ROBYN KIA GANTT


Address: 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000
Phone: 9739720037

ROBYN KIA GANTT (NPI# 1821009309) 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) 1821009309
Entity Type Individual
Full Name ROBYN KIA GANTT
Credential M.D.
Practice Address 30 Bergen St
Admc 12 1205
Newark
NJ 07107-3000
Practice Telephone 9739720037
Practice Fax Number 9739729355
Mailing Telephone 9739720037
Mailing Fax Number 9739729355
Enumeration Date 2006-08-10
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 25MA06680800 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 8292507 05

Office Location

Street Address 30 BERGEN ST
ADMC 12 1205
City NEWARK
State NJ
Zip Code 07107-3000

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NPI Name Taxonomy Address Enumeration
1235119686 Susan V Garstang Physical Medicine & Rehabilitation 30 Bergen St, Admc 101, Newark, NJ 07107-3000 2006-01-20
1699225227 University Physician Associates of New Jersey, Inc Otolaryngology 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 2016-10-06
1083068217 Ariel Patrice Sena Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 - Room 110, Newark, NJ 07107-3000 2016-04-13
1346694577 Helena Gvili Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc11 Rm 1110, Newark, NJ 07107-3000 2016-04-13
1124413265 Tiffany Chan Student in an Organized Health Care Education/Training Program 30 Bergen St, Emergency Medicine, Admc-11, Rm 1110, Newark, NJ 07107-3000 2015-04-06
1801152939 Subhanir Sunil Chitnis Emergency Medicine 30 Bergen St, Admc 11, Room 1110, Newark, NJ 07107-3000 2012-04-03
1659647873 Chidinma Dawn Kabba Emergency Medicine 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-04-02
1407122328 Joseph Alan Rogers Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-03-26
1477842631 Suzanne A Katsetos Emergency Medicine 30 Bergen St, Admc 11, Rm 1110, Newark, NJ 07107-3000 2011-03-28
1669603387 Tobechukwu Clouden Psychiatry & Neurology 30 Bergen St, Newark, NJ 07107-3000 2009-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1750620944 Jeevan M Mathew Physical Therapist 500 0range Street, Suite 2, Newark, NJ 07107 2013-02-07
1982967386 D & M Quality of Life Services, LLP In Home Supportive Care 285 Roseville Avenue, Suite 118, Newark, NJ 07107 2012-06-20
1710121496 Paul Hsu Pharmacist 421 Bloomfield Ave, Guardys, Newark, NJ 07107 2009-04-27
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

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1104461763 Ginna Elizabeth Keil Family Medicine 16 Polly Drummond Shpg Ctr Ste 2, Newark, DE 19711-4861 2019-11-07
1386290609 Corisa Mccloud Family Medicine 1025 Lawnview Ave, Newark, OH 43055-2611 2019-08-13
1811408172 Bmg Newark LLC Family Medicine 794 Mount Prospect Ave Fl 2, Newark, NJ 07104-3221 2017-10-13
1982093852 Physicians Care of Newark, Inc Family Medicine 68 Omega Dr, Suite D, Newark, DE 19713-2063 2015-01-15
1316365646 Emmanuelle Ruocco Family Medicine 90 Bergen St Ste 300, Newark, NJ 07103-2425 2014-04-03
1366886368 Amanda J Taylor Family Medicine 4755 Ogletown Stanton Rd Ste 6e34, Newark, DE 19718 2013-04-20
1033477104 Ironbound Family Medicine LLC Family Medicine 154 Van Buren St, 1st Floor, Newark, NJ 07105-2984 2012-04-26
1164790002 St. Francis Hospital, Inc Family Medicine 1220 Capitol Trl, Newark, DE 19711-3924 2011-12-07
1255624896 Carlos Alfonso Sanchez Family Medicine 617 Broad St, Newark, NJ 07102-4403 2011-05-16
1306072947 Glenda Albizu Family Medicine 300 Biddle Ave Ste 200, Newark, DE 19702 2009-06-10
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Competitor

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City NEWARK
Zip Code 07107

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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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