OTOLARYNGOLOGY HEAD AND NECK SURGERY LLC (NPI# 1073700993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073700993 |
| Entity Type | Organization |
| Organization Name | OTOLARYNGOLOGY HEAD AND NECK SURGERY LLC |
| Practice Address |
1 W Ridgewood Ave Suite 205 Paramus NJ 07652-2359 |
| Practice Telephone | 2012519100 |
| Mailing Telephone | 2012519100 |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |
| Authorized Official Name | DR. ROBERT J CUSUMANO (OWNER) |
| Authorized Official Telephone | 2012519100 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | MA50345 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1 W RIDGEWOOD AVE SUITE 205 |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953902 | Rajnik W Raab | Neurological Surgery | 1 W Ridgewood Ave, Ste 208, Paramus, NJ 07652-2350 | 2005-06-21 |
| 1992217616 | Pathik Tuhin Suvarnakar | Pharmacist | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2017-11-03 |
| 1891243606 | Hemin Vaidya | Pharmacist | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2016-09-21 |
| 1215383443 | Alison Elizabeth Cooper | Nurse Practitioner | 1 W Ridgewood Ave, Suite 106, Paramus, NJ 07652 | 2016-05-06 |
| 1952769960 | Geriatrics and Internal Medicine Associates of Northeast LLC | Internal Medicine | 1 W Ridgewood Ave, Suite 203, Paramus, NJ 07652-2359 | 2016-02-04 |
| 1588034078 | Cityscape Anesthesia Pllc | Anesthesiology | 1 W Ridgewood Ave, Suite G03, Paramus, NJ 07652-2359 | 2015-09-28 |
| 1194121814 | Kyle Christopher D'amico | Physical Medicine & Rehabilitation | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2014-11-06 |
| 1659799328 | Bergen Gastroenterology PC | Non-Pharmacy Dispensing Site | 1 W Ridgewood Ave, Suite 301, Paramus, NJ 07652-2359 | 2014-03-31 |
| 1508298241 | Alpha Diagnostic of New Jersey LLC | Radiology | 1 W Ridgewood Ave, Suite G01-g02, Paramus, NJ 07652-2359 | 2013-08-05 |
| 1194061168 | Rakesh Patel Md PC | Specialist | 1 W Ridgewood Ave, Suite 106, Paramus, NJ 07652-2359 | 2012-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
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| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| 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 Otolaryngology, 2007. http://www.aboto.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 Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568978757 | Rebecca Bar-eli | Otolaryngology | 10 Forest Ave, Paramus, NJ 07652-5242 | 2017-12-26 |
| 1659563955 | Mina Nguyen Le | Otolaryngology | 230 E Ridgewood Ave, Paramus, NJ 07652 | 2007-08-10 |
| 1205851011 | Daniel Samadi, M.d. PC | Otolaryngology | 10 Forest Ave, Suite 100, Paramus, NJ 07652-5242 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962977249 | Clinical Health Care Associates of New Jersey, PC | Otolaryngology | 719 Us Highway 206 Ste 101, Hillsborough, NJ 08844-1529 | 2018-10-12 |
| 1962918078 | Ira Sanders | Otolaryngology | 5 Rye Cliff Rd, Oakland, NJ 07436-1423 | 2017-12-27 |
| 1053772608 | St. Luke's Warren Physician Group, PC | Otolaryngology | 755 Memorial Pkwy Ste 112, Phillipsburg, NJ 08865-2774 | 2016-03-10 |
| 1023484052 | Eun Hae Chang | Otolaryngology | 1131 Broad St Ste 102, Shrewsbury, NJ 07702-4334 | 2015-08-13 |
| 1184010415 | Alisa Yamasaki | Otolaryngology | 1543 State Route 27 Ste 21, Somerset, NJ 08873-4015 | 2015-04-14 |
| 1134532708 | Ahmad F Mahmoud | Otolaryngology | 6 Brighton Rd Ste 104, Clifton, NJ 07012-1647 | 2014-06-11 |
| 1881007250 | David A Temmermand | Otolaryngology | 620 North Broad Street, Woodbury, NJ 08096 | 2014-06-03 |
| 1477986420 | Amit N Bhojwani | Otolaryngology | 708 Gregorys Way, Voorhees, NJ 08043-2055 | 2013-08-14 |
| 1831440726 | Anthony G Rossi | Otolaryngology | 912 Pompton Ave, Suite A1, Cedar Grove, NJ 07009-1264 | 2012-10-02 |
| 1871802751 | Ronald B Lorenc Md Pa | Otolaryngology | 225 Laurel Heights Dr, Bridgeton, NJ 08302-3635 | 2010-09-27 |
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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.