OLD TAPPAN PEDIATRICS (NPI# 1114936879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114936879 |
| Entity Type | Organization |
| Organization Name | OLD TAPPAN PEDIATRICS |
| Practice Address |
215 Old Tappan Rd Old Tappan NJ 07675-7000 |
| Practice Telephone | 2016661000 |
| Practice Fax Number | 2016667610 |
| Mailing Telephone | 2016661000 |
| Mailing Fax Number | 2016667610 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. HARRY A HAGES (PRESIDENT) |
| Authorized Official Telephone | 2016661000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Street Address |
215 OLD TAPPAN RD |
| City | OLD TAPPAN |
| State | NJ |
| Zip Code | 07675-7000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295776755 | Spero Evan Demoleas | Podiatrist | 215 Old Tappan Rd, Old Tappan, NJ 07675-7000 | 2006-06-08 |
| 1710477864 | Proactive Foot and Ankle | Durable Medical Equipment & Medical Supplies | 215 Old Tappan Rd, Old Tappan, NJ 07675-7000 | 2018-05-15 |
| 1053687566 | Madison Physical Therapy Limited Partnership | Physical Therapist | 215 Old Tappan Rd, Old Tappan, NJ 07675-7000 | 2012-03-29 |
| 1235410572 | Steven Capitani | Physical Therapist | 215 Old Tappan Rd, Old Tappan, NJ 07675-7000 | 2011-08-31 |
| 1508043514 | Spero E Demoleas | Podiatrist | 215 Old Tappan Rd, Old Tappan, NJ 07675-7000 | 2008-01-22 |
| 1902098114 | Alyse Rudnicki | Dentist | 215 Old Tappan Rd, 2nd Floor, Old Tappan, NJ 07675-7000 | 2007-08-11 |
| 1225256118 | Sheldon Rudnicki | Dentist | 215 Old Tappan Rd, 2nd Floor, Old Tappan, NJ 07675-7000 | 2007-04-23 |
| 1215041140 | James Edward Buirkle | Internal Medicine | 215 Old Tappan Rd, Old Tappan, NJ 07675 | 2006-08-18 |
| 1912916693 | Old Tappan Medical Group, Pa | Internal Medicine | 215 Old Tappan Rd, Old Tappan, NJ 07675-7000 | 2006-08-05 |
| 1326056227 | Nancy A Rothenberg | Pediatrics | 215 Old Tappan Rd, Old Tappan, NJ 07675 | 2006-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568008340 | Twinkle Little Star Pediatric Dentistry, LLC | Dentist | 259 Kinderkamack Road, Westwood, NJ 07675 | 2019-11-27 |
| 1245896364 | Edward Feins Dmd, Pa | Dentist | 241 Rivervale Road, River Vale, NJ 07675 | 2019-05-14 |
| 1134699200 | Angelly Guzman | Social Worker | 192 3rd Ave., Westwood, NJ 07675 | 2018-11-30 |
| 1477091270 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 216 Old Tappan Road, Suite 56-58d, Old Tappan, NJ 07675 | 2017-02-01 |
| 1871965392 | Jesse Glassman | Psychologist | 354 Old Hook Rd. Suite 203, Westwood, NJ 07675 | 2015-10-23 |
| 1972981249 | Sabrina Tate Hegarty | Physical Therapist | 38 Adams Court, Westwood, NJ 07675 | 2015-05-07 |
| 1205220910 | Annamma Goerge | Nurse Practitioner | 333 Old Hook Road, Suite 103, Endocrinology and Diabetes Associates, LLC, Westwood, NJ 07675 | 2015-03-20 |
| 1871997833 | Tia Davis | Social Worker | 80 Westwood Blvd, Westwood, NJ 07675 | 2014-10-20 |
| 1336564400 | Jessica Digiacomo | Counselor | 192 Third Avenue, Suite 1-b, Westwood, NJ 07675 | 2014-02-26 |
| 1487078507 | Bergen Pediatric Speech Therapy | Speech-Language Pathologist | 354 Old Hook Rd., Ll-1, Westwood, NJ 07675 | 2014-02-10 |
| Find all providers in zip 07675 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306950233 | Perry N Fishkind | Pediatrics | 215 Old Tappan Road, Old Tappan, NJ 07675 | 2006-08-18 |
| 1477667301 | Harry A Hages | Pediatrics | 215 Old Tappan Road, Old Tappan, NJ 07675 | 2006-08-18 |
| 1194839027 | Ann Marie Deangelo | Pediatrics | 215 Old Tappan Road, Old Tappan, NJ 07675 | 2006-08-18 |
| 1326056227 | Nancy A Rothenberg | Pediatrics | 215 Old Tappan Rd, Old Tappan, NJ 07675 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332831 | Alafia Medical Associates LLC | Pediatrics | 88 High St, Montclair, NJ 07042-2415 | 2020-10-07 |
| 1205443611 | Advocare, LLC | Pediatrics | 225 Highway 35 Ste 102, Red Bank, NJ 07701-5919 | 2020-09-29 |
| 1205440401 | Panda Pediatrics LLC | Pediatrics | 2 Hart Ct, Titusville, NJ 08560-1519 | 2020-09-04 |
| 1346853546 | Nkpeds PC | Pediatrics | 126 Madison Ave, Hasbrouck Heights, NJ 07604-1309 | 2020-08-26 |
| 1619580107 | Anzule Navarrete | Pediatrics | 3196 John F Kennedy Blvd, Union City, NJ 07087 | 2020-08-25 |
| 1992316715 | Advocare, LLC | Pediatrics | 241 Molnar Dr Ste 202, Elmwood Park, NJ 07407-3200 | 2020-08-14 |
| 1841808516 | Brianna Ayala | Pediatrics | 402 Lakewood Rd, New Egypt, NJ 08533-2113 | 2020-07-20 |
| 1306465349 | Little Big Pediatrics | Pediatrics | 521 Van Houten Ave Ste 1a, Clifton, NJ 07013-2190 | 2020-04-09 |
| 1154954139 | Advocare, LLC | Pediatrics | 6611 Winchester Ave, Ventnor City, NJ 08406-2159 | 2020-02-18 |
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | OLD TAPPAN |
| Zip Code | 07675 |
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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.