PAULETTE DENISE STANFORD (NPI# 1801967740) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801967740 |
| Entity Type | Individual |
| Full Name | PAULETTE DENISE STANFORD |
| Credential | MD |
| Practice Address |
90 Bergen St Doc 4300 Newark NJ 07103-2425 |
| Mailing Address |
30 Bergen St Admc 12 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739722100 |
| Practice Fax Number | 9739722102 |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2009-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
25MA03453500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0648507 | 05 |
| Street Address |
90 BERGEN ST DOC 4300 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285623074 | Karen Virginia Valdez-gonzalez | Genetic Counselor, MS | 90 Bergen St, Doctors Office Center - Suite 5400, Newark, NJ 07103-2425 | 2005-10-14 |
| 1134758816 | Elizabeth Elaine Ginalis | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2020-04-05 |
| 1003462854 | University Surgical Associates (om) | Transplant Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-16 |
| 1528614021 | Special LLC | Plastic Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-12 |
| 1265993216 | Sean Michael Munier | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-30 |
| 1629539861 | Ali Tayebi Meybodi | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-29 |
| 1497214282 | Brandon Khoa Nguyen | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2019-03-19 |
| 1649776790 | Purvee D Patel | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Newark, NJ 07103-2425 | 2018-04-05 |
| 1740716703 | Elena Solli | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Doctor's Office Center, Neurological Surgery Dept., Newark, NJ 07103-2425 | 2017-05-11 |
| 1881120954 | Ivo Bach | Student in an Organized Health Care Education/Training Program | 90 Bergen St, Suite 5200, Newark, NJ 07103-2425 | 2017-05-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487941779 | Sari Bentsianov | Pediatrics | 90 Bergen St Ste 4600, Newark, NJ 07103-2425 | 2011-07-07 |
| 1942386966 | Feminia Castro Mac | Pediatrics | 18 Ferry St, Newark, NJ 07105-1436 | 2006-10-31 |
| 1164447587 | Loreta Montolo Uy | Pediatrics | 66 Somme St, Newark, NJ 07105-3612 | 2006-07-13 |
| 1275505844 | Ricardo Jp Ferraz | Pediatrics | 374 Chestnut St Ste A, Newark, NJ 07105-2495 | 2006-02-07 |
| 1417958463 | Ernest Frederick Joseph Siebold | Pediatrics | 282 The Green, University of Delaware, Student Health Service, Newark, DE 19716-8101 | 2005-08-02 |
| 1740529577 | Fataneh M Ziari, Md, Pa | Pediatrics | 2600 Glasgow Ave, Suite 212, Newark, DE 19702-4773 | 2013-02-14 |
| 1215179312 | Pediaric Center 2000 Inc | Pediatrics | 571 N 6th St, Newark, NJ 07107-2501 | 2009-04-03 |
| 1306979323 | Jocelyne Louis-jacques | Pediatrics | 742 Clinton Ave, Newark, NJ 07108-1202 | 2007-03-13 |
| 1275543365 | Wendy Neal | Pediatrics | 166 Lyons Ave, Newark, NJ 07112-2016 | 2006-08-09 |
| 1063434447 | Pauline A Walks-akintobi | Pediatrics | 741 Broadway, Newark, NJ 07104-4309 | 2006-07-24 |
| Find all providers in NEWARK | ||||
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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.