ENGLEWOOD HEALTHCARE ASSOCIATES PC (NPI# 1013146620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013146620 |
| Entity Type | Organization |
| Organization Name | ENGLEWOOD HEALTHCARE ASSOCIATES PC |
| Practice Address |
200 Grand Ave Ste 202 Englewood NJ 07631-4363 |
| Practice Telephone | 2018169266 |
| Practice Fax Number | 2018169266 |
| Mailing Telephone | 2018169266 |
| Mailing Fax Number | 2018169266 |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2014-04-18 |
| Authorized Official Name | DR. DAVID MARK HODGES (PRESIDENT) |
| Authorized Official Telephone | 2018169266 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA0621600 | NJ | Other Service Providers |
| Street Address |
200 GRAND AVE STE 202 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548300734 | Eduardo E Miguel | Specialist | 200 Grand Ave Ste 202, Englewood, NJ 07631-4363 | 2007-02-07 |
| 1477758670 | Zev Binyamin Frankel | Internal Medicine | 200 Grand Ave Ste 202, Englewood, NJ 07631-4363 | 2007-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679015465 | Healthy Connections Specialty, LLC | Specialist | 499 E Hampden Ave Ste 201, Englewood, CO 80113-2780 | 2016-11-09 |
| 1386029478 | Jamie Rebecca Warner | Specialist | 1492 E Girard Pl, 528a, Englewood, CO 80113-9111 | 2015-07-30 |
| 1396156824 | Michael Sundeen | Specialist | 13655 Broncos Parkway, Englewood, CO 80112 | 2014-05-19 |
| 1841617743 | Steven Caronna-penhollow | Specialist | 3535 S Lafayette St Ste 203, Englewood, CO 80113-3954 | 2014-03-28 |
| 1598002214 | Jordan Wood Couchon | Specialist | 3601 S Pearl St Unit 200, Englewood, CO 80113-3894 | 2013-01-15 |
| 1982948626 | Shaneka Palmer | Specialist | 179 John St, Englewood, NJ 07631-2227 | 2012-11-19 |
| 1699023101 | Nancy Berg | Specialist | 53 W Palisade Ave Apt 209, Englewood, NJ 07631-2706 | 2012-08-15 |
| 1265797336 | Courtnee Young-o'keefe | Specialist | 409 Valley View Rd, Englewood, NJ 07631 | 2012-07-05 |
| 1922378355 | Louis Ashkar | Specialist | 6160 E Quincy Ave, Englewood, CO 80111-1002 | 2012-01-02 |
| 1336468537 | Rocky Mountain Surgical Assists, LLC | Specialist | 3511 S Clarkson St, Englewood, CO 80113-3916 | 2010-05-27 |
| Find all providers in ENGLEWOOD | ||||
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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.