TAKASHI WAKAMORE, MD (NPI# 1982759346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982759346 |
| Entity Type | Organization |
| Organization Name | TAKASHI WAKAMORE, MD |
| Practice Address |
810 Abbott Blvd Fort Lee NJ 07024-4151 |
| Practice Telephone | 2015928555 |
| Practice Fax Number | 2015928501 |
| Mailing Telephone | 2015928555 |
| Mailing Fax Number | 2015928501 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | TAKASHI WAKAMORI (PHYSICIAN) |
| Authorized Official Telephone | 2015928555 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
810 ABBOTT BLVD |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024-4151 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952303000 | Howard Steven Glazer | Dentist | 810 Abbott Blvd, Fort Lee, NJ 07024-4151 | 2005-06-01 |
| 1740720614 | Hudson River Braces | Dentist | 810 Abbott Blvd, Suite 301, Fort Lee, NJ 07024-4151 | 2017-02-27 |
| 1558595769 | Dr. Girshovich Medical Care, Inc. | Internal Medicine | 810 Abbott Blvd, Suite 201, Fort Lee, NJ 07024-4151 | 2009-05-04 |
| 1407009087 | Randy N. Shreck | Pharmacist | 810 Abbott Blvd, Fort Lee, NJ 07024 | 2008-10-28 |
| 1932374188 | Michael J Cohen Dc | Chiropractor | 810 Abbott Blvd, G4, Fort Lee, NJ 07024-4151 | 2008-04-29 |
| 1821290156 | Drew Lombardi, Dmd & Susan Rider, Dds, Msd | Dentist | 810 Abbott Blvd, Suite 301, Fort Lee, NJ 07024-4151 | 2007-05-31 |
| 1518172360 | Sm Chiropractic&pain Clinic, P.C. | Chiropractor | 810 Abbott Blvd, #304, Fort Lee, NJ 07024-4151 | 2007-05-14 |
| 1548474547 | In Kim-yoo | Dentist | 810 Abbott Blvd, Suite 303, Fort Lee, NJ 07024-4151 | 2007-05-09 |
| 1437283686 | Lori Nasif | Dentist | 810 Abbott Blvd, Fort Lee, NJ 07024-4151 | 2007-03-16 |
| 1992850358 | Takashi Wakamori | Surgery | 810 Abbott Blvd, Fort Lee, NJ 07024-4151 | 2007-01-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828726 | You S Jung | Pharmacist | 1275 15th Street Apt 2e, Fort Lee, NJ 07024 | 2020-07-17 |
| 1205316528 | Professional Orthopedic and Sports Therapy of Nj, LLC | Physical Therapist | 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 | 2018-08-16 |
| 1194210138 | Hyunjoo Lee | Pharmacy | 168 Fletcher Ave, Fort Lee, NJ 07024 | 2018-06-22 |
| 1912423724 | Fort Lee Health Supplies | Durable Medical Equipment & Medical Supplies | 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 | 2017-08-15 |
| 1669997482 | Jinseok Woo | Acupuncturist | 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 | 2017-08-14 |
| 1578083705 | Sheran Rey | Licensed Vocational Nurse | 6308 Hilltop Ct, Fort Lee, NJ 07024 | 2017-06-20 |
| 1558812909 | Jian Cui | Acupuncturist | 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 | 2016-10-20 |
| 1013392919 | Yulong Yang | Internal Medicine | 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 | 2015-07-22 |
| 1235561796 | Anthony Lucev | Student in an Organized Health Care Education/Training Program | 233 Harmon Ave, Fort Lee, NJ 07024 | 2013-08-06 |
| 1811331598 | Bridgeview Rehabilitation and Medical Arts Center | Physical Medicine & Rehabilitation | 454 Main Street 3rd Floor, Fort Lee, NJ 07024 | 2013-04-24 |
| Find all providers in zip 07024 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225105414 | Steve Yun Kim | Otolaryngology | 2185 Lemoine Ave, Unit 1p, Fort Lee, NJ 07024-6036 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962977249 | Clinical Health Care Associates of New Jersey, PC | Otolaryngology | 719 Us Highway 206 Ste 101, Hillsborough, NJ 08844-1529 | 2018-10-12 |
| 1962918078 | Ira Sanders | Otolaryngology | 5 Rye Cliff Rd, Oakland, NJ 07436-1423 | 2017-12-27 |
| 1053772608 | St. Luke's Warren Physician Group, PC | Otolaryngology | 755 Memorial Pkwy Ste 112, Phillipsburg, NJ 08865-2774 | 2016-03-10 |
| 1023484052 | Eun Hae Chang | Otolaryngology | 1131 Broad St Ste 102, Shrewsbury, NJ 07702-4334 | 2015-08-13 |
| 1184010415 | Alisa Yamasaki | Otolaryngology | 1543 State Route 27 Ste 21, Somerset, NJ 08873-4015 | 2015-04-14 |
| 1134532708 | Ahmad F Mahmoud | Otolaryngology | 6 Brighton Rd Ste 104, Clifton, NJ 07012-1647 | 2014-06-11 |
| 1881007250 | David A Temmermand | Otolaryngology | 620 North Broad Street, Woodbury, NJ 08096 | 2014-06-03 |
| 1477986420 | Amit N Bhojwani | Otolaryngology | 708 Gregorys Way, Voorhees, NJ 08043-2055 | 2013-08-14 |
| 1831440726 | Anthony G Rossi | Otolaryngology | 912 Pompton Ave, Suite A1, Cedar Grove, NJ 07009-1264 | 2012-10-02 |
| 1871802751 | Ronald B Lorenc Md Pa | Otolaryngology | 225 Laurel Heights Dr, Bridgeton, NJ 08302-3635 | 2010-09-27 |
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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.