Amy W. Stevens (NPI# 1578609541, PAC ID# 6507040193) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1578609541 |
| PAC ID by PECOS | 6507040193 |
| Professional Enrollment ID | I20110406000019 |
| Full Name | Amy W. Stevens |
| Organization Legal Name | NORTHERN BERGEN DERMATOLOGY GROUP PA |
| Address |
400 Route 17 Ridgewood NJ 07450-2010 |
| Phone Number | 2016524536 |
| Gender | F |
| Medical School | COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS |
| Graduation Year | 1989 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3870750292 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330101 | NEW YORK-PRESBYTERIAN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 400 Route 17, Ridgewood, NJ 07450-2010 | 2016524536 | NORTHERN BERGEN DERMATOLOGY GROUP PA |
| Organization Legal Name | NORTHERN BERGEN DERMATOLOGY GROUP PA |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Karin H Satra | Dermatology | Northern Bergen Dermatology Group Pa | 180 Ramapo Valley Rd, Oakland, NJ 07436-2500 |
| Kapila Virji Paghdal | Dermatology | Northern Bergen Dermatology Group Pa | 400 Route 17, Ridgewood, NJ 07450-2010 |
| Margaret A Fonder | Dermatology | Northern Bergen Dermatology Group Pa | 400 Route 17, Ridgewood, NJ 07450-2010 |
| Street Address |
400 ROUTE 17 |
| City | RIDGEWOOD |
| State | NJ |
| Zip | 07450-2010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kapila Virji Paghdal | Dermatology | Northern Bergen Dermatology Group Pa | 400 Route 17, Ridgewood, NJ 07450-2010 |
| Margaret A Fonder | Dermatology | Northern Bergen Dermatology Group Pa | 400 Route 17, Ridgewood, NJ 07450-2010 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer Marchese Tumminello | Clinical Social Worker | 535 E Ridgewood, Suite 10, Ridgewood, NJ 07450 | |
| Josephine Jarolmen | Clinical Social Worker | 115 Pine St, Ridgewood, NJ 07450-1619 | |
| Jasmine Aloni Cohn | Clinical Social Worker | 115 Pine St, Suite 300, Ridgewood, NJ 07450-1619 | |
| Susan J Syvarth | Clinical Social Worker | 115 Pine St, Ridgewood, NJ 07450-1619 | |
| Bonnie Malajian | Clinical Social Worker | 428 Cambridge Rd, Ridgewood, NJ 07450-1805 | |
| Douglas Liva | Ophthalmology | Liva Eye Center LLC | 625 Franklin Tpke, Ridgewood, NJ 07450-1913 |
| Rosemary Frasco | Optometry | Liva Eye Center LLC | 625 Franklin Tpke, Ridgewood, NJ 07450-1913 |
| Mahros K Isaac | Physical Therapy | Progressive Rehab and Home Care Pt and Ot Pllc | 537 Banta St, Ridgewood, NJ 07450-1918 |
| Eui-sun L Yoon | Psychiatry | 589 Franklin Tpke, Suite 11, Ridgewood, NJ 07450-1928 | |
| Christopher Dauble | Physical Therapy | North Jersey Game On Physical Therapy Limited Partnership | 400 State Rt, 17 Suite 1, Ridgewood, NJ 07450-2010 |
| Find all physicians in zip 07450 | |||
| City | RIDGEWOOD |
| Zip Code | 07450 |
| Specialty | DERMATOLOGY |
| City + Specialty | RIDGEWOOD + DERMATOLOGY |
Please comment or provide details below to improve the information on Amy W. Stevens.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.