PANDE V. JOSIFOSKI, M.D., L.L.C. (NPI# 1053631846) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053631846 |
| Entity Type | Organization |
| Organization Name | PANDE V. JOSIFOSKI, M.D., L.L.C. |
| Practice Address |
123 Highland Ave Suite 203 Glen Ridge NJ 07028-1527 |
| Practice Telephone | 9737480678 |
| Practice Fax Number | 9737482808 |
| Mailing Telephone | 9737480678 |
| Mailing Fax Number | 9737482808 |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |
| Authorized Official Name | MRS. MARIA PALACIOS (MEDICAL ASSISTANT) |
| Authorized Official Telephone | 9737480678 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA02629900 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1D1696904 | 05 |
| Street Address |
123 HIGHLAND AVE SUITE 203 |
| City | GLEN RIDGE |
| State | NJ |
| Zip Code | 07028-1527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512398 | Benjamin Herbert Safirstein | Internal Medicine | 123 Highland Ave, Suite 101, Glen Ridge, NJ 07028-1527 | 2005-07-19 |
| 1902347370 | Rachel Nash | Nurse Practitioner | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2017-03-17 |
| 1578924973 | Andrea Cohen | Dietitian, Registered | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2016-03-11 |
| 1083081392 | Paul Woroch | Internal Medicine | 123 Highland Ave, Suite 201, Glen Ridge, NJ 07028-1527 | 2015-08-24 |
| 1861772063 | Joseph Anthony Banda | Physical Therapist | 123 Highland Ave, Suite G3, Glen Ridge, NJ 07028-1527 | 2011-08-19 |
| 1053607275 | Dennis A Tobia Md Pa | Internal Medicine | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2011-06-27 |
| 1780985267 | Raghav Rastogi | Internal Medicine | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2010-11-15 |
| 1295997609 | Cornel Mircea Md Pa | Specialist | 123 Highland Ave, Ste 104, Glen Ridge, NJ 07028-1527 | 2008-06-26 |
| 1962678102 | Sleepcare Centers, Inc | Specialist | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2008-05-07 |
| 1841498714 | Cecilia Minano | Internal Medicine | 123 Highland Ave, Glen Ridge, NJ 07028-1527 | 2007-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346862463 | Kamlesh Mehrotra | Counselor | 192 Midland Ave, Glen Ridge, NJ 07028 | 2020-05-12 |
| 1821648965 | Sally Pitanga | Social Worker | 46 Victor Avenue, Glen Ridge, NJ 07028 | 2019-09-19 |
| 1487782579 | Kamlesh Khanna | Pediatrics | 401 Ridgewood Ave, Glen Ridge, NJ 07028 | 2007-03-01 |
| 1326111238 | Geraldine S Meanor | Internal Medicine | 150 Ridgewood Avenue, Glen Ridge, NJ 07028 | 2006-11-16 |
| 1134210305 | Cheryl D Ackerman | Dermatology | 368 Ridgewood Ave, Glen Ridge, NJ 07028 | 2006-09-27 |
| 1679530588 | Reuben Rozanski | Dermatology | 200 Highland Avenue, Glen Ridge, NJ 07028 | 2006-04-26 |
| 1629046388 | Ellen E Urrutia | Internal Medicine | 946 Bloomfield Avenue, Glen Ridge, NJ 07028 | 2006-03-09 |
| 1487632436 | Gastroenterology Group of New Jersey Pa | Internal Medicine | 123 Highland Avenue, Suite 103, Glen Ridge, NJ 07028 | 2006-01-09 |
| 1689668683 | Efthymios I Daniskas | Internal Medicine | 311 Bay Ave, Mmg Pulmonology, Glen Ridge, NJ 07028 | 2005-09-06 |
| 1255833281 | Lavinia May Couture | Physician Assistant | 230 Sherman Ave, Glen Ridge, NJ 07028 | 2018-03-06 |
| Find all providers in zip 07028 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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|---|---|---|---|---|
| 1669089355 | Trans Pacific Medical PC | Clinic/Center | 1590 Anderson Ave Ph 1, Fort Lee, NJ 07024-2711 | 2020-09-26 |
| 1700402609 | Loihle Medical | Clinic/Center | 93 Montgomery St, Bloomfield, NJ 07003-6003 | 2020-06-17 |
| 1386266310 | Ren Zhou,md | Clinic/Center | 233 Bridge St Bldg F, Metuchen, NJ 08840-2292 | 2020-05-13 |
| 1801416144 | Unify Select Health LLC | Clinic/Center | 800 Lanidex Plz Ste 100, Parsippany, NJ 07054-2734 | 2020-04-16 |
| 1902425424 | Bridge To Life Clinical Consultants, LLC | Clinic/Center | 26 Fern Ct, Sayreville, NJ 08872-2103 | 2020-04-14 |
| 1417580887 | Community Urgent Care Nj Pa | Clinic/Center | 101 Clifton Ave, Lakewood, NJ 08701-3334 | 2020-02-13 |
| 1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | GLEN RIDGE |
| Zip Code | 07028 |
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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.