DR. RUSSELL SAMOFAL (NPI# 1982968517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982968517 |
| Entity Type | Individual |
| Full Name | DR. RUSSELL SAMOFAL |
| Credential | D.P.M. |
| Practice Address |
510 Hamburg Tpke Suite 108 Wayne NJ 07470 |
| Mailing Address |
510 Hamburg Tpke Suite 108 Wayne NJ 07470-2025 |
| Practice Telephone | 9739254111 |
| Practice Fax Number | 9739257711 |
| Mailing Telephone | 9739254111 |
| Mailing Fax Number | 9739257711 |
| Enumeration Date | 2012-06-28 |
| Last Update Date | 2019-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 25MD00323100 | NJ | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6122 Bergenline Ave, West New York, NJ 070931521 | 9739254111 | |
| 62 Central Ave, Passaic, NJ 070558412 | 9739254111 | 9739257711 |
| Street Address |
510 HAMBURG TPKE SUITE 108 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194729475 | Cyrus Vosough | Physical Medicine & Rehabilitation | 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2025 | 2005-06-02 |
| 1659920700 | Sanjay Raval | Nurse Practitioner | 510 Hamburg Tpke, Wayne, NJ 07470-2025 | 2019-09-10 |
| 1366829392 | Ellen Garfing | Nurse Practitioner | 510 Hamburg Tpke, Suite 101, Wayne, NJ 07470-2025 | 2015-04-28 |
| 1154665743 | Melissa Gaydos | Nurse Practitioner | 510 Hamburg Tpke, #208, Wayne, NJ 07470-2025 | 2012-11-20 |
| 1497072193 | Wayne Cardiology,llc | Internal Medicine | 510 Hamburg Tpke, Suite 107, Wayne, NJ 07470-2025 | 2010-04-21 |
| 1023348281 | Michael Hubert Leonardo | Internal Medicine | 510 Hamburg Tpke, Suite 101, Wayne, NJ 07470-2025 | 2010-01-10 |
| 1366675357 | Eraibe & Eraiba Internal Medicine | Internal Medicine | 510 Hamburg Tpke, Suit 208, Wayne, NJ 07470-2025 | 2009-08-25 |
| 1477790491 | Wayne Obstetrics & Gynecology Associates P C | Obstetrics & Gynecology | 510 Hamburg Tpke, Suite 202, Wayne, NJ 07470-2025 | 2009-01-13 |
| 1528225315 | Irfan R Farhat | Dentist | 510 Hamburg Tpke, Suit. 105, Wayne, NJ 07470-2025 | 2008-05-20 |
| 1043489040 | Frank Anthony Tamaro | Dentist | 510 Hamburg Tpke, Suite 207, Wayne, NJ 07470-2025 | 2008-02-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639515588 | Paul G Klein Dpm Pa | Podiatrist | 401 Hamburg Tpke Ste 110, 401 Hamburg Turnpike, Wayne, NJ 07470-2139 | 2013-05-20 |
| 1467795823 | Herbert David Janow | Podiatrist | 70 Rock Rd, Wayne, NJ 07470 | 2013-04-03 |
| 1194906479 | Affiliated Podiatrist, P.C. | Podiatrist | 35519 E Michigan Ave, Wayne, MI 48184-1682 | 2007-11-15 |
| 1528139375 | Steven Lopiano Dpm | Podiatrist | 87 Bobolink Ct, Wayne, NJ 07470-8450 | 2006-11-13 |
| 1992885446 | Paul D Cryan | Podiatrist | 295 Old Eagle School Rd, Wayne, PA 19087-2609 | 2006-10-17 |
| 1790715282 | Arthur B Kellert | Podiatrist | 35519 Michigan Ave, Wayne, MI 48184 | 2006-07-03 |
| 1104886225 | Paul Thomas Staunton | Podiatrist | 11 Windsor Pl, Wayne, NJ 07470 | 2006-03-23 |
| 1013904556 | Eugene M Smolens | Podiatrist | 237 N Aberdeen Ave, Wayne, PA 19087-3537 | 2005-09-30 |
| 1093339558 | Joshua Michael Carroll | Podiatrist | 33155 Annapolis St, Wayne, MI 48184-2405 | 2020-06-01 |
| 1417579517 | Qanita S Ali | Podiatrist | 33155 Annapolis St, Wayne, MI 48184-2405 | 2020-05-12 |
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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.