BERGEN SURGICAL ONCOLOGY, PA (NPI# 1083876171) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083876171 |
| Entity Type | Organization |
| Organization Name | BERGEN SURGICAL ONCOLOGY, PA |
| Practice Address |
1 Valley Health Plz Paramus NJ 07652-3628 |
| Practice Telephone | 2016345438 |
| Practice Fax Number | 2016345352 |
| Mailing Telephone | 2016345438 |
| Mailing Fax Number | 2016345352 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2010-02-23 |
| Authorized Official Name | DR. ANUSAK YIENGPRUKSAWAN (PRESIDENT) |
| Authorized Official Telephone | 2016345438 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
25MA05981200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1 VALLEY HEALTH PLZ |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-3628 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649254236 | Allen Chinitz | Internal Medicine | 1 Valley Health Plz, Luckow Pavilion, Paramus, NJ 07652-3628 | 2005-12-06 |
| 1750989786 | Rachel Tobin | Nurse Practitioner | 1 Valley Health Plz, Paramus, NJ 07652-3628 | 2020-10-12 |
| 1619455888 | Jaclyn Marie Murphy | Dietitian, Registered | 1 Valley Health Plz, Paramus, NJ 07652-3628 | 2018-07-31 |
| 1316465875 | Nikole Gavriilidis | Dietitian, Registered | 1 Valley Health Plz, Paramus, NJ 07652-3628 | 2017-09-05 |
| 1467997775 | Kristen Hartig | Nurse Practitioner | 1 Valley Health Plz, Paramus, NJ 07652-3628 | 2016-12-21 |
| 1942689443 | Nancy Jeannette Cooper | Dietitian, Registered | 1 Valley Health Plz, 1st Floor, Paramus, NJ 07652-3628 | 2015-05-29 |
| 1568804359 | Ayelet Spitzer | Internal Medicine | 1 Valley Health Plz, Paramus, NJ 07652-3628 | 2013-07-23 |
| 1699011494 | Leslie J. Esmail | Nurse Practitioner | 1 Valley Health Plz, Thoracic Surgery, Paramus, NJ 07652-3628 | 2012-12-25 |
| 1598064545 | Thomas Pedicino Kole | Radiology | 1 Valley Health Plz, Paramus, NJ 07652-3628 | 2011-03-16 |
| 1225341258 | Kristine Suzanne Nuccitelli | Nurse Practitioner | 1 Valley Health Plz, Paramus, NJ 07652-3628 | 2010-07-19 |
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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 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023184918 | Anusak Yiengpruksawan | Surgery | 1 Valley Health Plz, Paramus, NJ 07652-3628 | 2006-11-24 |
| 1588743207 | Zahra Shafaee, Md, PC | Surgery | 1 Valley Health Plz, Luckow Pavillion, 2nd Floor, Paramus, NJ 07652-3628 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124336623 | Sang M Lee, Md Pa | Surgery | 65 Mountain Blvd Ext., Suite 206, Warren, NJ 07059-2633 | 2010-09-17 |
| 1902125701 | Atuhani Seth Burnett | Surgery | 150 Bergen Street, Suite E-401, Newark, NJ 07101 | 2010-05-19 |
| 1376785360 | Vadim P Koshenkov | Surgery | 195 Little Albany St Ste 3001, New Brunswick, NJ 08901-1914 | 2009-04-06 |
| 1699927566 | Thomas Lee Jang | Surgery | 195 Little Albany Street, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08903 | 2008-10-22 |
| 1265690549 | Richard Stockton Weeder | Surgery | 45 Green Ave, Lawrenceville, NJ 08648-1623 | 2008-05-23 |
| 1275708067 | John Alkhas | Surgery | 38 Sawgrass St, Jackson, NJ 08527-4023 | 2008-04-23 |
| 1700086360 | Ames Lawrence Filippone Jr. | Surgery | 22 Hilltop Cir, Morristown, NJ 07960-6328 | 2007-07-23 |
| 1396758983 | Sang M Lee | Surgery | 65 Mountain Blvd. Ext., Suite 206, Warren, NJ 07059-2633 | 2006-08-14 |
| 1962421339 | Martin S Karpeh | Surgery | 20 Prospect Ave Suite 406, Hackensack Umc, Hackensack, NJ 07601 | 2006-07-18 |
| 1083665053 | Thangamani Seenivasan | Surgery | 30 Rehill Avenue, Suite 3400, Somerville, NJ 08876-2500 | 2006-05-15 |
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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.