KATHLEEN SELVAGGI-FADDEN (NPI# 1871561266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871561266 |
| Entity Type | Individual |
| Full Name | KATHLEEN SELVAGGI-FADDEN |
| Credential | MD |
| Practice Address |
435 South St Ste 250 Morristown NJ 07960-6477 |
| Mailing Address |
Po Box 416457 Boston MA 02241-6457 |
| Practice Telephone | 9739715227 |
| Practice Fax Number | 9732907164 |
| Mailing Telephone | 8443621735 |
| Mailing Fax Number | 9732907495 |
| Enumeration Date | 2006-03-10 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
25MA05516400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
435 SOUTH ST STE 250 |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922527803 | Emily Shaw | Nurse Practitioner | 435 South St Ste 250, Morristown, NJ 07960 | 2017-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861460461 | Tosan Livingstone | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2006-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427367440 | Maureen Hoey | Pediatrics | 104 Cranford Ave, Cranford, NJ 07016-2408 | 2010-09-27 |
| 1548427420 | Manuel Jimenez | Pediatrics | 89 French St Rm 1349, New Brunswick, NJ 08901-1935 | 2008-05-19 |
| 1265589600 | Margaret Kelly Downey | Pediatrics | 110 Hazel Ct, Norwood, NJ 07648-1817 | 2007-01-05 |
| 1982798237 | Dorothy W. Bryan | Pediatrics | 953 Garfield Avenue, Jersey City, NJ 07304 | 2006-10-03 |
| 1952493967 | Batul S Ladak | Pediatrics | 50 Market Street, Second Floor, Saddle Brook, NJ 07663 | 2006-09-28 |
| 1235233248 | Ffrancine M Siegel-stein | Pediatrics | 263 Arch Rd, Englewood, NJ 07631-4402 | 2006-09-11 |
| 1801847462 | Marivic Santiago | Pediatrics | 140 E Ridgewood Avenue, Suite 480n, Paramus, NJ 07652 | 2006-05-16 |
| 1295371441 | Hunterdon Medical Center | Pediatrics | 190 Route 31, Flemington, NJ 08822-5773 | 2019-11-22 |
| 1932762002 | Clarity Psychiatric Care | Pediatrics | 31 Kings Hwy E, Haddonfield, NJ 08033-2001 | 2019-04-15 |
| 1750891990 | Phoenix Behavioral Health LLC | Pediatrics | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2017-10-02 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
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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.