JOSE OMAR MALDONADO (NPI# 1932142957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932142957 |
| Entity Type | Individual |
| Full Name | JOSE OMAR MALDONADO |
| Credential | M.D. |
| Practice Address |
5301 Broadway West New York NJ 07093-2622 |
| Practice Telephone | 2018667721 |
| Practice Fax Number | 2018679183 |
| Mailing Telephone | 2012100200 |
| Mailing Fax Number | 2018679183 |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2012-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MA61477 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6509509 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821531997 | Jose Maldonado | Clinical Nurse Specialist | 258 San Justo, Viejo San Juan, PUERTO RICO 00901 | 2016-11-22 |
| 1972707081 | Jose David Maldonado | Emergency Medical Technician, Basic | Bda Coll Y Toste Edificio-3, Apartamento -12, Arecibo, PR 00612 | 2007-06-13 |
| 1457554982 | Jose M Maldonado | Psychologist | Ave Luis Munoz Marin Edificio Mercantil, Corporacion Fondo Del Sequro Del Estado, Caquas, PR 00725 | 2007-06-11 |
| 1033284633 | Jose R Maldonado | Psychiatry & Neurology | Stanford Univ Sch of Medicine, 401 Quarry Road, Suite 2317, Stanford, CA 94305-5718 | 2006-11-21 |
| 1104897479 | Jose Ivan Maldonado | Dentist | 48 Calle Teodomiro Ramirez, Vega Alta, PR 00692-6518 | 2006-01-27 |
| 1952949000 | Jose Maldonado | Case Manager/Care Coordinator | 310 E Palmdale Blvd, Palmdale, CA 93550-7145 | 2019-12-19 |
| 1518426956 | Jose Enrique Maldonado | Nurse Anesthetist, Certified Registered | 11750 Sw 40th St, Miami, FL 33175-3530 | 2019-03-15 |
| 1194271023 | Jose Maldonado | Behavioral Analyst | 4417 E.colonial Drive, Orlando, FL 32803-5219 | 2016-08-31 |
| 1922344662 | Jose Maldonado | Marriage & Family Therapist | 4035 N Fresno St Ste 101, Fresno, CA 93726-4041 | 2012-12-28 |
| 1417091919 | Jose Roel Maldonado Jr. | Family Medicine | 6828 Springfield Ave, Suite 3, Laredo, TX 78041-2286 | 2007-02-16 |
| Street Address |
5301 BROADWAY |
| City | WEST NEW YORK |
| State | NJ |
| Zip Code | 07093-2622 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306810213 | Debra Roma-distefano | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2006-02-15 |
| 1407466048 | Patricia Mary Boyce | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2020-08-07 |
| 1215567409 | Danny Tamayo | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2020-01-16 |
| 1912545112 | Elizabeth Sasso-karelitsky | Dietitian, Registered | 5301 Broadway, West New York, NJ 07093-2622 | 2019-12-18 |
| 1952954398 | Kassandra Lynn Kayal | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2019-07-23 |
| 1124591052 | Jacquelyn S Stathis | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2019-01-03 |
| 1629528914 | Cardinal Health 132 LLC | Pharmacy | 5301 Broadway, West New York, NJ 07093-2622 | 2016-10-11 |
| 1871929885 | Ololade F Akinronbi | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2013-09-23 |
| 1891049490 | Velma Asneth Frasier | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2012-11-04 |
| 1265707863 | Lybia Burgos | Nurse Practitioner | 5301 Broadway, West New York, NJ 07093-2622 | 2012-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745225 | Denmari Berberabe | Physical Therapist | 6000 John F. Kennedy Boulevard, West New York, NJ 07093 | 2020-09-16 |
| 1801409321 | William T Chen | Pharmacist | 6012 Kennedy Boulevard, West New York, NJ 07093 | 2020-08-25 |
| 1598374050 | Benita Strickland | Physical Therapy Assistant | 6000 John F. Kennedy Blvd, West New York, NJ 07093 | 2020-07-30 |
| 1053964809 | Santvana Vyas | Dentist | 6020 Broadway, Fl#2, West New York, NJ 07093 | 2019-07-22 |
| 1043875552 | Natalya V Fryazin | Counselor | 444 60th St., 2nd Flr, West New York, NJ 07093 | 2019-05-09 |
| 1558844209 | Merrideth Kennedy | Occupational Therapist | 6612-18 Bergenline Ave, West New York, NJ 07093 | 2018-09-10 |
| 1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
| 1265889695 | Bilingual Counseling Services, LLC | Community/Behavioral Health | 574 67th Street, Apt 2, West New York, NJ 07093 | 2016-05-16 |
| 1083079297 | Dino Pascual | Registered Nurse | 25 Port Imperial Avenue, Apt. 111, West New York, NJ 07093 | 2015-12-15 |
| 1992179469 | Diane A Doucet | Behavioral Analyst | 140 65th St, Apt 1, West New York, NJ 07093 | 2015-11-21 |
| Find all providers in zip 07093 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356586796 | Maria Emilia Oropeza | Pediatrics | 5809 Madison St Ste 1, West New York, NJ 07093-1289 | 2008-12-15 |
| 1174624563 | Altagarcia Munoz-llaveria | Pediatrics | 217 60th St, West New York, NJ 07093-2805 | 2006-09-26 |
| 1457311920 | Jeffrey Alan Bourne | Pediatrics | 431 60th St, West New York, NJ 07093 | 2006-03-27 |
| 1558333724 | Luis Anthony Goyco | Pediatrics | 228 60th St, West New York, NJ 07093 | 2006-02-02 |
| 1154318111 | Maria Gutierrez Mena | Pediatrics | 418 57th St, West New York, NJ 07093-2120 | 2005-10-04 |
| 1639525025 | Wny Pediatrics | Pediatrics | 5809 Madison St Ste 1, West New York, NJ 07093-1289 | 2016-05-04 |
| 1831529544 | Louis Goyco Md, PC | Pediatrics | 228 60th St, West New York, NJ 07093-5845 | 2013-11-15 |
| 1104984749 | Clifford Jay Butterman | Pediatrics | 228 60th St, West New York, NJ 07093-5845 | 2006-12-05 |
| 1639101272 | Donna P. Hutton-cassie | Pediatrics | 5301 Broadway, West New York, NJ 07093-2622 | 2006-07-06 |
| 1215972476 | Cheryl Buensuceso Panem | Pediatrics | 5301 Broadway, West New York, NJ 07093-2622 | 2006-06-19 |
| Find all providers in WEST NEW YORK | ||||
| City | WEST NEW YORK |
| Zip Code | 07093 |
Please comment or provide details below to improve the information on JOSE OMAR MALDONADO.
| 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.