EASTERN THORACIC SURGICAL ASSOCIATES LLC (NPI# 1881868263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881868263 |
| Entity Type | Organization |
| Organization Name | EASTERN THORACIC SURGICAL ASSOCIATES LLC |
| Practice Address |
65 Mechanic St Suite 102 Red Bank NJ 07701-1869 |
| Practice Telephone | 7327419980 |
| Practice Fax Number | 7327419982 |
| Mailing Telephone | 7327419980 |
| Mailing Fax Number | 7327419982 |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2009-07-24 |
| Authorized Official Name | LOURENS J WILLEKES II (PHYSICIAN) |
| Authorized Official Telephone | 7327419980 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0077411 | 05 |
| Street Address |
65 MECHANIC ST SUITE 102 |
| City | RED BANK |
| State | NJ |
| Zip Code | 07701-1869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225028640 | Donald Anthony Cugini | Surgery | 65 Mechanic St, Ste. 102, Red Bank, NJ 07701-1869 | 2005-10-26 |
| 1841840816 | Kathryn Wilkinson | Physical Therapist | 65 Mechanic St, Red Bank, NJ 07701-1869 | 2019-09-12 |
| 1346633641 | Alicia Waranis | Behavioral Analyst | 65 Mechanic St, Red Bank, NJ 07701-1869 | 2015-03-11 |
| 1447586839 | Howard Eisenbrock | Neurological Surgery | 65 Mechanic St, Suite 105, Red Bank, NJ 07701-1869 | 2009-10-20 |
| 1215097969 | Carl Louis Michel | Physician Assistant | 65 Mechanic St, Suite 105, Red Bank, NJ 07701-1869 | 2006-12-11 |
| 1750495719 | Foot Health Centers, P.a. | Podiatrist | 65 Mechanic St, Red Bank, NJ 07701-1869 | 2006-08-18 |
| 1881671873 | Alfred P Campbell | Physician Assistant | 65 Mechanic St, Red Bank, NJ 07701 | 2005-12-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447801659 | Kelsey M Simonson | Occupational Therapist | 15 Fowler Court, Red Bank, NJ 07701 | 2019-09-28 |
| 1225697816 | Professional Occupational & Physical Therapy, Pllc | Occupational Therapist | 39 East Front Street, Red Bank, NJ 07701 | 2019-06-07 |
| 1164992483 | Christine Elizabeth Fernandez | Social Worker | 1 Corbett Say, Eatontown, NJ 07701 | 2018-11-29 |
| 1346725330 | The Tms Center of New Jersey PC | Psychiatry & Neurology | 55 North Gilbert St, Suite 2203, Tinton Falls, NJ 07701 | 2018-09-26 |
| 1194205187 | Enlightening Counseling & Educational Services, LLC | Social Worker | 331 Newman Springs Rd. Bldg.1, 4th Floor, Suite 143, Red Bank, NJ 07701 | 2018-08-19 |
| 1013405794 | Susan Obrien | Registered Nurse | 270 New Jersey 35, Red Bank, NJ 07701 | 2018-04-27 |
| 1477055952 | Alexandra Gingerelli | Counselor | 48 Reckless Place, Red Bank, NJ 07701 | 2018-03-01 |
| 1841702529 | Felicia Dawn Stoler | Dietitian, Registered | 31 Leroy Place, Red Bank, NJ 07701 | 2017-11-02 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1891225769 | Asha One Pharmacy LLC | Pharmacy | 224 Shrewsbury Avenue, Red Bank, NJ 07701 | 2017-06-14 |
| Find all providers in zip 07701 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073057543 | Mohamed Abbassi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 91 Goodwin Dr, North Brunswick, NJ 08902-4273 | 2016-12-18 |
| 1578975520 | Kennedy Medical Group Practice, P.C. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 485 Williamstown Road, Sicklerville, NJ 08081 | 2014-05-27 |
| 1770913782 | Advanced Cardiovascular Specialists LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 12 Brown Ct, Livingston, NJ 07039-1520 | 2013-11-13 |
| 1346687647 | Leonid Emerel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 54 Mccampbell Rd, Holmdel, NJ 07733-2229 | 2013-05-28 |
| 1477899607 | Hudson Cardiothoracic Surgery, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4 Bucks Mill Ln, Holmdel, NJ 07733-1756 | 2012-12-16 |
| 1801194659 | Mamsurg Thoracic Surgery LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4013 Us Highway 9, Howell, NJ 07731-4021 | 2011-03-03 |
| 1538472873 | Ronald E Ross | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Trenton Rd - Deborah Heart & Lung Center, Mid Atlantic Surgical Associates, Browns Mills, NJ 08015 | 2010-07-15 |
| 1962727644 | Benjamin Van Boxtel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Mid-atlantic Surgical Associates, 100 Madison Avenue, Morristown, NJ 07960 | 2010-04-06 |
| 1699003145 | Douglas Joseph Dipaola | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Fullerton Rd, Moorestown, NJ 08057-1926 | 2009-11-20 |
| 1770810749 | James Clark Hart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 37 Hurlingham Club Rd, Far Hills, NJ 07931-2479 | 2009-11-11 |
| Find all providers with the same taxonomy | ||||
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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.