DR. SETH GERALD JAWETZ (NPI# 1104010131) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104010131 |
| Entity Type | Individual |
| Full Name | DR. SETH GERALD JAWETZ |
| Credential | M.D. |
| Practice Address |
6 Brighton Road 2nd Floor Clifton NJ 07012-1647 |
| Practice Telephone | 9737777911 |
| Practice Fax Number | 9737775403 |
| Mailing Telephone | 9737777911 |
| Mailing Fax Number | 9734735958 |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2019-03-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
25MA08536200 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
233546 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
6 BRIGHTON ROAD 2ND FLOOR |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07012-1647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275559718 | Neil Kamal Goyal | Internal Medicine | 6 Brighton Road, 2nd Floor, Clifton, NJ 07012-1647 | 2006-07-15 |
| 1962772483 | North Jersey Primary Care & Sports Medicine Institute LLC | Clinic/Center | 6 Brighton Road, Suite 101, Clifton, NJ 07012-1647 | 2012-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275559718 | Neil Kamal Goyal | Internal Medicine | 6 Brighton Road, 2nd Floor, Clifton, NJ 07012-1647 | 2006-07-15 |
| 1922031574 | Hussein Abdo Shaqra | Internal Medicine | 57 Lakeview Ave, Clifton, NJ 07011-4041 | 2006-07-08 |
| 1285689315 | Elliot Mitchell Brown | Internal Medicine | 1030 Clifton Avenue, Clifton, NJ 07013 | 2006-05-24 |
| 1922485556 | Nj Premier Heart LLC | Internal Medicine | 716 Broad St, Suite 2d, Clifton, NJ 07013-1645 | 2015-05-04 |
| 1679975692 | Brendan P Sullivan Md Facc LLC | Internal Medicine | 1135 Clifton Ave, Clifton, NJ 07013-3642 | 2014-09-22 |
| 1316202542 | Michael Schwarz Internal Medicine LLC | Internal Medicine | 1135 Broad St, Suite 205, Clifton, NJ 07013-3346 | 2012-07-13 |
| 1477840247 | Ibrahim Saleh Khaddash | Internal Medicine | 969 Paulison Ave, Clifton, NJ 07011-3629 | 2011-06-30 |
| 1053561654 | Kedar Sankholkar | Internal Medicine | 1030 Clifton Ave, Clifton, NJ 07013-3522 | 2008-09-19 |
| 1730208885 | Tri-county Radiology P.a. | Internal Medicine | 521 Van Houten Ave, Clifton, NJ 07013-2190 | 2007-03-28 |
| 1689706871 | Cardiology Center of North Jersey | Internal Medicine | 1030 Clifton Avenue, Clifton, NJ 07013 | 2007-03-12 |
| Find all providers in CLIFTON | ||||
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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.