DR. WILIIAM GREGORY DOTZMAN (NPI# 1750463527) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750463527 |
| Entity Type | Individual |
| Full Name | DR. WILIIAM GREGORY DOTZMAN |
| Credential | D.O. |
| Practice Address |
376 96th St Stone Harbor NJ 08247-1404 |
| Practice Telephone | 8004411189 |
| Mailing Telephone | 8004411189 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
MB66828 | NJ | Allopathic & Osteopathic Physicians |
| X | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
MB66828 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
376 96TH ST |
| City | STONE HARBOR |
| State | NJ |
| Zip Code | 08247-1404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235359001 | 96th Street Urgent Care | Family Medicine | 376 96th St, Suite # 2, Stone Harbor, NJ 08247-1404 | 2007-04-26 |
| 1073683660 | Harbor Family Practice PC | Family Medicine | 376 96th St, Stone Harbor, NJ 08247-1404 | 2006-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922181262 | Lorraine Carole King | Obstetrics & Gynecology | 12140 2nd Ave, Stone Harbor, NJ 08247-1057 | 2006-10-23 |
| 1366813826 | Samuel Accardi II | Dietitian, Registered | 10809 Sunset Dr, Stone Harbor, NJ 08247-1161 | 2015-10-09 |
| 1134304835 | Diana L Akeret | Social Worker | 359 96th St, Suite 302, Stone Harbor, NJ 08247-1409 | 2008-01-02 |
| 1205289287 | Breeze Recovery LLC | Social Worker | 359 96th St, Suite 302, Stone Harbor, NJ 08247-1409 | 2016-07-14 |
| 1700840758 | Randell A Nuschke | Internal Medicine | 336 96th St, Suite 1, Stone Harbor, NJ 08247-1439 | 2006-04-14 |
| 1750463113 | Elizabeth E. Ruskey | Family Medicine | 336 96th St, Suite 1, Stone Harbor, NJ 08247-1439 | 2006-10-19 |
| 1386601649 | Tara A Vogdes | Family Medicine | 336 96th St, Suite 1, Stone Harbor, NJ 08247-1439 | 2006-04-28 |
| 1609877026 | John Mcallister II | Radiology | 281 101st St, Stone Harbor, NJ 08247-1824 | 2005-08-09 |
| 1902317225 | Marina Mangano | Chiropractor | 9505 3rd Ave, Stone Harbor, NJ 08247-1928 | 2017-10-12 |
| 1073729299 | Shawn H Piper | Dentist | 9720 3rd Ave, Stone Harbor, NJ 08247-1933 | 2007-05-15 |
| Find all providers in zip 08247 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841589884 | Primed Health LLC | Family Medicine | 10 Liberty Ave, Jersey City, NJ 07306-3825 | 2011-03-30 |
| 1518130897 | Stanton Henry Sykes | Family Medicine | 428 3rd St, 428 3rd St., Belvidere, NJ 07823-1843 | 2008-04-08 |
| 1548340672 | Joyce R Zissman | Family Medicine | Mccosh Health Ctr, Washington Rd., Princeton, NJ 08544-0001 | 2006-10-16 |
| 1487759171 | David Yorio | Family Medicine | 220 Hamburg Tpke Ste 18b, Wayne, NJ 07470-2132 | 2006-09-14 |
| 1275643116 | Julian Mark Maressa | Family Medicine | 181 W White Horse Pike, Suite 100, Berlin, NJ 08009-2032 | 2006-08-30 |
| 1346279494 | Sukhdev Amarnani | Family Medicine | 64 S Main St, Manville, NJ 08835-1864 | 2006-07-01 |
| 1134563802 | New Lifestyle Medical Pa | Family Medicine | 19-21 Fair Lawn Ave, Ste 2e, Fair Lawn, NJ 07410-2331 | 2013-04-24 |
| 1205051604 | Malika S. De Silva Md. Inc | Family Medicine | 1503 St Georges Ave, Suite104, Colonia, NJ 07067-3427 | 2007-04-13 |
| 1326110446 | Francis Peter Halas | Family Medicine | 2130 Highway 35, Suite B214, Sea Girt, NJ 08750-1010 | 2006-11-14 |
| 1659301117 | Gary Pepe | Family Medicine | 468 Parish Dr, Suite 6, Wayne, NJ 07470-4671 | 2006-07-03 |
| Find all providers with the same taxonomy | ||||
| City | STONE HARBOR |
| Zip Code | 08247 |
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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.