ETON MEDICAL GROUP, PA (NPI# 1831244003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831244003 |
| Entity Type | Organization |
| Organization Name | ETON MEDICAL GROUP, PA |
| Other Organization Name | BERGEN FAMILY PRACTICE |
| Practice Address |
1 Sears Drive 4th Floor Paramus NJ 07652 |
| Practice Telephone | 2012616061 |
| Practice Fax Number | 2012616465 |
| Mailing Telephone | 2012616061 |
| Mailing Fax Number | 2012616465 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2010-06-30 |
| Authorized Official Name | MICHAEL WILLIAM RUTIGLIANO SR. (PRESIDENT) |
| Authorized Official Telephone | 2012616061 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | MA05433300 | NJ | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Bergen Family Practice | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851447809 | Eton Medical Group, Pa | Family Medicine | 1 Sears Drive, 4th Floor, Paramus, NJ 07652 | 2007-01-25 |
| Street Address |
1 SEARS DRIVE 4TH FLOOR |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740348077 | Michael William Rutigliano Sr. | Family Medicine | 1 Sears Drive, 4th Floor, Paramus, NJ 07652 | 2006-12-06 |
| 1538424379 | Alternative and Integrative Medicine Center, PC | Internal Medicine | 1 Sears Drive, 4th Floor, Paramus, NJ 07652-3510 | 2012-07-09 |
| 1699952689 | Katherine Ann Gearity | Chiropractor | 1 Sears Drive, Third Floor, Paramus, NJ 07652 | 2008-01-22 |
| 1851447809 | Eton Medical Group, Pa | Family Medicine | 1 Sears Drive, 4th Floor, Paramus, NJ 07652 | 2007-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952591760 | Bowen Tzeng | Family Medicine | 195 Forest Ave, Paramus, NJ 07652-5325 | 2007-07-27 |
| 1740348077 | Michael William Rutigliano Sr. | Family Medicine | 1 Sears Drive, 4th Floor, Paramus, NJ 07652 | 2006-12-06 |
| 1922192988 | Marie N Devita | Family Medicine | 645 Cambridge Road, Paramus, NJ 07652 | 2006-10-03 |
| 1760458426 | Deborah A. Lardner | Family Medicine | 282 E Rte 4, Paramus, NJ 07652 | 2006-02-23 |
| 1538422993 | Chitra Kodery | Family Medicine | 230 E Ridgewood Ave, Paramus, NJ 07652 | 2012-06-20 |
| 1225308091 | Kashan Rizvi | Family Medicine | 282 E Rte 4, Paramus, NJ 07652 | 2012-01-10 |
| 1053610626 | Jyoti Mathews | Family Medicine | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2011-03-22 |
| 1750617676 | Health Care New York Ipa | Family Medicine | 1 Kalisa Way, Suite 201, Paramus, NJ 07652-3516 | 2009-10-28 |
| 1851447809 | Eton Medical Group, Pa | Family Medicine | 1 Sears Drive, 4th Floor, Paramus, NJ 07652 | 2007-01-25 |
| 1952341711 | Sonia Chadha | Family Medicine | 1 Sears Dr, Suite Number 402, Paramus, NJ 07652-3515 | 2006-06-08 |
| Find all providers in PARAMUS | ||||
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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.