FLAVIO PATERNO (NPI# 1760666507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760666507 |
Entity Type | Individual |
Full Name | FLAVIO PATERNO |
Credential | MD |
Practice Address |
140 Bergen St Newark NJ 07103-2425 |
Mailing Address |
30 Bergen St Rm 1205 Newark NJ 07107-3000 |
Practice Telephone | 9739727218 |
Practice Fax Number | 9739722988 |
Mailing Telephone | 9739720037 |
Mailing Fax Number | 9739720743 |
Enumeration Date | 2007-12-27 |
Last Update Date | 2018-12-05 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | 35099749 | OH | Allopathic & Osteopathic Physicians |
N | 208600000X | Surgery | 35099749 | OH | Allopathic & Osteopathic Physicians |
N | 282N00000X | General Acute Care Hospital | Hospitals |
Street Address |
140 BERGEN ST |
City | NEWARK |
State | NJ |
Zip Code | 07103-2425 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891721668 | Bernadette Marion Cracchiolo | Obstetrics & Gynecology | 140 Bergen St, Acc Level C, Newark, NJ 07103-2425 | 2006-06-24 |
1871190140 | University Hospital | Podiatrist | 140 Bergen St, Newark, NJ 07103-2425 | 2020-10-08 |
1972159234 | University Ob/gyn Associates (om) | Obstetrics & Gynecology | 140 Bergen St, Newark, NJ 07103-2425 | 2019-08-13 |
1578119012 | Naji Madi | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-08-12 |
1265992416 | Mary Elias | Nurse Practitioner | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-22 |
1275092124 | Andrew Reid Leggett | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-19 |
1023576238 | Anh Nguyen | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2019-03-06 |
1699201145 | John Cece | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Ambulatory Care Center E1620, Newark, NJ 07103-2425 | 2017-05-03 |
1932634250 | Di Bai | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Newark, NJ 07103-2425 | 2017-04-24 |
1568995009 | Chrystal Yin Chang | Student in an Organized Health Care Education/Training Program | 140 Bergen St, Ambulatory Care Center G1680, Newark, NJ 07103-2425 | 2017-04-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
Find all providers in zip 07103 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295971430 | Diego C Reino | Transplant Surgery | 185 S Orange Ave # Msbg-506, Newark, NJ 07103-2757 | 2008-12-17 |
1407021132 | Keri Elizabeth Lunsford | Transplant Surgery | 140 Bergen St # E1650, Newark, NJ 07103 | 2008-04-23 |
1417998782 | James Vincent Guarrera | Transplant Surgery | 140 Bergen St # E1620, Newark, NJ 07103 | 2006-06-09 |
1003462854 | University Surgical Associates (om) | Transplant Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-16 |
1114136645 | Lloyd Garth Brown | Transplant Surgery | 185 S Orange Ave, Msb, Room G-594, Newark, NJ 07103-2757 | 2007-05-22 |
1437161874 | Subhashini Manjula Ayloo | Transplant Surgery | 140 Bergen Street, Acc Bldg D-1650, Newark, NJ 07103 | 2006-08-13 |
1912925157 | Adrian A. Fisher | Transplant Surgery | 90 Bergen St, Doc 7100, Newark, NJ 07103-2425 | 2006-07-17 |
1700811494 | Dorian J. Wilson | Transplant Surgery | 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000 | 2006-07-11 |
1588694558 | Baburao Koneru | Transplant Surgery | 90 Bergen St, Doc 7100, Newark, NJ 07103-2425 | 2006-07-04 |
1487608667 | Velma P Scantlebury | Transplant Surgery | 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Suite 2224, Newark, DE 19713-2072 | 2006-05-20 |
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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.