ELIZABETH BAYWAY MEDICAL CENTER, LLC (NPI# 1083960249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083960249 |
| Entity Type | Organization |
| Organization Name | ELIZABETH BAYWAY MEDICAL CENTER, LLC |
| Practice Address |
636 Bayway Ave Elizabeth NJ 07202-2613 |
| Practice Telephone | 9089941900 |
| Practice Fax Number | 9089940900 |
| Mailing Telephone | 9089941900 |
| Mailing Fax Number | 9089940900 |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-08-31 |
| Authorized Official Name | DR. KEYUR AJBANI (OWNER) |
| Authorized Official Telephone | 9089941900 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 208D00000X | General Practice | Allopathic & Osteopathic Physicians | ||
| Y | 207P00000X | Emergency Medicine | 25MA079138 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
636 BAYWAY AVE |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07202-2613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619128410 | Bayway Medical Center LLC | Internal Medicine | 636 Bayway Ave, Elizabeth, NJ 07202 | 2008-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
| 1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
| 1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
| 1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
| 1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
| 1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
| 1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
| 1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
| 1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
| 1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
| Find all providers in zip 07202 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437144391 | Gautam C Surana | Emergency Medicine | 520 Westfield Ave, Suite 305, Elizabeth, NJ 07208-1658 | 2005-09-16 |
| 1043616675 | Nes Georgia Inc | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07202 | 2014-11-10 |
| 1053730283 | Ankita Bassi | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2014-04-15 |
| 1528314580 | Dmitriy Zelikson | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2012-07-27 |
| 1083910830 | Liqi Fan | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2011-01-26 |
| 1417193384 | Christina Zhang | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2008-12-26 |
| 1063677029 | Joseph Michael Haig | Emergency Medicine | 225 Williamson St, Emergency Medicine Department, Elizabeth, NJ 07207 | 2008-07-18 |
| 1255595583 | Allison Haders | Emergency Medicine | 225 Williamson St, Emergency Department, Elizabeth, NJ 07202-3625 | 2008-07-16 |
| 1881856631 | James Hakim | Emergency Medicine | 225 Williamson St, Emergency Department, Elizabeth, NJ 07202-3625 | 2008-07-01 |
| 1942473269 | Khamis G Khamis | Emergency Medicine | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2008-04-08 |
| Find all providers in ELIZABETH | ||||
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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.