LISSETTE MARIA CESPEDES (NPI# 1003238817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003238817 |
| Entity Type | Individual |
| Full Name | LISSETTE MARIA CESPEDES |
| Other Name | LISSETTE MARIA JIMENEZ |
| Credential | M.D. |
| Practice Address |
185 S Orange Ave Msb I588 Newark NJ 07103-2757 |
| Mailing Address |
1852 Long Ter Union NJ 07083-5405 |
| Practice Telephone | 9739723479 |
| Mailing Telephone | 2019887076 |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2017-05-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA09531800 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
25MA09531800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
185 S ORANGE AVE MSB I588 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568454064 | Raja Gopal Reddy Edula | Internal Medicine | 185 S Orange Ave, Msb, H-538, Newark, NJ 07103-2757 | 2005-08-19 |
| 1023627908 | Milos Brankovic | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-07-28 |
| 1275157448 | Michael Luna | Peer Specialist | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-06-03 |
| 1922622687 | Kishan Bharat Shah | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-28 |
| 1609498591 | Saatchi Patell | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-13 |
| 1285256487 | Aprylle Thompson | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-11 |
| 1285255901 | Michael Gwiazdowski | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-05-05 |
| 1902426307 | Haneen Aqleh | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-04-26 |
| 1265052948 | Vincent Dodson | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-04-22 |
| 1134749377 | Denis Babici | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave, Newark, NJ 07103-2757 | 2020-04-17 |
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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 | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144646738 | Raafia Memon | Internal Medicine | 4735 Ogletown Stanton Rd Ste 3201, Newark, DE 19713-2094 | 2014-03-06 |
| 1073591970 | Ripudaman S Hundal | Internal Medicine | 1082 Old Churchmans Rd, Suite 100, Newark, DE 19713-2143 | 2006-01-03 |
| 1295009660 | First State Endocrinology, Pa | Internal Medicine | 1082 Old Churchmans Rd, Suite 100, Newark, DE 19713-2143 | 2012-03-02 |
| 1073822938 | Licking Memorial Professional Corp | Internal Medicine | 1272 W Main St, Bldg 2 Ste 3, Newark, OH 43055-2004 | 2010-09-27 |
| 1396904207 | Eyob M Makonnen | Internal Medicine | 4735 Ogletown Stanton Rd, Map II Suite 3201, Newark, DE 19713-2072 | 2008-06-05 |
| 1649485053 | Kalleen S. Barham | Internal Medicine | 4735 Ogletown Stanton Road, Map 2, Suite 3201, Newark, DE 19713-2094 | 2007-05-11 |
| 1386784551 | Marvin A. Kirschner | Internal Medicine | 90 Bergen St, Suite 4500, Newark, NJ 07103-2425 | 2007-02-07 |
| 1275672511 | Herneet Sahani Md Pa | Internal Medicine | 539 Bloomfield Ave, Newark, NJ 07107 | 2007-02-05 |
| 1790831667 | Endocrine Associates Pa | Internal Medicine | 4745 Ogletown Stanton Road, Suite 208, Newark, DE 19713-2067 | 2007-01-25 |
| 1235216557 | Maya P Raghuwanshi | Internal Medicine | 90 Bergen St, Doc 4500, Newark, NJ 07103-2425 | 2006-11-01 |
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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.