JAGDISH R JINDAL (NPI# 1780698068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780698068 |
| Entity Type | Individual |
| Full Name | JAGDISH R JINDAL |
| Credential | MD |
| Practice Address |
166 Main St Suite 1-a Lincoln Park NJ 07035-3707 |
| Mailing Address |
166 Main St Ste 1a Lincoln Park NJ 07035-3707 |
| Practice Telephone | 9736946260 |
| Practice Fax Number | 9736942359 |
| Mailing Telephone | 9736946260 |
| Mailing Fax Number | 9736942359 |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2008-03-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MA032374 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2869209 | 05 |
| Street Address |
166 MAIN ST SUITE 1-A |
| City | LINCOLN PARK |
| State | NJ |
| Zip Code | 07035-3707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710300702 | Dental Mentors | Clinic/Center | 166 Main St, Suite 1b, Lincoln Park, NJ 07035-3707 | 2014-01-27 |
| 1851516926 | John Alfred Taltavall IIi | Dentist | 166 Main St, Suite 1b, Lincoln Park, NJ 07035-3707 | 2007-04-16 |
| 1407933138 | David Alan Runfeldt | Chiropractor | 166 Main St, Lincoln Park, NJ 07035-3707 | 2006-11-01 |
| 1376586917 | William M Kaplan | Dentist | 166 Main St, Suite 1-b, Lincoln Park, NJ 07035-3707 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306333802 | Nancy Barrett | Massage Therapist | 63 Beaver Brook Road, Suite 105, Lincoln Park, NJ 07035 | 2018-04-19 |
| 1407182801 | Jody S Chimbel-berg | Occupational Therapist | 503 Pine Brook Rd., Lincoln Park, NJ 07035 | 2009-10-20 |
| 1588999486 | Jeffrey Michael Falduto | Dentist | 8 Chapel Hill Road, Lincoln Park, NJ 07035 | 2009-10-09 |
| 1467785519 | Richard Anthony Ashman | Physical Therapy Assistant | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-09-08 |
| 1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
| 1740356575 | Anna Marie Kotsen | Marriage & Family Therapist | 59 Beaver Brook Rd, Suite 303d, Lincoln Park, NJ 07035 | 2006-11-24 |
| 1700992039 | Jeffrey M Falduto Dmd Dental Practice LLC | Dentist | 8 Chapel Hill Rd, Lincoln Park, NJ 07035 | 2006-08-21 |
| 1063877207 | Kenneth Fernandez | Occupational Therapy Assistant | 209 Comly Rd, M13, Lincoln Park, NJ 07035 | 2015-12-15 |
| 1316273717 | Beata Hertel-kiszkiel | Occupational Therapist | 503 Pine Brook Road, Lincoln Park, NJ 07035 | 2009-10-20 |
| 1750523726 | Walgreen Co | Pharmacy | 153 Main St, Lincoln Park, NJ 07035 | 2009-04-06 |
| Find all providers in zip 07035 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1376023861 | Oakman Medical Clinic Pllc | Internal Medicine | 3755 Fort St, Lincoln Park, MI 48146-4118 | 2018-08-15 |
| 1679795835 | Anju Budhwani | Internal Medicine | 166 Main St Ste 1a, Lincoln Park, NJ 07035 | 2007-05-03 |
| 1770663999 | Nusrat Z Rahman | Internal Medicine | 3781 Fort St, Lincoln Park, MI 48146-4118 | 2006-10-16 |
| 1093765380 | Kartik H Shah | Internal Medicine | 3022 Dix Hwy, Lincoln Park, MI 48146-2591 | 2006-05-10 |
| 1255394623 | Mahmood Khan | Internal Medicine | 25880 Outer Dr, Lincoln Park, MI 48146-1553 | 2006-04-07 |
| 1851397418 | Luzviminda C Rivera | Internal Medicine | 26190 Outer Dr, Lincoln Park, MI 48146-2084 | 2005-06-28 |
| 1124363080 | Shashi K Malik, Md, PC | Internal Medicine | 2176 Fort St, Lincoln Park, MI 48146-2405 | 2012-12-04 |
| 1477728392 | Mahmood Khan M.d., P.C. | Internal Medicine | 25880 Outer Dr, Lincoln Park, MI 48146-1553 | 2008-04-23 |
| 1982766192 | Oakwood Ambulatory, LLC | Internal Medicine | 25650 Outer Dr, Lincoln Park, MI 48146-2096 | 2006-12-14 |
| 1518067552 | Martin Jahes Corso | Internal Medicine | 29 Station Rd, Lincoln Park, NJ 07035-1749 | 2006-09-22 |
| Find all providers in LINCOLN PARK | ||||
| City | LINCOLN PARK |
| Zip Code | 07035 |
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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.