MICHAEL S SLADE (NPI# 1811998610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811998610 |
| Entity Type | Individual |
| Full Name | MICHAEL S SLADE |
| Credential | M.D. |
| Practice Address |
4-14 Saddle River Rd Fair Lawn NJ 07410-5632 |
| Practice Telephone | 2017914002 |
| Practice Fax Number | 2017917040 |
| Mailing Telephone | 2017914002 |
| Mailing Fax Number | 2017917040 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2007-10-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208C00000X | Colon & Rectal Surgery | MA32657 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1008706 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144740200 | Michael Slade | Internal Medicine | 660 S Euclid Ave # 8056-29, Saint Louis, MO 63110-1010 | 2017-06-20 |
| 1003304148 | Michael Keith Slade | Social Worker | 2872 S Highland Dr, Salt Lake City, UT 84106-3147 | 2018-04-24 |
| 1407946965 | Michael Dewayne Slade | Technician, Other | 300 E Main St, Ste 1000 Uscg Maintenance and Logistics Command Atlanti, Norfolk, VA 23510 | 2006-10-13 |
| 1093785966 | Michael Slade | Technician, Other | Comdt (cg-1122) Us Coast Guard, 2100 2nd St. Sw Sutie 5314, Washington, DC 20593-0001 | 2006-01-24 |
| Street Address |
4-14 SADDLE RIVER RD |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-5632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558366161 | Gytta Ehrman | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2005-06-20 |
| 1235678665 | Mobile Vision Group LLC | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2017-02-17 |
| 1669929303 | Dong Hyun Kim | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2016-09-09 |
| 1104292747 | Jennine Dorse | Optometrist | 4-14 Saddle River Rd, Fair Lawn, NJ 07410-5632 | 2015-08-18 |
| 1750646915 | Kyle N Hrymack | Optometrist | 4-14 Saddle River Rd, Fair Lawn, NJ 07410-5632 | 2012-07-12 |
| 1457616203 | Mary Ann Hodle | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2012-07-09 |
| 1609067230 | Home Vision Group LLC | Optometrist | 4-14 Saddle River Rd, Suite 202, Fair Lawn, NJ 07410-5632 | 2007-08-08 |
| 1134288152 | North Jersey Colon & Rectal Surgical Associates Pa | Colon & Rectal Surgery | 4-14 Saddle River Rd, Fair Lawn, NJ 07410-5632 | 2006-12-06 |
| 1225113723 | Martin N Weiner, Md Pa | Psychiatry & Neurology | 4-14 Saddle River Rd, Suite #203, Fair Lawn, NJ 07410-5632 | 2006-10-25 |
| 1538243076 | Active Foot & Ankle Care, LLC | Podiatrist | 4-14 Saddle River Rd, Suite 101, Fair Lawn, NJ 07410-5632 | 2006-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 208C00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Colon & Rectal Surgery |
| A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Colon and Rectal Surgery, 2007. http://www.abcrs.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Colon and Rectal Surgery. Colon and rectal surgeons have the expertise to diagnose and often manage anorectal conditions such as hemorrhoids, fissures (painful tears in the anal lining), abscesses and fistulae (infections located around the anus and rectum) in the office setting. They also treat problems of the intestine and colon, and perform endoscopic procedures to evaluate and treat problems such as cancer, polyps (precancerous growths) and inflammatory conditions. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134288152 | North Jersey Colon & Rectal Surgical Associates Pa | Colon & Rectal Surgery | 4-14 Saddle River Rd, Fair Lawn, NJ 07410-5632 | 2006-12-06 |
| 1154317063 | John C Mcconnell | Colon & Rectal Surgery | 4-14 Saddle River Rd, Fair Lawn, NJ 07410-5632 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184911356 | Matthew David Huk | Colon & Rectal Surgery | 435 South St Ste 360, Morristown, NJ 07960-6479 | 2011-07-07 |
| 1598055824 | Gregory J Gallina Md PC | Colon & Rectal Surgery | 255 West Spring Valley Ave., # 103, Maywood, NJ 07607-1444 | 2011-04-07 |
| 1083829840 | Raymond Frederick Crystal | Colon & Rectal Surgery | 325 Long Hill Dr, Short Hills, NJ 07078-1530 | 2007-05-14 |
| 1932260015 | Ralph B Korkor | Colon & Rectal Surgery | 994 White Horse Ave, Hamilton Medical Building, Hamilton, NJ 08610-1428 | 2006-12-13 |
| 1952477986 | Debra R Tarantino | Colon & Rectal Surgery | 231 Millburn Avenue, Millburn, NJ 07041-1718 | 2006-11-28 |
| 1801909007 | Ocean Colon and Rectal Surgery, P.a. | Colon & Rectal Surgery | 1163 Route 37 W Ste D2, Toms River, NJ 08755-4975 | 2006-08-15 |
| 1609892231 | Barash-white, Md, Pa | Colon & Rectal Surgery | 216 Engle St. #203, Englewood, NJ 07631 | 2006-07-15 |
| 1871539858 | Daniel Lee Sadler | Colon & Rectal Surgery | 704 Route 202 South, Bridgewater, NJ 08807 | 2006-06-20 |
| 1659315760 | Robert Eng Hong Khoo | Colon & Rectal Surgery | 44 Nautilus Dr Ste 201, Manahawkin, NJ 08050-2466 | 2006-06-16 |
| 1447217427 | Alfred Francis Wolkomir | Colon & Rectal Surgery | 205 Maple Ave, Red Bank, NJ 07701-1727 | 2006-04-26 |
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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.