DR. VIVIAN AKRIVE KOMINOS (NPI# 1780688192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780688192 |
| Entity Type | Individual |
| Full Name | DR. VIVIAN AKRIVE KOMINOS |
| Credential | M.D. |
| Practice Address |
901 W Main St Ste 205 Cn5050 Freehold NJ 07728-2537 |
| Mailing Address |
901 W Main St Ste 205 Cn 5050 Freehold NJ 07728-2537 |
| Practice Telephone | 7328660800 |
| Practice Fax Number | 7328660018 |
| Mailing Telephone | 7328660800 |
| Mailing Fax Number | 7328660018 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2011-05-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA46965 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HORIZON NJ HEALTH | 1049711 | 01 |
| RR MEDICARE | 060058972 | 01 | |
| OXFORD | MS068 | 01 | |
| NJ | GHI PPO | 0037042 | 01 |
| NJ | AETNA HMO | 0043373 | 01 |
| HEALTHNET | F07150 | 01 | |
| NJ | AETNA PPO | 4093924 | 01 |
| Street Address |
901 W MAIN ST STE 205 CN5050 |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-2537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033146618 | Ashish Awasthi | Internal Medicine | 901 W Main St Ste 205, Cn 5050, Freehold, NJ 07728-2537 | 2006-06-27 |
| 1922054022 | Iris Robin Mentle | Internal Medicine | 901 W Main St Ste 205, Freehold, NJ 07728-2537 | 2006-05-26 |
| 1376547786 | Lou-anne Beauregard | Internal Medicine | 901 W Main St Ste 205, Cn5050, Freehold, NJ 07728-2537 | 2005-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| 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 |
|---|---|---|---|---|
| 1669476073 | Ted Gutowski | Internal Medicine | 901 W Main St, Suite 205, Freehold, NJ 07728-2537 | 2005-06-13 |
| 1669766143 | Atlantic Heart Specialists, LLC | Internal Medicine | 555 Iron Bridge Rd, Suite 12, Freehold, NJ 07728-2975 | 2011-06-02 |
| 1417275520 | John Frank Werber | Internal Medicine | 901 W Main St, Suite 205, Freehold, NJ 07728-2537 | 2010-05-13 |
| 1366674889 | Ashish Shukla | Internal Medicine | 901 W Main St, Suite 205, Freehold, NJ 07728-2537 | 2009-08-17 |
| 1942434204 | Freehold Observationalist Physicians, PC | Internal Medicine | 901 West Main Street, Freehold, NJ 07728 | 2009-05-14 |
| 1730327834 | Divya Menon | Internal Medicine | 901 W Main St, Suite 205 Cn5050, Freehold, NJ 07728-2537 | 2009-01-27 |
| 1033146618 | Ashish Awasthi | Internal Medicine | 901 W Main St Ste 205, Cn 5050, Freehold, NJ 07728-2537 | 2006-06-27 |
| 1144265828 | Heart Specialists of Central Jersey | Internal Medicine | 901 W Main St, Suite 205 Cn 5050, Freehold, NJ 07728-2537 | 2006-06-18 |
| 1922054022 | Iris Robin Mentle | Internal Medicine | 901 W Main St Ste 205, Freehold, NJ 07728-2537 | 2006-05-26 |
| 1801874284 | Sangeeta Garg | Internal Medicine | 555 Iron Bridge Rd, Suite 15, Freehold, NJ 07728-2975 | 2006-01-05 |
| Find all providers in FREEHOLD | ||||
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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.