CENTRO CLINICO LLC (NPI# 1912547357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912547357 |
| Entity Type | Organization |
| Organization Name | CENTRO CLINICO LLC |
| Practice Address |
32 Hine St Ste 103 Paterson NJ 07503-2955 |
| Practice Telephone | 9733413782 |
| Practice Fax Number | 9733413783 |
| Mailing Telephone | 9733413782 |
| Mailing Fax Number | 9733413783 |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | DENIA PEREZ (OWNER) |
| Authorized Official Telephone | 9733413782 |
| Authorized Official Credential | NP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 474 Clifton Ave, Clifton, NJ 070113228 | 8622910080 | 8622910081 |
| Street Address |
32 HINE ST STE 103 |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503-2955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558453225 | Luis F Luna | Internal Medicine | 32 Hine St Ste 103, Paterson, NJ 07503 | 2006-09-29 |
| 1780949792 | Denia M. Perez | Nurse Practitioner | 32 Hine St Ste 103, Paterson, NJ 07503-2955 | 2012-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245536457 | Sebastian Hematology-oncology Associates | Internal Medicine | 680 Broadway, Paterson, NJ 07514-1422 | 2011-02-04 |
| 1790002525 | Paterson Medical Health Services Corporation | Internal Medicine | 680 Broadway, First Floor, Paterson, NJ 07514-1422 | 2010-05-04 |
| 1356570477 | Colfax Oncology LLC | Internal Medicine | 680 Broadway, Paterson, NJ 07514-1422 | 2009-07-10 |
| 1679702203 | Medical Concepts LLC | Internal Medicine | 680 Broadway, Paterson, NJ 07514-1422 | 2009-07-02 |
| 1881673770 | Rakesh Ojha | Internal Medicine | 703 Main St, Paterson, NJ 07503 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356976948 | Regional Cancer Care Associates LLC | Internal Medicine | 7650 River Rd Fl 2, North Bergen, NJ 07047-6526 | 2020-03-04 |
| 1609407337 | Regional Cancer Care Associates LLC | Internal Medicine | 9 Centre Dr Ste 100, Monroe Township, NJ 08831-5153 | 2020-01-31 |
| 1801451679 | Coastal Hematology & Oncology Center Professional Corporation | Internal Medicine | 143 Route 70, Toms River, NJ 08755-0971 | 2019-05-07 |
| 1275098022 | Regional Cancer Care Associates LLC | Internal Medicine | 75 Veronica Ave Ste 201, Somerset, NJ 08873-5002 | 2019-02-06 |
| 1194249565 | Mohammed Ali Jaloudi | Internal Medicine | 104 Adams Ct, Edgewater, NJ 07020-1651 | 2017-07-27 |
| 1720454564 | Community Cancer Centers of America LLC | Internal Medicine | 691 State Highway 33, Trenton, NJ 08619 | 2015-08-17 |
| 1194121152 | New Era Hemonc LLC | Internal Medicine | 473 Broadway Ste 411, Bayonne, NJ 07002-3667 | 2014-11-18 |
| 1790188050 | Vadim Zarubin | Internal Medicine | 377 Jersey Ave Ste 160, Jersey City, NJ 07302-4397 | 2014-10-01 |
| 1932501350 | Hematology Oncology Consultants LLC | Internal Medicine | 3086 Rt 27, Suite #8, Kendall Park, NJ 08824-1658 | 2014-09-17 |
| 1497095053 | Regional Cancer Care Associates | Internal Medicine | 30 Rehill Ave Fl 2, Suite 2500, Somerville, NJ 08876-2500 | 2013-02-19 |
| 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.