DR. ALICIA PROWSE (NPI# 1104908268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104908268 |
| Entity Type | Individual |
| Full Name | DR. ALICIA PROWSE |
| Credential | MD |
| Practice Address |
1 Degraw Ave Teaneck NJ 07666-4000 |
| Practice Telephone | 2019280200 |
| Practice Fax Number | 2019280820 |
| Mailing Telephone | 2019280200 |
| Mailing Fax Number | 2019280820 |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2014-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | MA76037 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
MA76037 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6818706 | 05 |
| Street Address |
1 DEGRAW AVE |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598791998 | Neil Michael Santos | Physical Therapist | 1 Degraw Ave, North Jersey Orthopedic Specialists, Teaneck, NJ 07666 | 2006-06-25 |
| 1447878277 | Advanced Neuromed LLC | Psychiatry & Neurology | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2020-07-08 |
| 1932512100 | Stacie Marzolf | Physical Medicine & Rehabilitation | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2014-06-05 |
| 1205178365 | Dimir Abrar | Physical Medicine & Rehabilitation | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2013-03-26 |
| 1518232693 | Anna Markh | Physical Medicine & Rehabilitation | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2012-03-21 |
| 1255610507 | Raffaella Linda Kalishman | Internal Medicine | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2011-08-04 |
| 1841424702 | Ornela Rehova | Physical Medicine & Rehabilitation | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2009-05-07 |
| 1699912196 | Aspen Medical Associates, LLC | Internal Medicine | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2009-01-21 |
| 1427223106 | Michal R Sheps | Physical Medicine & Rehabilitation | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2008-04-24 |
| 1952574956 | Gemma T. Pedraza-hetalia | Physical Therapist | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2008-04-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1871866632 | Anna H Zezon | Internal Medicine | 197 Cedar Ln Ste 2, Teaneck, NJ 07666-4300 | 2012-02-09 |
| 1699912196 | Aspen Medical Associates, LLC | Internal Medicine | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2009-01-21 |
| 1093848905 | Aspen Medical Associates, Pa | Internal Medicine | 1 Degraw Ave, Teaneck, NJ 07666-4000 | 2007-03-13 |
| 1073652210 | Salus Med PC | Internal Medicine | 121 Cedar Ln, Suite2b, Teaneck, NJ 07666-4457 | 2007-02-05 |
| 1457377806 | House Physician Partners, PC | Internal Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2006-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366983033 | Liberty Med Associates LLC | Internal Medicine | 999 Palmer Ave Ste 1, Holmdel, NJ 07733 | 2017-03-15 |
| 1013369461 | Pankaj Gupta | Internal Medicine | 31 Southfield Rd, Edison, NJ 08820-3141 | 2016-07-11 |
| 1780091736 | Sukhwinder K. Hundle M.d., P.a. | Internal Medicine | 721 N Beers St Ste 1a, Holmdel, NJ 07733-1500 | 2014-07-22 |
| 1649602897 | David M Lackner | Internal Medicine | 2107 Aqueduct Ln, Cherry Hill, NJ 08002-1932 | 2013-07-30 |
| 1841633369 | Zahava Nilly Brodt | Internal Medicine | 125 Paterson St Ste 2300, New Brunswick, NJ 08901-1962 | 2013-04-15 |
| 1760759740 | Ashvini Health Services | Internal Medicine | 2271 State Highway 33 Ste 110, Hamilton, NJ 08690-1749 | 2011-11-19 |
| 1518241934 | Hygiea Healthcare,llc | Internal Medicine | 100 Plainsboro Rd, Plainsboro, NJ 08536-1914 | 2011-10-04 |
| 1578857066 | Raymond Cogen | Internal Medicine | 72 Grange Ave, Fair Haven, NJ 07704-3004 | 2011-06-02 |
| 1871804534 | Medical and Geratric Associate PC | Internal Medicine | 2239 Center Ave, Fort Lee, NJ 07024-6123 | 2010-06-28 |
| 1598086969 | Jeycare, LLC | Internal Medicine | 43 Rainford Rd, Edison, NJ 08820-2930 | 2010-06-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. ALICIA PROWSE.
| 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.