Katherine J Southall
NORTH HALEDON MEDICAL, PC


Address: 510 Hamburg Tpke, Wayne, NJ 07470-2025
Phone: 9739426005

Katherine J Southall (NPI# 1811949662, PAC ID# 6800083916) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.

Physician Overview

Nation Provider ID (NPI) 1811949662
PAC ID by PECOS 6800083916
Professional Enrollment ID I20101214001241
Full Name Katherine J Southall
Organization Legal Name NORTH HALEDON MEDICAL, PC
Address 510 Hamburg Tpke
Wayne
NJ 07470-2025
Phone Number 9739426005
Gender F
Medical School UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE
Graduation Year 1984
Primary Specialty INTERNAL MEDICINE
Group Practice PAC ID 0345299947
Number of Group Practice Members 12
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310012 VALLEY HOSPITAL
310017 CHILTON MEDICAL CENTER

Other Locations

Address Phone Organization
510 Hamburg Tpke, Wayne, NJ 07470-2025 9739426005 NORTH HALEDON MEDICAL, PC

Organization Information

Organization Legal Name NORTH HALEDON MEDICAL, PC
Physicians 13

Physicians with the same organization

Name Specialty Organization Address
Michael H. Leonardo Internal Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Anthony Barravecchio Family Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Ellen Garfing Nurse Practitioner North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Craig N Eichner Internal Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Jeanette Biller Family Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Christopher K Ho Internal Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Sanjay C Raval Nurse Practitioner North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Thalia Vasiliades Family Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Allyson G Luski Nurse Practitioner North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Paul Defranco Internal Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025

Office Location

Street Address 510 HAMBURG TPKE
City WAYNE
State NJ
Zip 07470-2025

Physicians in the same location

Name Specialty Organization Address
Michael H. Leonardo Internal Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Chris Obiarinze Jr. Podiatry Podiatry Center of New Jersey LLC 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033
Anthony Barravecchio Family Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Victor A Abdy Internal Medicine 510 Hamburg Tpke, Suite 201, Wayne, NJ 07470-2033
Cyrus R Vosough Physical Medicine and Rehabilitation 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2033
Nafeesa Siddiqui Psychiatry 510 Hamburg Tpke, Suite E106, Wayne, NJ 07470-2025
Magdalena Marcinek Podiatry Podiatry Center of New Jersey LLC 510 Hamburg Tpke, Suite 108, Wayne, NJ 07470-2033
Edwin P Teehan General Surgery 510 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2033
Ellen Garfing Nurse Practitioner North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Ayman E Eraiba Internal Medicine 510 Hamburg Tpke, Suite 208, Wayne, NJ 07470-2033
Find all physicians in the same address

Physicians in the same zip code

Name Specialty Organization Address
Svetlana Grintsvayg Clinical Social Worker 1680 Route 23 N 310, Psychotherapy for All Ages, Wayne, NJ 07470
Paul T Staunton Podiatry 11 Windsor Pl, Wayne, NJ 07470-1923
Greg Steven Trentacosta Chiropractic 1565 Ratzer Rd, Wayne, NJ 07470-1930
Susanna N Ho Occupational Therapy 504 Hamburg Tpke, Suite 205, Wayne, NJ 07470-2011
Lisa A Dragone Nurse Practitioner Integrated Hospital Medicine LLC 820 Hamburg Tpke, Wayne, NJ 07470-2019
Cherrielyn B Escono-quiambao Nurse Practitioner Integrated Hospital Medicine LLC 820 Hamburg Tpke, Wayne, NJ 07470-2019
Beatrice Carrillo Nurse Practitioner Integrated Hospital Medicine LLC 820 Hamburg Tpke, Wayne, NJ 07470-2019
Craig N Eichner Internal Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Jeanette Biller Family Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Christopher K Ho Internal Medicine North Haledon Medical, PC 510 Hamburg Tpke, Wayne, NJ 07470-2025
Find all physicians in zip 07470

Competitor

Search similar physicians

City WAYNE
Zip Code 07470
Specialty INTERNAL MEDICINE
City + Specialty WAYNE + INTERNAL MEDICINE

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Dataset Information

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.

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