MAZEN S. ITANI (NPI# 1770555930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770555930 |
| Entity Type | Individual |
| Full Name | MAZEN S. ITANI |
| Credential | M.D. |
| Practice Address |
183 Us Highway 206 Ste 2 Flanders NJ 07836 |
| Mailing Address |
183 Us Highway 206 Suite 2 Flanders NJ 07839-9261 |
| Practice Telephone | (973) 251-7303 |
| Practice Fax Number | 9732517306 |
| Mailing Telephone | (973) 251-7303 |
| Mailing Fax Number | 9732517306 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2018-05-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
25MA08075500 | FL | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 25MA08075500 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
25MA08075500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
183 US HIGHWAY 206 STE 2 |
| City | FLANDERS |
| State | NJ |
| Zip Code | 07836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922652486 | Kessler Institute for Rehabilitation, Inc. | Clinic/Center | 293 Route 206 Suite 10, Flanders, NJ 07836 | 2019-08-01 |
| 1427527142 | Ben Aalampour | Pharmacist | 293 Highway 206, Unit 1, Flanders, NJ 07836 | 2018-11-26 |
| 1801396908 | Alyxandra A Direnzo | Speech-Language Pathologist | 114 Cloverhill Dr, Flanders, NJ 07836 | 2018-02-15 |
| 1598278616 | Katelyn Meier | Social Worker | 4 Gold Mine Road, Flanders, NJ 07836 | 2017-11-10 |
| 1457504227 | Edy M. Toussaint | Specialist | 148 Rt. 206, Flanders, NJ 07836 | 2008-10-24 |
| 1699966713 | Jennifer Joann Argenziano | Dentist | 191 Route 206 Suite 1, Flanders, NJ 07836 | 2007-08-05 |
| 1750501714 | Michael Richard Dunleavy | Social Worker | 6 River Rd, Flanders, NJ 07836 | 2007-05-01 |
| 1144375957 | Arthur Howard Nusbaum | Dentist | 11 Deerfield Place, Flanders, NJ 07836 | 2007-01-24 |
| 1386711000 | Michael Claude Ropp | Chiropractor | 193 Rt 206 N, Bldg 2, Flanders, NJ 07836 | 2006-11-29 |
| 1053309195 | Jonathan L Fellus | Physical Medicine & Rehabilitation | 227 Rt 206 North, Bldg 2 Suite 101, Flanders, NJ 07836 | 2005-10-12 |
| Find all providers in zip 07836 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
| 1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
| 1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
| 1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
| 1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
| 1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
| 1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
| 1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
| 1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
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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.