JEFFREY MARTIN KOLB (NPI# 1891355137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891355137 |
| Entity Type | Individual |
| Full Name | JEFFREY MARTIN KOLB |
| Credential | PA-C |
| Practice Address |
140 Route 17 North #255 Paramus NJ 07652 |
| Practice Telephone | 2014904333 |
| Mailing Telephone | 2014904333 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790889046 | Jeffrey P Kolb | Dentist | 602 W Locust St, Boonville, IN 47601-0167 | 2006-09-08 |
| 1033729702 | Jeffrey Ryan Kolb | Pharmacist | 20 Airport Rd, Sedona, AZ 86336-5805 | 2020-08-06 |
| Street Address |
140 ROUTE 17 NORTH #255 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407883887 | Michael Charles Distefano | Orthopaedic Surgery | 140 Route 17 North, Suite 255, Paramus, NJ 07652 | 2006-06-28 |
| 1396094934 | Hand & Wrist Surgery of Nj, LLC | Surgery | 140 Route 17 North, Suite 323, Paramus, NJ 07652 | 2012-08-29 |
| 1649414541 | Steven Ugras | Surgery | 140 Route 17 North, Suite 323, Paramus, NJ 07652 | 2009-04-23 |
| 1629215702 | Ridge Pain Medicine and Anesthesiology, LLC | Specialist | 140 Route 17 North, Suite 204, Paramus, NJ 07652 | 2009-01-12 |
| 1548399082 | Image Plastic Surgery LLC | Plastic Surgery | 140 Route 17 North, Suite 105, Paramus, NJ 07652 | 2007-03-02 |
| 1982773545 | Frederick Alexander | Surgery | 140 Route 17 North, Suite 321, Paramus, NJ 07652 | 2006-11-07 |
| 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 | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376901025 | Kayla Anne Hanley | Physician Assistant | 230 E Ridgewood Ave, Paramus, NJ 07652-4142 | 2016-02-09 |
| 1689003196 | First Assist Surgical Services | Physician Assistant | 205 Homestead Rd, Paramus, NJ 07652-4709 | 2013-11-05 |
| 1023447968 | James Maginnis | Physician Assistant | 140 N Rte 17, Suite 255, Paramus, NJ 07652-2809 | 2013-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467062463 | Erica Josephine Lobuglio | Physician Assistant | 733 N Beers St Ste U3, Holmdel, NJ 07733-1513 | 2020-08-04 |
| 1407471493 | Angelice Grasso | Physician Assistant | 3 Holly Ln, Garfield, NJ 07026-3565 | 2020-06-15 |
| 1063036358 | Jaina Marie Lumkong | Physician Assistant | 905 Allwood Rd Ste 204, Clifton, NJ 07012-1946 | 2020-06-02 |
| 1740804384 | Allison Sy Tan | Physician Assistant | 10 Bahr Cir, Verona, NJ 07044-3200 | 2020-05-29 |
| 1114560851 | Brian Paul Leonhardt | Physician Assistant | 1113 Hospital Drive Professional Building East, Suite 100, Willingboro, NJ 08046 | 2019-10-25 |
| 1740830413 | Atara Hagler | Physician Assistant | 1500 Pleasant Valley Way Ste 101, West Orange, NJ 07052-2956 | 2019-09-16 |
| 1568943058 | Ekaterina M Rezvin | Physician Assistant | 80 Woodland Park Dr, Tenafly, NJ 07670-3028 | 2018-08-23 |
| 1225550353 | Kristen Cordiello | Physician Assistant | 1610 Route 88 Ste 203, Brick, NJ 08724-3018 | 2017-07-11 |
| 1710408232 | Angela Marie Freedman | Physician Assistant | 1 Riverview Plaza Multi Disciplinary Cancer Center, Red Bank, NJ 07701 | 2017-07-06 |
| 1063932259 | Matthew Gabriel | Physician Assistant | 25 Prospect Avernue, 2nd Floor, Hackensack, NJ 07601 | 2017-06-20 |
| 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.