PIERRE MALDJIAN (NPI# 1992813687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992813687 |
Entity Type | Individual |
Full Name | PIERRE MALDJIAN |
Credential | M.D. |
Practice Address |
150 Bergen St Level C Newark NJ 07103-2496 |
Mailing Address |
30 Bergen St Admc 12 1205 Newark NJ 07107-3000 |
Practice Telephone | 9739725188 |
Practice Fax Number | 9739727429 |
Enumeration Date | 2006-08-25 |
Last Update Date | 2009-08-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085B0100X |
Radiology Specialization: Body Imaging |
25MA05095600 | NJ | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA05095600 | NJ | Allopathic & Osteopathic Physicians |
Y | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
25MA05095600 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 5475406 | 05 |
Street Address |
150 BERGEN ST LEVEL C |
City | NEWARK |
State | NJ |
Zip Code | 07103-2496 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427052232 | Cherie Anne Burke | Registered Nurse | 150 Bergen St, Newark, NJ 07103-2496 | 2005-06-09 |
1235739269 | Rebecca Kim | Pharmacist | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-28 |
1033719513 | Suilon Ng | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-26 |
1801494539 | Brenda Borba | Dietitian, Registered | 150 Bergen St, Newark, NJ 07103-2496 | 2020-10-14 |
1881207454 | Eloy Francisco Ruiz Mendoza | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-08-24 |
1396368437 | Jacqueline E. Baron | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-23 |
1235751512 | Jacklyn A Johnson | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-10 |
1427679299 | Krishna Gandhi | Nurse Practitioner | 150 Bergen St, Newark, NJ 07103-2496 | 2020-05-02 |
1689294399 | Danielle Marie Lion | Registered Nurse | 150 Bergen St, Newark, NJ 07103-2496 | 2020-04-22 |
1902426893 | Saahil A Jumkhawala | Student in an Organized Health Care Education/Training Program | 150 Bergen St, Newark, NJ 07103-2496 | 2020-04-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
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Taxonomy Code | 2085U0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Ultrasound |
A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. |
Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. [Note: In medical practice, Diagnostic Ultrasound is part of the scope of training and practice of a Diagnostic Radiologists – see Taxonomy Code 2085R0202X.] |
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1811535396 | Accuview Diagnostic Services Inc | Radiology | 1620 Vauxhall Road, Suite 309, Union, NJ 07083 | 2019-12-16 |
1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
1730698127 | Vein and Vascular Diagnosis Inc | Radiology | 3185 John F Kennedy Blvd # 2, Jersey City, NJ 07306-3415 | 2017-09-28 |
1457763229 | Skilled Diagnostics | Radiology | 4571 Rte 9, Howell, NJ 07731-3382 | 2014-05-28 |
1912251448 | Empire Radiology PC | Radiology | 43 N Hillside Pl, Ridgewood, NJ 07450-3027 | 2012-11-06 |
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1528220431 | Fox Images LLC | Radiology | 18 Risk Ave, Summit, NJ 07901-1106 | 2008-07-01 |
1467641027 | University Orthopaedic Associates LLC | Radiology | 4810 Belmar Blvd Fl 1, Neptune, NJ 07753-6952 | 2007-10-19 |
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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.