DR. CAROLINE O BLACK (NPI# 1023351079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023351079 |
| Entity Type | Individual |
| Full Name | DR. CAROLINE O BLACK |
| Other Name | DR. CAROLINE O ADEGITE |
| Credential | M.D. |
| Practice Address |
Pediatric Emergency Department 30 Prospect Ave Hackensack NJ 07601-0760 |
| Mailing Address |
Po Box 1149 One Gustatve Place Mt Sinai Medical Center Dept of Emergency Medicine New York NY 10029-0311 |
| Practice Telephone | 5519962000 |
| Mailing Telephone | 2128248069 |
| Mailing Fax Number | 2122411279 |
| Enumeration Date | 2013-03-28 |
| Last Update Date | 2019-07-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PP0204X |
Emergency Medicine Specialization: Pediatric Emergency Medicine |
25MA10612900 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053540005 | Caroline Black | Dentist | 5151 Plank Rd Ste 28, Baton Rouge, LA 70805-3501 | 2009-07-13 |
| 1346460698 | Caroline Delceta Black | Military Health Care Provider | National Naval Medical Center Rockville Pike, Bethesda, MD 20850 | 2007-04-27 |
| 1821469586 | Caroline Adair Black | Counselor | 669 S Haywood St, Waynesville, NC 28786-6703 | 2015-10-07 |
| Street Address |
PEDIATRIC EMERGENCY DEPARTMENT 30 PROSPECT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-0760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 207PP0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Pediatric Emergency Medicine |
| Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/ Board certification is provided by the American Board of Emergency Medicine. Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003992959 | Joy L Tun | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2006-10-31 |
| 1053356048 | Leah Raguindin | Emergency Medicine | 30 Prospect Ave, Pediatric Emergency Dept, Hackensack, NJ 07601 | 2006-06-17 |
| 1700821402 | Karen N Goodman | Emergency Medicine | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-06-17 |
| 1538102710 | Usha Avva | Emergency Medicine | 30 Prospect Ave, Joseph M Sazari's Women and Children Hospital, 1stfloor, Hackensack, NJ 07601-1914 | 2006-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922491547 | Hussain Shakir | Emergency Medicine | 254 Easton Ave, Department of Pediatrics, New Brunswick, NJ 08901-1766 | 2015-03-05 |
| 1235422171 | Mihir Vyas | Emergency Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2011-05-25 |
| 1912211277 | Virteeka Sinha | Emergency Medicine | 185 S Orange Ave, Newark, NJ 07103-2757 | 2010-07-28 |
| 1417188772 | Ursula Laskowski-kos | Emergency Medicine | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-08-05 |
| 1669616595 | Alexander Paul Materna | Emergency Medicine | 1 Hamilton Health Pl, Hamilton, NJ 08690-3542 | 2009-04-22 |
| 1558536920 | Elisabeth Fishbein | Emergency Medicine | 350 Engle Street, Englewood, NJ 07631 | 2008-04-28 |
| 1467640458 | Lisa A Drago | Emergency Medicine | 1 Cooper Plz, Cooper University Emergency Physicians, Camden, NJ 08103-1461 | 2007-10-04 |
| 1174646244 | Trinitas Emergency Solutions PC | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07207 | 2007-04-06 |
| 1164547360 | John Bickford | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112 | 2007-03-20 |
| 1942330980 | Jeffrey A. Seiden | Emergency Medicine | 100 Bowman Dr, Chop Care Network At Virtua Voorhees Hospital, Voorhees, NJ 08043-9612 | 2007-03-07 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.