MA. BERNARDITA RICAFORT GAMALLO (NPI# 1952544272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952544272 |
| Entity Type | Individual |
| Full Name | MA. BERNARDITA RICAFORT GAMALLO |
| Credential | MD |
| Practice Address |
100 Madison Ave Morristown NJ 07960-6136 |
| Mailing Address |
Po Box 416457 Boston MA 02241-6457 |
| Practice Telephone | 9739717550 |
| Mailing Telephone | 9736566280 |
| Mailing Fax Number | 9732907495 |
| Enumeration Date | 2009-04-16 |
| Last Update Date | 2013-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
25MA09275600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
100 MADISON AVE |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932109493 | Marc Eliot Goldschmidt | Internal Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2005-07-27 |
| 1649885351 | Talha Iqbal | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-09-09 |
| 1972114361 | Atlantic Imaging Services LLC | Radiology | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-08-11 |
| 1992322093 | Ruth Henriquez | Nurse Practitioner | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-07-06 |
| 1639796154 | Gianna Scaglione Pa-c LLC | Physician Assistant | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-30 |
| 1982220240 | Jordan Nelson | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-23 |
| 1669096707 | Stacie Tittamin | Registered Nurse | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-04 |
| 1851915235 | Maureen Younan | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-02 |
| 1972124493 | Simrat Kaur Veera | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-05-06 |
| 1003436734 | Anthony Rizzuti | Registered Nurse | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568705051 | Maria Luisa Escobar | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2013-04-03 |
| 1396074456 | Michael Keenaghan | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-12-17 |
| 1538337423 | Melissa Dias Thomas | Pediatrics | 100 Madison Ave, 29, Morristown, NJ 07960-6136 | 2008-02-14 |
| 1508059098 | Toah N Alafita | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2007-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821174558 | Meena Kalyanaraman | Pediatrics | 201 Lyons Ave # C-5, Newark, NJ 07112-2027 | 2006-10-27 |
| 1376956946 | Rachel Lewis | Pediatrics | 30 Prospect Ave, Picu, Hackensack, NJ 07601-1915 | 2014-06-11 |
| 1528326980 | Amy L. Chirico | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601 | 2012-04-24 |
| 1134421530 | Abigail Hodges Walsh | Pediatrics | 94 Old Short Hills Rd, Livingston, NJ 07039 | 2010-11-17 |
| 1356671887 | Colin Russell O'reilly | Pediatrics | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2010-01-06 |
| 1043449671 | Mario Charles Colletti | Pediatrics | 703 Main St, Paterson, NJ 07503 | 2009-07-02 |
| 1104060102 | Amit C Misra | Pediatrics | 300 Second Avenue, Long Branch, NJ 07740 | 2009-04-22 |
| 1780831867 | Sumon Kumar Das | Pediatrics | 201 Lyons Ave, Ste C5, Newark, NJ 07112-2027 | 2008-08-20 |
| 1083876106 | Hariprem Rajasekhar | Pediatrics | 1 Robert Wood Johnson Pl, Meb 3rd Floor, New Brunswick, NJ 08901-1928 | 2008-06-30 |
| 1093973695 | Christina Clare Lopez | Pediatrics | 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901-1928 | 2008-05-30 |
| Find all providers with the same taxonomy | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
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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.