KIMBALL MEDICAL CENTER HOUSE STAFF/EKG (NPI# 1013967348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013967348 |
| Entity Type | Organization |
| Organization Name | KIMBALL MEDICAL CENTER HOUSE STAFF/EKG |
| Practice Address |
600 River Ave Lakewood NJ 08701-5237 |
| Mailing Address |
Po Box 6069 Bellmawr NJ 08099-6069 |
| Practice Telephone | 7328864443 |
| Practice Fax Number | 7328864659 |
| Mailing Telephone | 7325577160 |
| Mailing Fax Number | 7325577109 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. ANTHONY ESPOSITO (DIRECTOR) |
| Authorized Official Telephone | 7325577160 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7997507 | 05 |
| Street Address |
600 RIVER AVE |
| City | LAKEWOOD |
| State | NJ |
| Zip Code | 08701-5237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659376317 | Acutecare Health System LLC | General Acute Care Hospital | 600 River Ave, 4 West, Lakewood, NJ 08701-5237 | 2005-06-17 |
| 1740819168 | Courtney Marie Keville | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2020-04-07 |
| 1689143208 | Nicole M Kissam | Social Worker | 600 River Ave, Lakewood, NJ 08701-5237 | 2018-11-14 |
| 1063944643 | Kate Bianchini | Registered Nurse | 600 River Ave, Lakewood, NJ 08701-5237 | 2017-04-01 |
| 1770027138 | Michael Olukotun | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-12-05 |
| 1154870202 | Jaclyn Beck | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-09-30 |
| 1245682491 | Garima Kalra | Internal Medicine | 600 River Ave, Lakewood, NJ 08701 | 2016-07-11 |
| 1588018840 | Lakewood Hospitalists | Psychiatry & Neurology | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-04-22 |
| 1568821981 | Allyson Walsh | Nurse Practitioner | 600 River Ave, Lakewood, NJ 08701-5237 | 2016-02-12 |
| 1588047781 | Hilary Fuirita | Physician Assistant | 600 River Ave, Lakewood, NJ 08701-5237 | 2015-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639787393 | Sky Care Aba LLC | Social Worker | 41 Carasaljo Drive, Lakewood, NJ 08701 | 2020-07-20 |
| 1487276325 | Teresa Rose Alvarez | Counselor | 1215 Nj-70 W, Lakewood, NJ 08701 | 2020-05-14 |
| 1417588468 | Miriam Pelberg | Behavioral Analyst | 519 Second St., Lakewood, NJ 08701 | 2020-01-29 |
| 1639700529 | Rivky Parnes | Occupational Therapy Assistant | 110 Hillside Bullivard, Lakewood, NJ 08701 | 2020-01-29 |
| 1659910172 | Esther Gold | Behavioral Analyst | 611 Stirling Ave A, Lakewood Township, NJ 08701 | 2020-01-01 |
| 1649816323 | Julie Mcculley | Orthotist | 1353 River Ave Suite #4, Lakewood, NJ 08701 | 2019-11-18 |
| 1356990782 | Lucy Dimeglio | Technician | 17 Amberlands Court, Lakewood, NJ 08701 | 2019-09-09 |
| 1992262299 | Miriam Lichtschein | Speech-Language Pathologist | 1439 South Street, Lakewood, NJ 08701 | 2019-02-23 |
| 1407326531 | Achievements Early Intervention Services | Community/Behavioral Health | 85a Gladiola Ct, Lakewood, NJ 08701 | 2018-12-02 |
| 1871062224 | Ms Optical LLC | Eyewear Supplier (Equipment, not the service) | 12 America Ave, 1a, Lakewood, NJ 08701 | 2018-11-15 |
| Find all providers in zip 08701 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1215564125 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 3333 S Wadsworth Blvd Unit 217, Lakewood, CO 80227-5172 | 2020-03-23 |
| 1902432057 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 3333 S Wadsworth Blvd Unit 218, Lakewood, CO 80227-5172 | 2020-03-20 |
| 1518135920 | Thomas Edward Levy | Internal Medicine | 9645 W Dakota Ave, Lakewood, CO 80226-2722 | 2008-02-19 |
| 1144313768 | Hed Ahmadpour Md Facc, Inc | Internal Medicine | 3650 E South Street, Suite 110b, Lakewood, CA 90712-1502 | 2006-10-02 |
| 1376565507 | Rajesh Mohan | Internal Medicine | 101 Prospect Street, Suite 210, Lakewood, NJ 08701 | 2006-07-24 |
| 1093740151 | Irwin Roseff | Internal Medicine | One Route 70, Lakewood, NJ 08701 | 2006-07-11 |
| 1407886898 | German L Neri | Internal Medicine | 14601 Detroit Ave Ste 730, Lakewood, OH 44107-4251 | 2006-07-03 |
| 1467419366 | William L Madrid | Internal Medicine | 3650 South St Ste 310, Lakewood, CA 90712-1519 | 2006-04-26 |
| 1780649830 | Isaac Eisenstein | Internal Medicine | 3560 E. South St., #310, Lakewood, CA 90712 | 2006-04-20 |
| 1629032669 | James H Beckmann | Internal Medicine | 11700 W 2nd Pl Ste 350, Lakewood, CO 80228-1710 | 2006-04-14 |
| Find all providers in LAKEWOOD | ||||
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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.