DR. COLIN A, PEMBERTON (NPI# 1891935557) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891935557 |
| Entity Type | Individual |
| Full Name | DR. COLIN A, PEMBERTON |
| Credential | M.D. |
| Practice Address |
500 Orange St Suite 1 Newark NJ 07107-2944 |
| Mailing Address |
2 Devonshire Ter West Orange NJ 07052-2708 |
| Practice Telephone | 9738428398 |
| Mailing Telephone | 9734440983 |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2015-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 025MA08530400 | NJ | Allopathic & Osteopathic Physicians |
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
025MA08530400 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0198323 | 05 |
| Street Address |
500 ORANGE ST SUITE 1 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07107-2944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437686219 | Pemberton M.d P.c | Internal Medicine | 500 Orange St, Newark, NJ 07107-2944 | 2017-05-11 |
| 1194195271 | Jeevan Therapy | Clinic/Center | 500 Orange St, Suite 2, Newark, NJ 07107-2944 | 2015-10-01 |
| 1295978476 | Lilia Espiritu | Nurse Practitioner | 500 Orange St, Newark, NJ 07107-2944 | 2009-04-17 |
| 1821241597 | America Cares, Ptc | Clinic/Center | 500 Orange St, Newark, NJ 07107-2944 | 2008-10-28 |
| 1457569659 | Nabil Sabbahi | Physical Therapist | 500 Orange St, Newark, NJ 07107-2944 | 2007-05-19 |
| 1972638278 | Roseville Pediatric Care Center, P.a. | Pediatrics | 500 Orange St, Suite 304, Newark, NJ 07107-2944 | 2007-02-23 |
| 1063550358 | Medical Foot Care Center, P.C. | Podiatrist | 500 Orange St, Suite# 301, Newark, NJ 07107-2944 | 2007-02-01 |
| 1891869228 | Spg Pharmacy Inc | Pharmacy | 500 Orange St, Newark, NJ 07107 | 2006-11-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
| 1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
| 1750620944 | Jeevan M Mathew | Physical Therapist | 500 0range Street, Suite 2, Newark, NJ 07107 | 2013-02-07 |
| 1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
| 1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
| 1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
| Find all providers in zip 07107 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1114554532 | Rwjbh Associates 2, LLC | Internal Medicine | 155 Jefferson St # Ll, Newark, NJ 07105-6906 | 2020-03-25 |
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1538709837 | Saloojas Inc. | Internal Medicine | 5763 Stevenson Blvd Ste A, Newark, CA 94560-5301 | 2020-01-14 |
| 1528600715 | Roseville Health Center Inc. | Internal Medicine | 500 Orange St Fl 2, Newark, NJ 07107-2944 | 2019-10-09 |
| 1457912388 | Vanessa Browne | Internal Medicine | 185 S Orange Ave Rm I-506, Newark, NJ 07103-2757 | 2019-06-21 |
| 1477024867 | Hazera Khatun | Internal Medicine | 111 Central Ave Dept Of, Newark, NJ 07102-1909 | 2018-12-10 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1649700253 | Cheryl Emilia Monteiro | Internal Medicine | 183 S Orange Ave # F1416, Newark, NJ 07103-2757 | 2017-06-15 |
| 1871029199 | Saira Zafar | Internal Medicine | 90 Bergen St # 4700, Newark, NJ 07103-2425 | 2017-05-05 |
| 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.