PROVIDENCE MEDICAL CENTER (NPI# 1962567354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962567354 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE MEDICAL CENTER |
| Practice Address |
25 Craig Pl North Plainfield NJ 07060-4777 |
| Practice Telephone | 9087919993 |
| Mailing Telephone | 9087919993 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. OMOBOLA A OJI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9087919993 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MA068918 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457819922 | Providence Medical Center | Pharmacy | 803 Providence Rd Ste 101, Wayne, NE 68787-1590 | 2019-03-04 |
| 1801867494 | Providence Medical Center | General Acute Care Hospital | 1200 Providence Road, Wayne, NE 68787-1212 | 2006-01-31 |
| 1982957015 | Providence Medical Center | Clinic/Center | 417 First Ave, Seward, AK 99664-0365 | 2012-10-26 |
| 1255470092 | Providence Medical Center | Medicare Defined Swing Bed Unit | 1200 Providence Rd, Wayne, NE 68787-1212 | 2007-02-06 |
| 1639218472 | Providence Medical Center | Hospice Care, Community Based | 1200 Providence Rd, Wayne, NE 68787-1212 | 2007-02-06 |
| 1003971748 | Providence Medical Center | Home Health | 1200 Providence Rd, Wayne, NE 68787-1212 | 2006-12-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROVIDENCE MEDICAL CENTER | 8929 Parallel Pkwy, Kansas City, KS 66112-1689 |
| System for Award Management (SAM) Entities | PROVIDENCE MEDICAL CENTER, WAYNE, NEBRASKA | 1200 Providence Rd, Wayne, NE 68787-1212 |
| Street Address |
25 CRAIG PL |
| City | NORTH PLAINFIELD |
| State | NJ |
| Zip Code | 07060-4777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538136494 | Adewale T Adesina | Physical Therapist | 25 Craig Pl, North Plainfield, NJ 07060-4721 | 2006-03-01 |
| 1013377464 | Josephine Simpson | Nurse Practitioner | 25 Craig Pl, North Plainfield, NJ 07060-4777 | 2016-02-28 |
| 1083883607 | United Medical Supplies, Inc | Durable Medical Equipment & Medical Supplies | 25 Craig Pl, North Plainfield, NJ 07060-4777 | 2008-02-27 |
| 1275732562 | Omni Care Rehabilitation | Physical Therapist | 25 Craig Pl, North Plainfield, NJ 07060-4777 | 2007-07-16 |
| 1194880583 | Omobola A Oji | Family Medicine | 25 Craig Pl, North Plainfield, NJ 07060-4777 | 2006-12-26 |
| 1710991716 | Esther F Adesina | Dietitian, Registered | 25 Craig Pl, North Plainfield, NJ 07060-4777 | 2006-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780212365 | Zellier Dialysis LLC | Clinic/Center | 1260 Route 22 E, North Plainfield, NJ 07060 | 2020-03-30 |
| 1598304404 | Jeanne Marie Fleming | Specialist/Technologist | North Plainfield High School, 34 Wilson Ave, North Plainfield, NJ 07060 | 2019-12-26 |
| 1598236267 | Allison Wilks | Registered Nurse | 442 Est Front St, Plainfield, NJ 07060 | 2018-12-06 |
| 1982129045 | Carol F Davis | Counselor | 1326 Watchung Avenue, Plainfield, NJ 07060 | 2017-08-10 |
| 1437683109 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 215 Maple Terrace, North Plainfield, NJ 07060 | 2017-04-19 |
| 1659759843 | Morning Star Medical Transport Inc | Ambulance | 700 W 8th St, Plainfield, NJ 07060 | 2015-05-08 |
| 1841625167 | Costco Wholesale Corporation | Pharmacy | 1290 Us Highway 22, North Plainfield, NJ 07060 | 2013-09-05 |
| 1164707121 | Hemandri Amish Patel | Pharmacist | 1165 Us 22 W, Apt 74, North Plainfield, NJ 07060 | 2011-10-20 |
| 1114229598 | Ophelia Rachell Chiles | Specialist | 767 Kensington Ave, Plainfield, NJ 07060 | 2010-11-17 |
| 1568772390 | Orlando Ramos | Counselor | 1010 Park Avenue, Plainfield, NJ 07060 | 2010-10-14 |
| Find all providers in zip 07060 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982876223 | Urgent Health Care LLC | Family Medicine | 719 Route 22 W, North Plainfield, NJ 07060-4924 | 2008-03-27 |
| 1841326162 | Maria Justine Birotte Sanchez | Family Medicine | 43-45 Pearl St., North Plainfield, NJ 07060 | 2007-02-23 |
| 1194880583 | Omobola A Oji | Family Medicine | 25 Craig Pl, North Plainfield, NJ 07060-4777 | 2006-12-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1790308583 | Iz Medical LLC | Family Medicine | 250 Moonachie Rd, Moonachie, NJ 07074-1378 | 2020-05-27 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
| City | NORTH PLAINFIELD |
| Zip Code | 07060 |
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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.