PIONEER MEDICAL GROUP LLC (NPI# 1770942849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770942849 |
| Entity Type | Organization |
| Organization Name | PIONEER MEDICAL GROUP LLC |
| Practice Address |
2005 St George's Ave Rahway NJ 07065 |
| Practice Telephone | 7323813740 |
| Practice Fax Number | 7325875486 |
| Mailing Telephone | 7323813740 |
| Mailing Fax Number | 7325875486 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | DR. KAMRAN TASHAROFI (PARTNER) |
| Authorized Official Telephone | 7324431700 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA07616500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
2005 ST GEORGE'S AVE |
| City | RAHWAY |
| State | NJ |
| Zip Code | 07065 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528672920 | Shaunelle Renaud | Durable Medical Equipment & Medical Supplies | 478 Sycamore St, Rahway, NJ 07065 | 2020-09-02 |
| 1629585658 | Feliz Leona Clemente Batoy | Physical Therapist | 492 Hamilton Street, Apt E, Rahway, NJ 07065 | 2017-12-28 |
| 1699216499 | Md Specialty Medical Center LLC | Surgery | 2005 Saint Georges Ave, Rahway, NJ 07065 | 2017-03-13 |
| 1629441936 | Caringhouse Projects, Inc | Respite Care | 1083 Pierpoint Street, Rahway, NJ 07065 | 2015-11-09 |
| 1851783096 | Nagela Saint Fleur | Nurse Practitioner | 2005 St Georges Ave, Rahway, NJ 07065 | 2015-02-25 |
| 1669881777 | Rihh LLC | Pharmacy | 398 W Grand Ave, Rahway, NJ 07065 | 2014-08-04 |
| 1518387190 | Philip J Kierstedt II | Counselor | 150 East Lake Ave, Rahway, NJ 07065 | 2014-04-22 |
| 1356777213 | Kimberly L Bryant | Physical Therapist | 867saint George Ave, Unit 3, Rahway, NJ 07065 | 2013-09-23 |
| 1598032427 | Ma Socorro Bersosa Calleja | Registered Nurse | 345 Princeton Avenue, Rahway, NJ 07065 | 2011-11-21 |
| 1619252616 | Akshita Kota | Pharmacist | 786 St. Geroge Ave, Rahway, NJ 07065 | 2011-10-21 |
| Find all providers in zip 07065 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295087005 | Ohad Sheffy | Family Medicine | 200 Lewis St, Apt. 403, Rahway, NJ 07065-5083 | 2012-10-04 |
| 1184856882 | Rita U. Goradia, M.d. P.C. | Family Medicine | 1128 Bryant St, Rahway, NJ 07065-3142 | 2009-08-13 |
| 1174626774 | Rita U Goradia | Family Medicine | 1128 Bryant Street, Rahway, NJ 07065 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| 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.