ADVANCED MEDICAL & COSMETIC CENTER LLC (NPI# 1760946974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760946974 |
Entity Type | Organization |
Organization Name | ADVANCED MEDICAL & COSMETIC CENTER LLC |
Practice Address |
208 Harristown Rd # Ll-2a Glen Rock NJ 07452-3308 |
Practice Telephone | 2018821050 |
Practice Fax Number | 2018821040 |
Mailing Telephone | 2018821050 |
Mailing Fax Number | 2018821040 |
Enumeration Date | 2019-01-22 |
Last Update Date | 2019-01-22 |
Authorized Official Name | DR. DEMETRIOS N PANAGIOTOU (OWNER) |
Authorized Official Telephone | 2018821050 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
Street Address |
208 HARRISTOWN RD # LL-2A |
City | GLEN ROCK |
State | NJ |
Zip Code | 07452-3308 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326566134 | Silverio Joseph Bumanlag | Physical Therapist | 251 Rock Road, Suite 2c, Glen Rock, NJ 07452 | 2017-08-31 |
1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
1306389457 | Rock Physical Therapy & Sports Rehabilitation Inc | Clinic/Center | 251 Rock Rd Ste 2e, Glen Rock, NJ 07452 | 2016-11-22 |
1003215336 | Amanda Rose Peraino | Specialist | 17 Stonefield Road, Glen Rock, NJ 07452 | 2014-08-22 |
1083030225 | Kristopher D Paik | Dentist | Ridgewood Oral Surgery & Implant Center, 385 S. Maple Ave Ste 207, Glen Rock, NJ 07452 | 2014-03-12 |
1497016158 | Patricia A. Woods | Counselor | 849 Lincoln Avenue, Glen Rock, NJ 07452 | 2012-05-30 |
1114284239 | Eileen Kringle Mc Auley | Physical Therapist | 522 Broad Street, Glen Rock, NJ 07452 | 2012-04-13 |
1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
1649426479 | Adam Avitabile | Physician Assistant | 208 Harristown Rd # Ll-2, Glen Rock, NJ 07452 | 2008-08-12 |
1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
Find all providers in zip 07452 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1770109688 | Cardioconsultz Professional Corporation | Internal Medicine | 512 Washington Ter, Audubon, NJ 08106-2221 | 2020-06-17 |
1558994566 | Comprehensive Cardiovascular Consultants of Nj | Internal Medicine | 575 Route 28 Ste 3107, Raritan, NJ 08869-1354 | 2020-02-18 |
1992342349 | Heart & Vascular Care Consultants LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 201, Hamilton, NJ 08619-1269 | 2019-12-04 |
1083269146 | Helio Malinverni Md Pa | Internal Medicine | 100 Federal City Rd Ste C-103, Lawrenceville, NJ 08648-1664 | 2019-08-06 |
1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
1447765102 | Consultative Cardiology LLC | Internal Medicine | 115 Van Cleef, Whitehouse Station, NJ 08889-3746 | 2017-12-04 |
1124531280 | Christiana Care Health Initiatives | Internal Medicine | 125 East Ave Ste D, Woodstown, NJ 08098-1351 | 2017-11-13 |
1427569938 | Paul Deutsch | Internal Medicine | 30 Brinkerhoff Ave, Teaneck, NJ 07666-3126 | 2017-10-24 |
1174064984 | Szt Medical LLC | Internal Medicine | 424 Hidden Valley Ct, Wyckoff, NJ 07481-1557 | 2017-03-13 |
1568907996 | Jennifer C Wellings | Internal Medicine | 199 Pierce St Apt 422, Somerset, NJ 08873-1249 | 2016-12-20 |
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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.