DR. MARK S. MALZBERG (NPI# 1144295817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144295817 |
| Entity Type | Individual |
| Full Name | DR. MARK S. MALZBERG |
| Credential | M.D. |
| Practice Address |
1 Dogwood Drive Annandale NJ 08801 |
| Mailing Address |
P.o. Box 5388 Clinton NJ 08809 |
| Practice Telephone | 9087354477 |
| Practice Fax Number | 9077356532 |
| Mailing Telephone | 9087354477 |
| Mailing Fax Number | 9087356532 |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2008-09-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
25MA04451500 | NJ | Allopathic & Osteopathic Physicians |
| N | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
25MA04451500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 5595100 | 05 |
| Street Address |
1 DOGWOOD DRIVE |
| City | ANNANDALE |
| State | NJ |
| Zip Code | 08801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073643706 | Laura B. Klein | Radiology | 1 Dogwood Drive, Annandale, NJ 08801 | 2007-03-06 |
| 1083689442 | Alice Sprenger | Radiology | 1 Dogwood Drive, Annandale, NJ 08809 | 2006-02-21 |
| 1063487726 | Andrew Loesberg | Radiology | 1 Dogwood Drive, Annandale, NJ 08801 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477028769 | Ragan Dental Enterprises | Dentist | 1465 Route 31 South, Suite 29, Annandale, NJ 08801 | 2018-10-12 |
| 1073097960 | Breanua Janai Williams | Physical Therapist | 1465 Nj-31, Annandale, NJ 08801 | 2018-09-18 |
| 1699257535 | John A. Kush, D.m.d., LLC | Clinic/Center | 1484 Highway 31, Annandale, NJ 08801 | 2018-09-06 |
| 1053666073 | Carol Christofilis | Psychologist | 31 Petticoat Lane, Annandale, NJ 08801 | 2012-07-16 |
| 1891085056 | Helen Stephanie Raytek | Psychologist | 415 Cokesbury Road, Annandale, NJ 08801 | 2011-04-08 |
| 1033449780 | Mark Hodkinson | Counselor | 2 Cheryle Way, Annandale, NJ 08801 | 2009-12-31 |
| 1770748378 | Jonathan Seth Jaffe | Allergy & Immunology | 38 Southgate Drive, Annandale, NJ 08801 | 2008-07-23 |
| 1588767487 | Flannery Physical Therapy Limited Partnership | Physical Therapist | 1465 State Hwy 31, 3rd Floor, Annandale, NJ 08801 | 2006-09-06 |
| 1518926856 | Dean Edward Rummel | Physical Therapist | 1465 St Highway 31, Annondale, NJ 08801 | 2006-03-23 |
| 1932168283 | Peter Jon Warren | Physical Therapist | 1465 State Highway 31, 3rd Floor, Annandale, NJ 08801 | 2006-03-23 |
| Find all providers in zip 08801 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053336065 | Didem Turker | Radiology | 7821 Wendy Ridge Ln, Annandale, VA 22003-1443 | 2006-07-12 |
| 1073643706 | Laura B. Klein | Radiology | 1 Dogwood Drive, Annandale, NJ 08801 | 2007-03-06 |
| 1083689442 | Alice Sprenger | Radiology | 1 Dogwood Drive, Annandale, NJ 08809 | 2006-02-21 |
| 1285609644 | Howard S Szikman | Radiology | 1 Dogwood Dr, Annandale, NJ 08801-3101 | 2006-02-21 |
| 1417922188 | Andrea Lyons | Radiology | 1 Dogwood Dr, Annandale, NJ 08801-3101 | 2006-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912357674 | Hillsborough Radiology Centers, LLC | Radiology | 375 Route 206, Suite 1, Hillsborough, NJ 08844-4651 | 2016-06-14 |
| 1447439955 | Michael James Triolo | Radiology | 79 New St, Englewood Cliffs, NJ 07632-2924 | 2007-10-31 |
| 1801008560 | Thomas Burton Barta | Radiology | 5 Fifth Street, Barnegat, NJ 08005-1218 | 2007-05-04 |
| 1104952290 | Ironbound Mri, LLC | Radiology | 119 Clifford Street, Newark, NJ 07105 | 2007-02-26 |
| 1811022288 | Stephen Wayne Thal | Radiology | 2501 Kuser Road, Hamilton, NJ 08691 | 2007-02-23 |
| 1942312053 | Lauren Loverde | Radiology | 501 Pebble Creek Ct, Pennington, NJ 08534-1943 | 2006-08-31 |
| 1285742932 | Karen Ann Burger | Radiology | 70 Winter Ln, Watchung, NJ 07069-6329 | 2006-08-25 |
| 1255344297 | Marc Robert Peck | Radiology | 1810 Shore Rd, Northfield, NJ 08225-2220 | 2006-08-14 |
| 1154356798 | Phillip F. Bahramipour | Radiology | 579 A Cranbury Road, East Brunswick, NJ 08816 | 2006-07-12 |
| 1982636759 | Ronald H. Wachsberg | Radiology | 40 Belmont Pl, Passaic, NJ 07055-4502 | 2006-07-06 |
| Find all providers with the same taxonomy | ||||
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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.