MADISON SCOTT KEPPELER (NPI# 1134482722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134482722 |
| Entity Type | Individual |
| Full Name | MADISON SCOTT KEPPELER |
| Credential | PA-C |
| Practice Address |
1 W Ridgewood Ave Paramus NJ 07652-2359 |
| Mailing Address |
710 Amwell Rd Hillsborough NJ 08844-3316 |
| Practice Telephone | 2014449522 |
| Mailing Telephone | 9086422372 |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2016-12-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00286200 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1 W RIDGEWOOD AVE |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953902 | Rajnik W Raab | Neurological Surgery | 1 W Ridgewood Ave, Ste 208, Paramus, NJ 07652-2350 | 2005-06-21 |
| 1992217616 | Pathik Tuhin Suvarnakar | Pharmacist | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2017-11-03 |
| 1891243606 | Hemin Vaidya | Pharmacist | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2016-09-21 |
| 1215383443 | Alison Elizabeth Cooper | Nurse Practitioner | 1 W Ridgewood Ave, Suite 106, Paramus, NJ 07652 | 2016-05-06 |
| 1952769960 | Geriatrics and Internal Medicine Associates of Northeast LLC | Internal Medicine | 1 W Ridgewood Ave, Suite 203, Paramus, NJ 07652-2359 | 2016-02-04 |
| 1588034078 | Cityscape Anesthesia Pllc | Anesthesiology | 1 W Ridgewood Ave, Suite G03, Paramus, NJ 07652-2359 | 2015-09-28 |
| 1194121814 | Kyle Christopher D'amico | Physical Medicine & Rehabilitation | 1 W Ridgewood Ave, Paramus, NJ 07652-2359 | 2014-11-06 |
| 1659799328 | Bergen Gastroenterology PC | Non-Pharmacy Dispensing Site | 1 W Ridgewood Ave, Suite 301, Paramus, NJ 07652-2359 | 2014-03-31 |
| 1508298241 | Alpha Diagnostic of New Jersey LLC | Radiology | 1 W Ridgewood Ave, Suite G01-g02, Paramus, NJ 07652-2359 | 2013-08-05 |
| 1194061168 | Rakesh Patel Md PC | Specialist | 1 W Ridgewood Ave, Suite 106, Paramus, NJ 07652-2359 | 2012-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| 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 |
|---|---|---|---|---|
| 1942841440 | Stephanie B. Seara | Physician Assistant | 1 Sears Dr Ste 401, Paramus, NJ 07652-3510 | 2019-10-05 |
| 1760976682 | Louise Tonic | Physician Assistant | 10 Forest Ave Ste 100, Paramus, NJ 07652-5238 | 2018-06-15 |
| 1437535226 | Jennifer Goonetilleke | Physician Assistant | 37 W Century Rd Ste 104, Paramus, NJ 07652-1466 | 2015-08-04 |
| 1396096236 | Tony Jacob | Physician Assistant | 205 Homestead Rd, Paramus, NJ 07652-4709 | 2012-10-01 |
| 1053508325 | John A. Chuback, Md, LLC | Physician Assistant | 205 Robin Rd Ste 333, Paramus, NJ 07652-1424 | 2007-10-01 |
| 1619185634 | Carletta J Lindie-fowlkes | Physician Assistant | 1 Valley Health Plz Fl 3, Paramus, NJ 07652-3628 | 2007-05-21 |
| 1629169768 | Lusine Tatevosyan | Physician Assistant | 10 Forest Avenue, Paramus, NJ 07652 | 2006-09-27 |
| 1881602233 | Pnina Bargad | Physician Assistant | 140 E Ridgewood Ave Ste 390, Paramus, NJ 07652-3917 | 2006-08-03 |
| 1124021589 | Jill Kossove | Physician Assistant | 10 Forest Ave, Paramus, NJ 07652-5242 | 2005-05-31 |
| 1407414337 | Emily Beres | Physician Assistant | 140 N Rte 17 Ste 200, Paramus, NJ 07652-2829 | 2019-06-05 |
| Find all providers in PARAMUS | ||||
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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.