CATHEDRAL PHYSICIAN GROUP, PC


Address: 1160 Raymond Blvd, 8th Floor - Physician Services, Newark, NJ 07102-4168
Phone: 9734912958

CATHEDRAL PHYSICIAN GROUP, PC (NPI# 1780884031) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780884031
Entity Type Organization
Organization Name CATHEDRAL PHYSICIAN GROUP, PC
Practice Address 1160 Raymond Blvd
8th Floor - Physician Services
Newark
NJ 07102-4168
Mailing Address 111 Central Ave
1st Floor
Newark
NJ 07102-1909
Practice Telephone 9734912958
Mailing Telephone 9738775000
Enumeration Date 2007-07-24
Last Update Date 2007-07-24
Authorized Official Name LUIS BENDEZU (PHYSICIAN)
Authorized Official Telephone 9738775188
Authorized Official Credential MD
Is Organization Subpart Y
Parent Organization Name SAINT MICHAELS MEDICAL CENTER

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine Allopathic & Osteopathic Physicians
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ PENDING 05

Office Location

Street Address 1160 RAYMOND BLVD
8TH FLOOR - PHYSICIAN SERVICES
City NEWARK
State NJ
Zip Code 07102-4168

Providers in the same location

NPI Name Taxonomy Address Enumeration
1447244967 Angel A Hernandez Psychiatry & Neurology 1160 Raymond Blvd, Newark, NJ 07102-4199 2005-09-12
1669597837 James Francis Tortora Psychologist 1160 Raymond Blvd, Newark, NJ 07102 2007-03-20
1538283346 Sheila Crowe Nutritionist 1160 Raymond Blvd, 4th Floor, Newark, NJ 07102-4168 2007-03-19
1972635712 Marise Carraha Registered Nurse 1160 Raymond Blvd, 2nd Floor, Newark, NJ 07102 2007-03-09
1104957968 Renee Cheryl Williams Registered Nurse 1160 Raymond Blvd, Newark, NJ 07102-4168 2007-03-07
1013059575 Vody Elaine Vincent Registered Nurse 1160 Raymond Blvd, 5th Floor, Newark, NJ 07102-4168 2007-02-13
1457491250 Garnnette D Ali Registered Nurse 1160 Raymond Blvd, 5th Floor, Newark, NJ 07102-4168 2007-02-08
1689712895 Marcelo Velazquez Counselor 1160 Raymond Blvd, Newark, NJ 07102-4168 2007-02-01
1477607851 Rafael M Tortosa-nacher Psychiatry & Neurology 1160 Raymond Blvd, Newark, NJ 07102-4168 2007-01-22
1740344076 Ccs - Partenership for Children Community/Behavioral Health 1160 Raymond Blvd, Newark, NJ 07102-4168 2006-12-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487253779 Integrity, Inc Clinic/Center 1091-1093 Broad Street, Newark, NJ 07102 2020-10-19
1881292720 Oluwaseun Ademulegun Pharmacist 1084 Broad Street, Newark, Newark, NJ 07102 2020-10-13
1679042295 Henry Paul Grayner Specialist/Technologist 100 Lock St, Newark, NJ 07102 2018-11-14
1548736838 Integrity, Inc Substance Abuse Rehabilitation Facility 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 2018-10-15
1962981407 Crystal Kay-baune Mccown Social Worker 130 Orange St, Newark, NJ 07102 2018-08-07
1053808865 Nubi Consultants Corp. Dba Aplus Home Care Physical Therapist 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 2018-04-17
1396249264 Integrity, Inc Substance Abuse Rehabilitation Facility 49 Lincoln Park, Newark, NJ 07102 2018-03-23
1568960896 Saint James Health Inc Clinic/Center 36 Halsey Street, Newark, NJ 07102 2018-02-01
1992216527 Metropolitan Center for Human Services Psychologist 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 2017-10-23
1467974949 Ahmad Mohammad Tawfiq Damati Student in an Organized Health Care Education/Training Program 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 2017-07-17
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114554532 Rwjbh Associates 2, LLC Internal Medicine 155 Jefferson St # Ll, Newark, NJ 07105-6906 2020-03-25
1538790563 North Ward Medical Arts LLC Internal Medicine 485-491 Mt Prospect Ave, Newark, NJ 07104 2020-01-29
1538709837 Saloojas Inc. Internal Medicine 5763 Stevenson Blvd Ste A, Newark, CA 94560-5301 2020-01-14
1528600715 Roseville Health Center Inc. Internal Medicine 500 Orange St Fl 2, Newark, NJ 07107-2944 2019-10-09
1457912388 Vanessa Browne Internal Medicine 185 S Orange Ave Rm I-506, Newark, NJ 07103-2757 2019-06-21
1477024867 Hazera Khatun Internal Medicine 111 Central Ave Dept Of, Newark, NJ 07102-1909 2018-12-10
1437648417 Stephen Vanbeek Internal Medicine 185 S Orange Ave Rm 547, Newark, NJ 07103 2018-05-06
1720504905 Tri-state Physicians Inc Internal Medicine 266 South College Ave, Newark, DE 19711 2017-08-18
1649700253 Cheryl Emilia Monteiro Internal Medicine 183 S Orange Ave # F1416, Newark, NJ 07103-2757 2017-06-15
1871029199 Saira Zafar Internal Medicine 90 Bergen St # 4700, Newark, NJ 07103-2425 2017-05-05
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Competitor

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City NEWARK
Zip Code 07102

Improve Information

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Dataset Information

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.

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