605 | 2008-05-13 |
| 1306931787 | David J Strader | Pediatrics | 80 Bloomfield Avenue, Second Floor, Caldwell, NJ 07006-5342 | 2006-10-03 |
| 1508809914 | Matthew S Brown | Pediatrics | 315 E Elm St Ste 100, Caldwell, ID 83605-4858 | 2006-06-14 |
| 1144209248 | Paul William Fleenor | Pediatrics | 315 E Elm, Ste 100, Caldwell, ID 83605-4858 | 2006-01-17 |
| 1841604089 | Jared Thompson | Pediatrics | 315 E Elm, Ste 100, Caldwell, ID 83605 | 2014-06-16 |
| 1053555326 | Jee Hur | Pediatrics | 315 E Elm Street, Ste 100, Caldwell, ID 83605 | 2009-04-29 |
| 1700032372 | Verona Pediatrics | Pediatrics | 80 Bloomfield Ave, Second Floor, Caldwell, NJ 07006-5343 | 2008-08-14 |
| 1811081409 | Sarah Nielsen | Pediatrics | 80 Bloomfield Avenue, Second Floor, Caldwell, NJ 07006-5342 | 2006-10-03 |
| 1912092453 | Nancy Mallon | Pediatrics | 80 Bloomfield Avenue, Second Floor, Caldwell, NJ 07006-5342 | 2006-10-03 |
| 1982640132 | John R Trumbo | Pediatrics | 315 E Elm St, Suite 100, Caldwell, ID 83605-4857 | 2006-06-22 |
| Find all providers in CALDWELL | ||||
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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.