DR. SHAGHAYEGH MOGHADDAM DENOBLE (NPI# 1770726564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770726564 |
| Entity Type | Individual |
| Full Name | DR. SHAGHAYEGH MOGHADDAM DENOBLE |
| Credential | M.D. |
| Practice Address |
20 Wilsey Sq Suite C Ridgewood NJ 07450-3793 |
| Practice Telephone | 2019577220 |
| Practice Fax Number | 2019776747 |
| Mailing Telephone | 2019577220 |
| Mailing Fax Number | 2019776747 |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2015-05-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 25MA08748500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
20 WILSEY SQ SUITE C |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3793 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306902424 | Cathleen G Moore | Social Worker | 20 Wilsey Sq, Suite C, Ridgewood, NJ 07450-3793 | 2007-01-01 |
| 1093217135 | Andrea Kara Tesher | Psychologist | 20 Wilsey Sq, Ridgewood, NJ 07450-3793 | 2018-03-05 |
| 1447773544 | Brian Amorello | Counselor | 20 Wilsey Sq, Ridgewood, NJ 07450-3793 | 2017-07-20 |
| 1538555958 | Advanced Gynecology and Laparoscopy of North Jersey, PC | Obstetrics & Gynecology | 20 Wilsey Sq, Suite C, Ridgewood, NJ 07450-3793 | 2015-04-13 |
| 1306129077 | Seniorbridge Family Companies (nj), Inc | In Home Supportive Care | 20 Wilsey Sq, Ridgewood, NJ 07450-3793 | 2011-09-20 |
| 1629381264 | Ridgewood Institute for Integral Psychotherapy | Community/Behavioral Health | 20 Wilsey Sq, Ridgewood, NJ 07450-3793 | 2010-07-25 |
| 1245563121 | Lisa Slater | Social Worker | 20 Wilsey Sq, Ridgewood, NJ 07450-3793 | 2009-09-10 |
| 1073783957 | Christina Maria Fitzsimmons | Social Worker | 20 Wilsey Sq, Suite C, Ridgewood, NJ 07450-3793 | 2008-03-06 |
| 1770784258 | Bradford Douglas Krill | Social Worker | 20 Wilsey Sq, Suite C., Ridgewood, NJ 07450-3793 | 2007-05-30 |
| 1467674531 | Patricia Ann Riker | Marriage & Family Therapist | 20 Wilsey Sq, Suite C, Ridgewood, NJ 07450-3793 | 2007-05-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235579129 | Elizabeth Klimowicz-mallon | Obstetrics & Gynecology | 1124 E Ridgewood Ave Ste 105, Ridgewood, NJ 07450-3915 | 2013-06-25 |
| 1225286297 | Charles Milne Scielzo | Obstetrics & Gynecology | 354 Grandview Cir, Ridgewood, NJ 07450-4916 | 2008-09-03 |
| 1083785083 | Intercounty Obgyn | Obstetrics & Gynecology | 6608 Fresh Pond Road, Ridgewood, NY 11385 | 2006-11-13 |
| 1790863165 | Milagros Benedicto | Obstetrics & Gynecology | 5810 Catalpa Ave, Ridgewood, NY 11385-5032 | 2006-11-01 |
| 1043310170 | Benedicto, Figueroa Medical Group PC | Obstetrics & Gynecology | 6852 Fresh Pond Rd, Ridgewood, NY 11385-5230 | 2006-09-25 |
| 1801209382 | The Augury for Women's Health Medical Pllc | Obstetrics & Gynecology | 6852 Fresh Pond Rd, Lower Level, Ridgewood, NY 11385-5230 | 2014-06-03 |
| 1730465717 | Cristina M. Maniu | Obstetrics & Gynecology | 550 N Maple Ave, Ridgewood, NJ 07450-1621 | 2011-10-23 |
| 1558680561 | Eugenia C. Kuo | Obstetrics & Gynecology | 1124 E Ridgewood Ave, Ridgewood, NJ 07450-3915 | 2010-06-01 |
| 1790922136 | Omrou Alchyib | Obstetrics & Gynecology | 6852 Fresh Pond Rd, Lower Level, Ridgewood, NY 11385-5230 | 2009-01-07 |
| 1245419928 | Amy Ilene Katz Gerhardt | Obstetrics & Gynecology | 550 N Maple Ave, Ridgewood, NJ 07450-1621 | 2007-10-30 |
| Find all providers in RIDGEWOOD | ||||
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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.