MAGED M GERGES MD LLC (NPI# 1982052734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982052734 |
| Entity Type | Organization |
| Organization Name | MAGED M GERGES MD LLC |
| Practice Address |
1 Clara Maass Dr Belleville NJ 07109-3550 |
| Practice Telephone | 9734502500 |
| Mailing Telephone | 9734502500 |
| Enumeration Date | 2016-06-01 |
| Last Update Date | 2016-06-01 |
| Authorized Official Name | MAGED M GERGES (PRESIDENT) |
| Authorized Official Telephone | 9086269165 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LA0401X |
Anesthesiology Specialization: Addiction Medicine |
25MA07378500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8959404 | 05 |
| Street Address |
1 CLARA MAASS DR |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989924 | Mustafa A Abdul-hadi | Internal Medicine | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2005-08-16 |
| 1467067736 | Amanda Krieger | Dietitian, Registered | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-09-13 |
| 1598376501 | Ademola Adesola Ogunruku | Registered Nurse | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-08-12 |
| 1821618711 | Jamilton B Carlon | Respiratory Therapist, Certified | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-04-20 |
| 1649800814 | Kelsey Ann Vella | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-01-16 |
| 1922649318 | Wendy Cheung | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-10-07 |
| 1952952020 | Kathleen Villarino | Dietitian, Registered | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-09-20 |
| 1083261309 | Tatyana Aponte | Dietitian, Registered | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-08-21 |
| 1891348462 | Rose Parker | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-07-22 |
| 1629621818 | Gina P Derito | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 207LA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Addiction Medicine |
| An anesthesiologist who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215194352 | Nabil Yacoub Younan | Anesthesiology | 2 Candlewood Drive, Seashore Anesthesia, Linwood, NJ 08221 | 2008-05-16 |
| 1063534543 | Seth Michael Ulanet | Anesthesiology | 65 Barberry Dr, Ocean, NJ 07712-8553 | 2007-04-04 |
| 1578532404 | Morris Antebi | Anesthesiology | 1907 New Rd, Northfield, NJ 08225 | 2006-03-14 |
| 1326023151 | Edward Quirk | Anesthesiology | 5034 Atlantic Ave, Mays Landing, NJ 08330-2022 | 2005-12-14 |
| 1689130163 | Overlook Pain and Recovery | Anesthesiology | 160 Overlook Ave Ste 1a, Hackensack, NJ 07601-2285 | 2019-02-20 |
| 1629550074 | Liza Rodriguez, Md. LLC. | Anesthesiology | 141 Main Street, South Bound Brook, NJ 08880 | 2018-09-02 |
| 1649794587 | Ramy Elhelw | Anesthesiology | 50 Bergen St, Newark, NJ 07103 | 2017-08-02 |
| 1760469761 | Jung-faug Wu | Anesthesiology | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2005-12-30 |
| 1942287925 | Cheng Lin | Anesthesiology | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2005-12-29 |
| City | BELLEVILLE |
| Zip Code | 07109 |
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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.