SMGH PHYSICIAN PRACTICE MANAGEMENT, LLC (NPI# 1033578075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033578075 |
| Entity Type | Organization |
| Organization Name | SMGH PHYSICIAN PRACTICE MANAGEMENT, LLC |
| Practice Address |
350 Boulevard Passaic NJ 07055-2840 |
| Practice Telephone | 9734715531 |
| Mailing Telephone | 9734715531 |
| Enumeration Date | 2016-02-18 |
| Last Update Date | 2016-02-18 |
| Authorized Official Name | CHRISTOPHER DOAN (CHIEF COMPLIANCE COUNSEL) |
| Authorized Official Telephone | 9092354307 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
350 BOULEVARD |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031370 | Nena L Sy | Specialist | 350 Boulevard, Passaic, NJ 07055-2840 | 2005-05-23 |
| 1851908297 | Capital Anesthesia Solutions of New Jersey, LLC | Nurse Anesthetist, Certified Registered | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-09-29 |
| 1144846130 | Jonathan Engelhardt | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-06-25 |
| 1053937045 | Abshan Malik | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-06-25 |
| 1154950053 | Jeffrey Alan Kantor | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-04-03 |
| 1831722586 | Prime Healthcare Services - St. Mary's Passaic LLC | Psychiatric Unit | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-02-20 |
| 1609415231 | Jane Lee | Specialist/Technologist, Other | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-12-30 |
| 1386208874 | Christopher Andrew Bergen | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-04-30 |
| 1962066076 | Kenny Luong | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-04-24 |
| 1336625425 | Inhospital Physicians Corp of New Jersey, PC | Internal Medicine | 350 Boulevard, Passaic, NJ 07055-2840 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1184811390 | Passaic Medical Care Inc | Internal Medicine | 166 Main Ave, Passaic, NJ 07055-5442 | 2007-10-02 |
| 1811003486 | Ajit Jayaram Medical PC | Internal Medicine | 831 Main Ave, Ste 5, Passaic, NJ 07055-8400 | 2006-08-23 |
| 1649287236 | Bernadette Reyes | Internal Medicine | 40 Passaic Ave, Passaic, NJ 07055-4912 | 2006-08-03 |
| 1942215694 | Bruce Y Tapper | Internal Medicine | 200 Gregory Ave, Passaic, NJ 07055-3802 | 2006-07-30 |
| 1851342703 | Carlos Alberto Tejeda | Internal Medicine | 916 Main Ave, Suite 1-a, Passaic, NJ 07055-8513 | 2006-05-15 |
| 1336625425 | Inhospital Physicians Corp of New Jersey, PC | Internal Medicine | 350 Boulevard, Passaic, NJ 07055-2840 | 2018-07-12 |
| 1720539067 | Galen Inpatient Physicians, Inc. | Internal Medicine | 350 Boulevard, Passaic, NJ 07055-2840 | 2016-10-21 |
| 1891144465 | Apex Medical Professionals | Internal Medicine | 625 Main Ave, Passaic, NJ 07055-4952 | 2016-06-06 |
| 1336527555 | Jiyoung Wong | Internal Medicine | 350 Boulevard, Passaic, NJ 07055 | 2015-05-07 |
| 1356728869 | Gautam Gupta | Internal Medicine | 350 Boulevard, Passaic, NJ 07055-2840 | 2015-05-05 |
| Find all providers in PASSAIC | ||||
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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.