OCCUPATIONAL MEDICAL ASSOCIATES (NPI# 1093122392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093122392 |
| Entity Type | Organization |
| Organization Name | OCCUPATIONAL MEDICAL ASSOCIATES |
| Practice Address |
17-15 Maple Ave Suite 100 Fair Lawn NJ 07410-1552 |
| Practice Telephone | 2017948055 |
| Practice Fax Number | 2017948086 |
| Mailing Telephone | 2017948055 |
| Mailing Fax Number | 2017948086 |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |
| Authorized Official Name | DR. BARRY A HALEJIAN (SUPERVISING PHYSICIAN) |
| Authorized Official Telephone | 2017948055 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00336500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
17-15 MAPLE AVE SUITE 100 |
| City | FAIR LAWN |
| State | NJ |
| Zip Code | 07410-1552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811967474 | Nicholas C Trotta | Specialist | 17-15 Maple Ave, 1st Floor, Fair Lawn, NJ 07410-1552 | 2006-01-25 |
| 1043682099 | Dmr Rehabilitation | Clinic/Center | 17-15 Maple Ave, Fair Lawn, NJ 07410-1552 | 2015-10-28 |
| 1851681365 | Barr Medical Limited Liability Company | Internal Medicine | 17-15 Maple Ave, 2nd Floor, Fair Lawn, NJ 07410-1552 | 2011-04-18 |
| 1982903977 | Bajzath Rehabilitation Facility PC | Chiropractor | 17-15 Maple Ave, 2nd Floor, Fair Lawn, NJ 07410-1552 | 2011-03-16 |
| 1457586000 | Raf LLC | In Home Supportive Care | 17-15 Maple Ave, Suite 101l, Fair Lawn, NJ 07410-1552 | 2009-05-27 |
| 1952555468 | Joseph S Bajzath | Chiropractor | 17-15 Maple Ave, Ste. R300, Fair Lawn, NJ 07410-1552 | 2008-11-11 |
| 1396914867 | Jerome Barr | Internal Medicine | 17-15 Maple Ave, 2nd Fl, Fair Lawn, NJ 07410-1552 | 2008-02-28 |
| 1417009077 | Bergen Passaic Pediatric Neurology | Psychiatry & Neurology | 17-15 Maple Ave, Ste 203, Fair Lawn, NJ 07410-1552 | 2007-01-16 |
| 1700961034 | Medical Internists Assoc. Pa | Specialist | 17-15 Maple Ave, Fair Lawn, NJ 07410-1552 | 2006-10-26 |
| 1568432029 | Cataract and Eye Center PC | Legal Medicine | 17-15 Maple Ave, 1st Floor, Fair Lawn, NJ 07410-1552 | 2006-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
| 1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
| 1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
| 1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
| 1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
| 1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
| 1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
| 1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
| 1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
| 1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
| Find all providers in zip 07410 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194386318 | Solimar Victoria Colon | Physician Assistant | 31-00 Broadway Ste 2, Fair Lawn, NJ 07410-3963 | 2019-06-27 |
| 1306223045 | Anna M Avanesyan | Physician Assistant | 17-15 Maple Ave Ste 100, Fair Lawn, NJ 07410-1552 | 2015-05-01 |
| 1326041781 | Marc Kalin | Physician Assistant | 17-16 Chandler Dr, Fair Lawn, NJ 07410-2716 | 2005-05-31 |
| 1366600140 | Michelle Tuzzolino | Physician Assistant | 31-00 Broadway, 2nd Floor, Fair Lawn, NJ 07410-3963 | 2008-05-28 |
| 1891905873 | Medical Multispecialty Association Pa | Physician Assistant | 11-26 Saddle River Rd, Fair Lawn, NJ 07410-5634 | 2007-05-22 |
| 1255496253 | Bryan D Sheldon | Physician Assistant | 28-04 Broadway, Garden State Orthopaedic Associates, P.a., Fair Lawn, NJ 07410-3913 | 2006-12-27 |
| 1932168028 | William G Thomson | Physician Assistant | 28-04 Broadway, Garden State Orthopaedic Associates, P.a., Fair Lawn, NJ 07410-3913 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528163 | Paul J Lamartina | Physician Assistant | 1640 Highway 88 Ste 201, Brick, NJ 08724-3068 | 2020-11-05 |
| 1912507641 | Katherine Badecker | Physician Assistant | 30 Beams Ter, Manasquan, NJ 08736-2905 | 2020-10-30 |
| 1619577715 | Erin Kathryn Schlegel | Physician Assistant | 14 Timmons Hill Dr, Millstone Twp, NJ 08535-9307 | 2020-10-28 |
| 1235738006 | Amanda Kwartemaah Osei | Physician Assistant | 2 Colonial Sq, Middletown, NJ 07748-3548 | 2020-10-22 |
| 1972102770 | Vanesa Kodra | Physician Assistant | 1590 Anderson Ave Apt 2j, Fort Lee, NJ 07024-2707 | 2020-10-22 |
| 1366040750 | Gregory Joseph Salamon | Physician Assistant | 221 Belaire Ter, Mount Laurel, NJ 08054-2703 | 2020-10-16 |
| 1861099145 | Nathalie Jaqueline Rivera | Physician Assistant | 555 Ramapo Valley Rd, Oakland, NJ 07436-2817 | 2020-10-08 |
| 1710584222 | Shivam G. Patel | Physician Assistant | 207 Gambocz Ct, Monmouth Junction, NJ 08852-2167 | 2020-10-07 |
| 1932706579 | Michelle Rose Maddatu | Physician Assistant | 742 Durham Ter, Brick, NJ 08724-1064 | 2020-10-07 |
| 1154928737 | Jarna Patel | Physician Assistant | 11 Barley Ct, Plainsboro, NJ 08536-3100 | 2020-10-06 |
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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.