DR. RODERICK JOHN CLEMENTE (NPI# 1053405654) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053405654 |
| Entity Type | Individual |
| Full Name | DR. RODERICK JOHN CLEMENTE |
| Credential | M.D. |
| Practice Address |
96 Gates Avenue Montclair NJ 07042 |
| Mailing Address |
96 Gates Ave Montclair NJ 07042-2501 |
| Practice Telephone | 9737443166 |
| Practice Fax Number | 9737443199 |
| Mailing Telephone | 9737443166 |
| Mailing Fax Number | 9737443199 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-06-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 25MA04150100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | TAX ID# | 582676791 | 01 |
| Street Address |
96 GATES AVENUE |
| City | MONTCLAIR |
| State | NJ |
| Zip Code | 07042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013245489 | Specialists of The Spine, LLC | Neurological Surgery | 96 Gates Avenue, Montclair, NJ 07042 | 2009-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003451261 | Montclair Art Museum | Voluntary or Charitable | 3 South Mountain Avenue, Montclair, NJ 07042 | 2019-11-12 |
| 1740847797 | Magnify In-home Eyecare | Optometrist | Little Nursing Home, 71 Christopher Street, Montclair, NJ 07042 | 2019-05-24 |
| 1326539073 | Wendy C Kaplan | Social Worker | 460 Bloomfield Ave Suite 209, Montclair, NJ 07042 | 2018-05-29 |
| 1538666342 | Mary Elizabeth Mcgaughan | Psychologist | 239 Grove Street, Montclair, NJ 07042 | 2018-04-09 |
| 1023546777 | Alexander Scott Fisher | Dentist | 39 S Fullerton Ave Fl 2, Montclair, NJ 07042 | 2017-05-25 |
| 1942754825 | Kaity Rodriguez | Social Worker | 105 Grove St., Montclair, NJ 07042 | 2016-08-09 |
| 1144678889 | Melissa Cardinal | Nurse Practitioner | 36 Valley Road, 529, Montclair, NJ 07042 | 2016-06-02 |
| 1528413655 | Bellapianta Orthopaedics and Sports Medicine LLC | Orthopaedic Surgery | 1 Bay Avenue, Harries Pavilion, Suite 1, Montclair, NJ 07042 | 2016-04-26 |
| 1740647643 | Wendalyn Leona Browne | Massage Therapist | 37 Watchung Plaza, 2l, Montclair, NJ 07042 | 2016-01-22 |
| 1891168670 | Patience Moore | Social Worker | 460 Bloomfield Ave Ste 306, Montclair, NJ 07042 | 2015-11-03 |
| Find all providers in zip 07042 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750398939 | Henry Moyle | Neurological Surgery | 1 Bay Ave Ste 5, Montclair, NJ 07042-4837 | 2006-08-01 |
| 1063039782 | Heary Neurosurgical Institute PC | Neurological Surgery | 1 Bay Ave, Montclair, NJ 07042-4837 | 2020-06-29 |
| 1013245489 | Specialists of The Spine, LLC | Neurological Surgery | 96 Gates Avenue, Montclair, NJ 07042 | 2009-11-24 |
| 1710184064 | Seth Michael Dannis | Neurological Surgery | 96 Gates Ave, Montclair, NJ 07042-2511 | 2007-06-29 |
| 1669527073 | Neurosurgical Care of New Jersey, P.a. | Neurological Surgery | 96 Gates Ave, Montclair, NJ 07042-2511 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407367576 | Outpatient Usa | Neurological Surgery | 475 Prospect Avenue, Suite 110, West Orange, NJ 07052 | 2017-10-17 |
| 1063968360 | Executive Spine Surgery | Neurological Surgery | 657 Willow Grove St Ste 402, Hackettstown, NJ 07840 | 2016-08-28 |
| 1508224064 | Geoffrey Appelboom | Neurological Surgery | 703 Main St Ste A2404, Paterson, NJ 07503-2621 | 2016-01-29 |
| 1831568583 | Nj Neurosurgery, PC | Neurological Surgery | 400 Frank W Burr Blvd Ste 55, Atrium At Glenpoint, Ste 55, Teaneck, NJ 07666-6810 | 2015-09-23 |
| 1790165462 | New Neurons Neurosurgical Institute | Neurological Surgery | 32 Summit Ave, Chatham, NJ 07928 | 2015-06-08 |
| 1861893588 | Abelardo Dario Inoa | Neurological Surgery | 6 Normandy Pkwy, Morristown, NJ 07960-5716 | 2014-09-12 |
| 1669891180 | Christopher Charles Gillis | Neurological Surgery | 121 Route 36 Ste 330, West Long Branch, NJ 07764 | 2014-04-11 |
| 1912337312 | Functional Healthcare PC | Neurological Surgery | 234 Boundary Rd Unit 107, Marlboro, NJ 07746-1479 | 2013-11-21 |
| 1962849331 | David Weaver | Neurological Surgery | 725 Old Raritan Rd, Edison, NJ 08820-1021 | 2013-05-25 |
| 1831439272 | Vipin Kumar Gupta, Md Pa | Neurological Surgery | 2848 S Delsea Dr Ste 2b, Vineland, NJ 08360-7042 | 2013-02-21 |
| Find all providers with the same taxonomy | ||||
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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.