DR. ANDRE ARMAND FEDIDA (NPI# 1891839312) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891839312 |
| Entity Type | Individual |
| Full Name | DR. ANDRE ARMAND FEDIDA |
| Credential | M.D. |
| Practice Address |
306 Martin Luther King Jr Blvd 4th Floor Newark NJ 07102-2011 |
| Practice Telephone | 9738772580 |
| Practice Fax Number | 9738772578 |
| Mailing Telephone | 9738772580 |
| Mailing Fax Number | 9738772578 |
| Enumeration Date | 2007-02-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MA054073 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5049504 | 05 |
| Street Address |
306 MARTIN LUTHER KING JR BLVD 4TH FLOOR |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972530707 | Irvin D Goldfarb | Internal Medicine | 306 Martin Luther King Jr Blvd, Newark, NJ 07102-2011 | 2006-06-27 |
| 1871885681 | Jennifer Brown Md PC | Internal Medicine | 306 Martin Luther King Jr Blvd, Floor 4, Newark, NJ 07102-2011 | 2011-05-11 |
| 1548398340 | Gi Services | Internal Medicine | 306 Martin Luther King Jr Blvd, 4th Floor, Newark, NJ 07102-2011 | 2007-03-01 |
| 1538203054 | Jennifer A Brown | Internal Medicine | 306 Martin Luther King Jr Blvd, 4th Floor, Newark, NJ 07102-2011 | 2007-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720553001 | University of Penn - Medical Group | Internal Medicine | 4923 Stanton Ogletown Rd, Newark, DE 19713-2081 | 2018-10-12 |
| 1912347030 | Amol R Shah | Internal Medicine | 1060 Broad St Ste 2a, Newark, NJ 07102-2321 | 2013-07-03 |
| 1457790024 | Zaid Tafesh | Internal Medicine | 90 Bergen St Ste 2100, Newark, NJ 07103-2425 | 2013-06-17 |
| 1841451580 | Michael H Bass | Internal Medicine | 2600 Glasgow Ave Ste 106, Newark, DE 19702-5703 | 2008-06-24 |
| 1285892463 | Siddharth Verma | Internal Medicine | 185 S Orange Ave # Msbh538, Newark, NJ 07103-2757 | 2008-05-25 |
| 1689888281 | Gary B Sinensky Md Pa | Internal Medicine | 24-28 Merchant St, Newark, NJ 07105-2847 | 2007-05-10 |
| 1841349685 | Susan K Jonas Md | Internal Medicine | J 30 Omega Dr, Omega Professional Center, Newark, DE 19713 | 2007-01-10 |
| 1881605749 | Mohamed S Alsalahi | Internal Medicine | 1304 Driving Park Ave, Newark, NY 14513-1059 | 2006-08-10 |
| 1063428878 | Domenica Maria Barritta | Internal Medicine | 18 Oliver St, Newark, NJ 07102-3410 | 2006-08-01 |
| 1518973742 | Firpo Eugenio Guerrero | Internal Medicine | 275 Chestnut St, Newark, NJ 07105-1570 | 2006-07-31 |
| Find all providers in NEWARK | ||||
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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.