DR. VIVEK LAXMAN BAGADE (NPI# 1760650394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760650394 |
| Entity Type | Individual |
| Full Name | DR. VIVEK LAXMAN BAGADE |
| Credential | M.D. |
| Practice Address |
452 Old Hook Rd 2nd Floor Emerson NJ 07630-1381 |
| Mailing Address |
Po Box 419430 Boston MA 02241-9430 |
| Practice Telephone | 2016663900 |
| Practice Fax Number | 2012610505 |
| Mailing Telephone | 2016663900 |
| Mailing Fax Number | 2012610505 |
| Enumeration Date | 2008-02-17 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 38451 - 020 | WI | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 25MA06029400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7080000 | 05 |
| Street Address |
452 OLD HOOK RD 2ND FLOOR |
| City | EMERSON |
| State | NJ |
| Zip Code | 07630-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922009760 | Joel D Jacowitz | Internal Medicine | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2005-08-02 |
| 1275934325 | Humc Primary Care Associates | Internal Medicine | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2014-09-09 |
| 1831599976 | Kristina Abanes | Nurse Practitioner | 452 Old Hook Rd, Emerson, NJ 07630-1381 | 2014-08-26 |
| 1629489216 | Ellen Petak Jacowitz I | Counselor | 452 Old Hook Rd, Emerson, NJ 07630-1381 | 2014-05-16 |
| 1245660554 | Mary Barr | Nurse Practitioner | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2013-11-22 |
| 1225370356 | Old Hook Medical Associates, LLC | Non-Pharmacy Dispensing Site | 452 Old Hook Rd, Floor 2, Emerson, NJ 07630-1381 | 2013-03-27 |
| 1215222955 | Norma Walsky | Social Worker | 452 Old Hook Rd, Emerson, NJ 07630-1381 | 2011-06-10 |
| 1417241951 | Robert S.walsky Md, Pa | Surgery | 452 Old Hook Rd, Suite 302, Emerson, NJ 07630-1381 | 2011-06-01 |
| 1033413422 | Amy G Ali | Internal Medicine | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2010-12-29 |
| 1780912139 | Warren Glick | Nurse Practitioner | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2009-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558986208 | Serene Mind, LLC | Counselor | 32 Lincoln Blvd, Emerson, NJ 07630 | 2020-06-09 |
| 1215451943 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2a, Emerson, NJ 07630 | 2017-08-03 |
| 1760725808 | Affinity Home Care Services | Home Health | 16 Chestnut Avenue, Suite 302 W, Emerson, NJ 07630 | 2013-03-27 |
| 1982768800 | Effie Sofos | Dentist | 309 Kinderkamack Rd, Emerson, NJ 07630 | 2006-12-22 |
| 1114936838 | Frederick William Denike | Dentist | 24 Emerson Plaza West, Emerson, NJ 07630 | 2006-08-05 |
| 1720007743 | Carnig C Shakarjian | Podiatrist | 99 Kinderkamack Rd, Emerson, NJ 07630 | 2006-07-19 |
| 1740257880 | Mona Patel | Psychiatry & Neurology | 70 Kinderkamack Road, Suite # 201, Emerson, NJ 07630 | 2006-03-08 |
| 1134643869 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 1b, Emerson, NJ 07630 | 2017-08-03 |
| 1942725601 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 2b, Emerson, NJ 07630 | 2017-08-03 |
| 1023533783 | New Concepts for Living | In Home Supportive Care | 43 Emerson Plaza West, 3a, Emerson, NJ 07630 | 2017-08-03 |
| Find all providers in zip 07630 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1780019224 | Annika Sara Dronge | Internal Medicine | 7 Palisade Ave, Emerson, NJ 07630-1821 | 2013-09-03 |
| 1538153531 | Neeta Motiwala | Internal Medicine | 466 Old Hook Road, Suite 1, Emerson, NJ 07630-1368 | 2005-09-06 |
| 1275934325 | Humc Primary Care Associates | Internal Medicine | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2014-09-09 |
| 1770845430 | Jenny Soledad Ayala | Internal Medicine | 466 Old Hook Rd Ste 1, Emerson, NJ 07630-1368 | 2012-06-08 |
| 1033413422 | Amy G Ali | Internal Medicine | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2010-12-29 |
| 1831425180 | Jennifer Randall | Internal Medicine | 466 Old Hook Road, Suite 1, Emerson, NJ 07630-1368 | 2009-10-21 |
| 1821298795 | Sabrina L Tempesta | Internal Medicine | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630 | 2007-07-19 |
| 1396816427 | Carol Madeleine D'aquino | Internal Medicine | 452 Old Hook Rd, 2nd Floor, Emerson, NJ 07630-1381 | 2006-11-12 |
| 1801900824 | Anthony Peter Volpe Sr. | Internal Medicine | 466 Old Hook Rd, Suite# 14, Emerson, NJ 07630-1396 | 2006-08-18 |
| 1912935669 | Allen R Griggs | Internal Medicine | 466 Old Hook Rd, Suite 1, Emerson, NJ 07630-1396 | 2006-06-30 |
| Find all providers in EMERSON | ||||
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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.