GEORDIE GRANT


Address: 150 Bergen St, Level E, Newark, NJ 07103-2496
Phone: 9739725787

GEORDIE GRANT (NPI# 1861544280) 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) 1861544280
Entity Type Individual
Full Name GEORDIE GRANT
Credential M.D.
Practice Address 150 Bergen St
Level E
Newark
NJ 07103-2496
Mailing Address 30 Bergen St
Admc 12 1205
Newark
NJ 07107-3000
Practice Telephone 9739725787
Practice Fax Number 9739724172
Enumeration Date 2007-01-17
Last Update Date 2009-08-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology 25MA03641000 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 3475409 05

Office Location

Street Address 150 BERGEN ST
LEVEL E
City NEWARK
State NJ
Zip Code 07103-2496

Providers in the same location

NPI Name Taxonomy Address Enumeration
1427052232 Cherie Anne Burke Registered Nurse 150 Bergen St, Newark, NJ 07103-2496 2005-06-09
1235739269 Rebecca Kim Pharmacist 150 Bergen St, Newark, NJ 07103-2496 2020-10-28
1033719513 Suilon Ng Student in an Organized Health Care Education/Training Program 150 Bergen St, Newark, NJ 07103-2496 2020-10-26
1801494539 Brenda Borba Dietitian, Registered 150 Bergen St, Newark, NJ 07103-2496 2020-10-14
1881207454 Eloy Francisco Ruiz Mendoza Student in an Organized Health Care Education/Training Program 150 Bergen St, Newark, NJ 07103-2496 2020-08-24
1396368437 Jacqueline E. Baron Student in an Organized Health Care Education/Training Program 150 Bergen St, Newark, NJ 07103-2496 2020-05-23
1235751512 Jacklyn A Johnson Student in an Organized Health Care Education/Training Program 150 Bergen St, Newark, NJ 07103-2496 2020-05-10
1427679299 Krishna Gandhi Nurse Practitioner 150 Bergen St, Newark, NJ 07103-2496 2020-05-02
1689294399 Danielle Marie Lion Registered Nurse 150 Bergen St, Newark, NJ 07103-2496 2020-04-22
1902426893 Saahil A Jumkhawala Student in an Organized Health Care Education/Training Program 150 Bergen St, Newark, NJ 07103-2496 2020-04-21
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164954566 Michael Chukwuemeka Ndukwe Anesthesiology 185 S Orange Ave # Msbf-603, Newark, NJ 07103-2757 2017-04-03
1003158718 Anna Korban Anesthesiology 185 S Orange Ave # Msbf-611, Newark, NJ 07103-2757 2013-03-20
1750645982 Akwasi Peprah Amponsah Jr. Anesthesiology 150 Bergen St # Streete, Newark, NJ 07103 2012-07-03
1285994582 Shachi C Patel Anesthesiology 1 Centurian Dr Ste 110, Newark, DE 19713-2154 2012-05-21
1407122609 Uchenna Anthony Madubuko Anesthesiology 550 S 19th St, Newark, NJ 07103 2012-04-02
1154692077 Michael Suleiman Marji Anesthesiology St. Michael's Medical Center, 111 Central Avenue, Newark, NJ 07102 2012-01-24
1326351271 Michal Gajewski Anesthesiology 185 S. Orange Ave., Msb E-538, Newark, NJ 07103 2010-07-21
1336374149 Daisy Munoz Anesthesiology 651 N 6th St, Newark, NJ 07107-2505 2009-05-22
1043453657 Da Wang Anesthesiology 185 S Orange Ave Rm E-538, Newark, NJ 07103-2757 2009-04-13
1609020049 Corazon G. Tablang Md PC Anesthesiology 10 Darwin Dr Ste C, Darwin Professional Center, Newark, DE 19711-6658 2008-11-12
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City NEWARK
Zip Code 07103

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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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