TATYANA GRINCHENKO (NPI# 1770627713) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770627713 |
| Entity Type | Individual |
| Full Name | TATYANA GRINCHENKO |
| Credential | DO |
| Practice Address |
506 Hamburg Tpke Ste 201 Wayne NJ 07470-2069 |
| Mailing Address |
363 Sturbridge Rd Wyckoff NJ 07481-1562 |
| Practice Telephone | 2012828356 |
| Practice Fax Number | 8885021596 |
| Mailing Telephone | 9174496890 |
| Mailing Fax Number | 8885021596 |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2016-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
MB082529 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
235641 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0149781 | 05 |
| Street Address |
506 HAMBURG TPKE STE 201 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-2069 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 |
|---|---|---|---|---|
| 1336275288 | Robert George Lahita | Internal Medicine | 234 Hamburg Tpke, Wayne, NJ 07470-2173 | 2007-02-26 |
| 1568772523 | Arthritis Alliance P.C. | Internal Medicine | 342 Hamburg Tpke, Suite 201, Wayne, NJ 07470-2162 | 2010-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245894971 | Revive Rheumatology of North Jersey, LLC | Internal Medicine | 100 Willowbrook Ct, Paramus, NJ 07652-1833 | 2019-04-29 |
| 1669981221 | Center for Arthritis and Osteoporosis PC | Internal Medicine | 1235 Whitehorse Mercerville Rd Ste 206, Trenton, NJ 08619-3810 | 2017-09-27 |
| 1134642994 | Advocare, LLC | Internal Medicine | 1051 W Sherman Ave Ste C1b, Vineland, NJ 08360-6931 | 2017-07-24 |
| 1073035309 | Garden State Rheumatology Associates LLC | Internal Medicine | 101 Prospect St Ste 216, Lakewood, NJ 08701-5003 | 2017-07-07 |
| 1982009551 | Humane Center for Arthritis and Rheumatism | Internal Medicine | 2424 Morris Ave Ste 110, Union, NJ 07083-5710 | 2014-10-24 |
| 1912315938 | Kenneth Truitt | Internal Medicine | 385 Hartshorn Dr, Short Hills, NJ 07078-1939 | 2014-07-23 |
| 1669888376 | Sehris Khawaja | Internal Medicine | 2 Capital Way Ste 550, Pennington, NJ 08534-2521 | 2014-07-02 |
| 1821309154 | Nickolas M Tyris | Internal Medicine | 150 Delsea Dr, Suite B, Sewell, NJ 08080-9478 | 2010-07-01 |
| 1164741641 | Michael Jay Yellin | Internal Medicine | 138 Buckingham Rd, Montclair, NJ 07043-2307 | 2010-05-24 |
| 1992940860 | Alexandru Filip Kimel | Internal Medicine | 1415 Queen Anne Road, Suite 102, Teaneck, NJ 07666 | 2008-12-08 |
| 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.