NEW JERSEY PHLEBOLOGY PC (NPI# 1790056521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790056521 |
| Entity Type | Organization |
| Organization Name | NEW JERSEY PHLEBOLOGY PC |
| Practice Address |
55 Madison Ave Suite 400 Morristown NJ 07960-7337 |
| Mailing Address |
1901 Butterfield Rd 220 Downers Grove IL 60515-7915 |
| Practice Telephone | 6307252730 |
| Practice Fax Number | 8772194810 |
| Mailing Telephone | 6307252768 |
| Mailing Fax Number | 8772194810 |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |
| Authorized Official Name | J THEODORE KING (OWNER) |
| Authorized Official Telephone | 6307252768 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 202K00000X | Phlebology | Allopathic & Osteopathic Physicians |
| Street Address |
55 MADISON AVE SUITE 400 |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-7337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922145598 | Julianne Corbin | Counselor | 55 Madison Ave, Suite 400, Morristown, NJ 07960-7337 | 2007-01-31 |
| 1548881733 | Morris Home Care, LLC | Home Health | 55 Madison Ave, Morristown, NJ 07960-7337 | 2020-04-29 |
| 1316574072 | Nicole D'achille | Speech-Language Pathologist | 55 Madison Ave, Morristown, NJ 07960-7337 | 2020-03-24 |
| 1881221604 | Kimberly Anne Robinson | Occupational Therapist | 55 Madison Ave, Morristown, NJ 07960-7337 | 2020-03-23 |
| 1487212809 | Constance Shirtz | Dietitian, Registered | 55 Madison Ave, Morristown, NJ 07960-7337 | 2019-05-31 |
| 1184120222 | Sascha Gabrielle Dougan | Family Medicine | 55 Madison Ave, Morristown, NJ 07960 | 2018-04-05 |
| 1851808331 | Karlyn Shelby Gieger | Nurse Practitioner | 55 Madison Ave, Morristown, NJ 07960-7337 | 2018-01-05 |
| 1508242116 | Tamara D'alessio | Counselor | 55 Madison Ave, Morristown, NJ 07960-7337 | 2015-08-05 |
| 1023499241 | Kelly Zbojovsky | Psychologist | 55 Madison Ave, Suite 400, Office 83, Morristown, NJ 07960-7337 | 2015-06-12 |
| 1093105892 | Denise Charles | Nurse Practitioner | 55 Madison Ave, Suite 310, Morristown, NJ 07960-7337 | 2015-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 202K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Phlebology |
| Phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. |
| Notes: Source: American College of Phlebology 12/2006. www.phelbology.org [1/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: Training Programs, Fellowships, and/or Preceptorships: Certification exam is being established by the American Board of Phlebology. ACGME Accredited Residency Program Requirements: None |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013573047 | Adaptive Healthcare Pa | Phlebology | 1075 Stephenson Ave Ste D-2, Oceanport, NJ 07757-1242 | 2019-05-15 |
| 1023347341 | William D. Salerno, Md Pa | Phlebology | 38 Mayhill St Ste 1, Saddle Brook, NJ 07663-5307 | 2009-12-15 |
| City | MORRISTOWN |
| Zip Code | 07960 |
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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.