KEN EDWARD MISHLER (NPI# 1043279979) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043279979 |
| Entity Type | Individual |
| Full Name | KEN EDWARD MISHLER |
| Credential | MD |
| Practice Address |
968 Hamburg Tpke Wayne NJ 07470-3225 |
| Practice Telephone | 9736960300 |
| Practice Fax Number | 9736960465 |
| Mailing Telephone | 9736960300 |
| Mailing Fax Number | 9736960465 |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2010-02-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 25MA03246200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1206800 | 05 |
| Street Address |
968 HAMBURG TPKE |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-3225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417148594 | Eye Associates of Wayne | Ophthalmology | 968 Hamburg Tpke, Wayne, NJ 07470-3225 | 2007-08-05 |
| 1699858670 | Eye Associates of Wayne, P.a. | Ophthalmology | 968 Hamburg Tpke, Wayne, NJ 07470-3225 | 2006-10-23 |
| 1215996517 | Stephen Andrew Gollance | Ophthalmology | 968 Hamburg Tpke, Wayne, NJ 07470-3225 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104184621 | Bryan Abessi | Ophthalmology | 220 Hamburg Tpke Ste 7, Advanced Eye Care, Wayne, NJ 07470-3412 | 2012-05-03 |
| 1649465642 | Thomas M Obrotka | Ophthalmology | 516 Hamberg Tnpk, Ste 10 N Jersey Med Vlg, Wayne, NJ 07470 | 2007-09-12 |
| 1407966526 | Paulo Mendes Correa-meyer | Ophthalmology | 295 Old Eagle School Road, Ste 1, Wayne, PA 19087-2697 | 2006-08-30 |
| 1891756375 | Steven B Siepser | Ophthalmology | 860 E Swedesford Rd, 100, Wayne, PA 19087 | 2006-04-01 |
| 1427019207 | Kenneth Eli Morgenstern | Ophthalmology | 123 Bloomingdale Ave, Suite 102, Wayne, PA 19087-4056 | 2006-03-31 |
| 1053392258 | Scott W Silodor | Ophthalmology | 1211 Hamburg Tpke, 224, Wayne, NJ 07470-5043 | 2005-11-07 |
| 1891781381 | Roth and Russin LLC | Ophthalmology | 124 Bloomingdale Ave, Wayne, PA 19087-3929 | 2005-09-21 |
| 1639323785 | Deanna Z. Macek, Md, LLC | Ophthalmology | 2025 Hamburg Tpke, Suite H, Wayne, NJ 07470-6260 | 2008-11-14 |
| 1417148594 | Eye Associates of Wayne | Ophthalmology | 968 Hamburg Tpke, Wayne, NJ 07470-3225 | 2007-08-05 |
| 1508938010 | Deanna Z Macek | Ophthalmology | 2025 Hamburg Tpke, Suite H, Wayne, NJ 07470-6260 | 2006-11-14 |
| Find all providers in WAYNE | ||||
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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.