DR. ELAINE DOUGLAS (NPI# 1841371853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841371853 |
| Entity Type | Individual |
| Full Name | DR. ELAINE DOUGLAS |
| Credential | MD |
| Practice Address |
160 Lincoln Street Montclair NJ 07042-4432 |
| Mailing Address |
160 Lincoln St Montclair NJ 07042-4432 |
| Practice Telephone | 9737440528 |
| Mailing Telephone | 9737440528 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA05226500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | OXFORD | P375146 | 01 |
| NJ | CLIA | 31D0896592 | 01 |
| NJ | LICENSE | 25MA05226500 | 01 |
| NJ | DEA | BD1783984 | 01 |
| NJ | CDS | D04980000 | 01 |
| NJ | HEALTHNET | OK1590 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558347369 | Elaine J Douglas | Psychiatry & Neurology | 503 N 21st St, Camp Hill, PA 17011-2204 | 2005-12-22 |
| Street Address |
160 LINCOLN STREET |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042-4432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| 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 |
|---|---|---|---|---|
| 1174136097 | Gb Medical Services LLC | Family Medicine | 9670 Central Ave Ste 111, Montclair, CA 91763-2425 | 2020-08-29 |
| 1558900928 | Blue Star Medical Group | Family Medicine | 110 Squire Hill Rd, Montclair, NJ 07043-2516 | 2020-01-02 |
| 1851953335 | Leyna Phuong Tran | Family Medicine | 4881 Princeton St, Montclair, CA 91763-2241 | 2019-07-03 |
| 1356812374 | Novacare Partners LLC | Family Medicine | 34 The Fairway, Montclair, NJ 07043-2534 | 2018-12-17 |
| 1215345194 | Evan Thomas Geise | Family Medicine | 4959 Palo Verde St Ste 206a-5, Montclair, CA 91763-2342 | 2014-07-23 |
| 1184037079 | Malasa Jois Kahn | Family Medicine | 100 Valley Rd Ste 102, Montclair, NJ 07042-2200 | 2014-06-09 |
| 1013274539 | Miriam Nazmy | Family Medicine | 9550 Fremont Ave Apt E4, Montclair, CA 91763-2312 | 2012-04-22 |
| 1639479009 | Patient Centered Medical Associates, Pa | Family Medicine | 54 Plymouth St, Montclair, NJ 07042-2137 | 2010-11-01 |
| 1275842452 | Marianna B. Shimelfarb | Family Medicine | 48-50 Fairfield Street, Montclair, NJ 07042 | 2010-10-05 |
| 1649443599 | Dalia A Corleone | Family Medicine | 9675 Monte Vista Ave Ste C, Montclair, CA 91763-2213 | 2008-04-10 |
| Find all providers in MONTCLAIR | ||||
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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.