DR. JEFFREY CRAIG SELAN (NPI# 1134480205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134480205 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY CRAIG SELAN |
| Credential | M.D. |
| Practice Address |
11 Meridian Rd Eatontown NJ 07724-2242 |
| Practice Telephone | 7326630300 |
| Practice Fax Number | 7326630301 |
| Mailing Telephone | 7326630300 |
| Mailing Fax Number | 7326630301 |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2019-06-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 252818 | MA | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
25MA10523700 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 222 Schanck Rd Ste 104, Freehold, NJ 077282974 | 7324311332 | 7324311712 |
| Street Address |
11 MERIDIAN RD |
| City | EATONTOWN |
| State | NJ |
| Zip Code | 07724-2242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689679490 | Lance Seth Berger | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2005-06-17 |
| 1700428158 | Marissa Ashley Naparlo | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2019-10-16 |
| 1811555709 | Kimberly Ann Hagen | Physician Assistant | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2019-06-05 |
| 1699242669 | Rachel Groves | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2018-10-29 |
| 1942725213 | Elyse Roddy | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2017-08-08 |
| 1154877967 | Kaitlin Rogers | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2016-08-31 |
| 1184082349 | Cara Fehnel | Nurse Practitioner | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2016-02-03 |
| 1851648687 | Victoria Catherine Vallejo | Physician Assistant | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2012-08-10 |
| 1124311642 | Daniel Harris Kiss | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2011-05-17 |
| 1841519709 | Matthew Douglas Saybolt | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2010-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719788 | Zsanae Lewis | Driver | 1 Main St Unit 401, Eatontown, NJ 07724 | 2019-06-18 |
| 1417419169 | Refocus | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 613 Hope Road, Building 5 and 2, Eatontown, NJ 07724 | 2019-04-02 |
| 1215401575 | Angela Fordham-lewis | Day Training/Habilitation Specialist | 613 Hope Road, Building #2, Eatontown, NJ 07724 | 2019-01-18 |
| 1174094312 | Patti Kousoulis | Counselor | 10 Industrial Way East, Eatontown, NJ 07724 | 2018-12-16 |
| 1649745589 | Jersey Shore Dental Spa LLC | Dentist | 613 Hope Road Building 5, Eatontown, NJ 07724 | 2018-10-08 |
| 1487135448 | A2z Diagnostics LLC | Pathology | 6 Industrial Way W Ste F19, Eatontown, NJ 07724 | 2018-08-27 |
| 1942708268 | Elyce Jackson | Counselor | 10 Industrial Way, Eatontown, NJ 07724 | 2018-02-01 |
| 1477065894 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 249, Eatontown, NJ 07724 | 2017-10-25 |
| 1639681059 | The Arc of Monmouth, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 36 Country Club Road Apt. 277, Eatontown, NJ 07724 | 2017-10-25 |
| 1669998100 | Seacrest Recovery Center North Jersey, LLC | Psychologist | 162 Highway 35, Eatontown, NJ 07724 | 2017-08-16 |
| Find all providers in zip 07724 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114169539 | Jason David Litsky | Internal Medicine | 11 Meridian Rd, Eatontown, NJ 07724-2242 | 2009-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119014 | Hamilton Heart & Vascular Care LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 200, Hamilton, NJ 08619-1269 | 2018-10-09 |
| 1578812848 | Michael Alan Stein | Internal Medicine | 110 Lazarus Dr, Ledgewood, NJ 07852-2345 | 2012-09-02 |
| 1528386380 | Daniel Robert Amoruso | Internal Medicine | 8 Tempe Wick Rd Ste 300, Mendham, NJ 07945 | 2010-05-04 |
| 1417188905 | Humc Cardiovascular Partners, PC | Internal Medicine | 400 Frank W. Burr Boulevard, Suite 22, Teaneck, NJ 07666-6700 | 2009-07-31 |
| 1477727030 | Ramin Shayegan Hastings | Internal Medicine | 777 Terrace Ave Ste 311, Hasbrouck Heights, NJ 07604-3112 | 2008-04-15 |
| 1710168232 | Holy Name Cardiology Associates, PC | Internal Medicine | 954 Teaneck Road, Teaneck, NJ 07666-4245 | 2007-11-27 |
| 1093883597 | Varinder Singh | Internal Medicine | 215 Bridge St, Bldg.e, Metuchen, NJ 08840-2291 | 2006-12-01 |
| 1073612990 | Isaac Tawfik | Internal Medicine | 479 Rt 520, Marlboro, NJ 07746 | 2006-09-21 |
| 1215034640 | Jonathan E. Goldstein Md | Internal Medicine | 268 Dr Martin Luter King, Newark, NJ 07102 | 2006-09-20 |
| 1942235577 | James R Clifford Md PC | Internal Medicine | 255 West Spring Valley Ave, Maywood, NJ 07607 | 2006-07-12 |
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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.