INFECTIOUS DISEASES ASSOCIATES OF NORTHERN NEW JERSEY LLC (NPI# 1144476961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144476961 |
| Entity Type | Organization |
| Organization Name | INFECTIOUS DISEASES ASSOCIATES OF NORTHERN NEW JERSEY LLC |
| Practice Address |
255 W Spring Valley Ave Ste 100 Maywood NJ 07607-1444 |
| Practice Telephone | 2018810107 |
| Mailing Telephone | 2018810107 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2018-09-17 |
| Authorized Official Name | DR. HAN NGUYEN (OWNER) |
| Authorized Official Telephone | 9733032055 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MA0181681 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MA08081600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
255 W SPRING VALLEY AVE STE 100 |
| City | MAYWOOD |
| State | NJ |
| Zip Code | 07607-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891971305 | Lopa Maharaja | Internal Medicine | 255 W Spring Valley Ave Ste 100, Maywood, NJ 07607-1444 | 2008-01-15 |
| 1235652561 | Helen Marie Meehan | Nurse Practitioner | 255 W Spring Valley Ave Ste 100, Maywood, NJ 07607-1444 | 2017-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057756 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Cumming Avenue, Maywood, NJ 07607 | 2017-04-20 |
| 1689075475 | Fitness & Wellness of Hackensack | Dietitian, Registered | 137 Route 17 North, Maywood, NJ 07607 | 2014-09-11 |
| 1700285707 | Yun-hyeang Stella Jang | Social Worker | 87 Route 17, Suite 1-118, Maywood, NJ 07607 | 2014-08-15 |
| 1447659354 | Bonnie Lyn Freirich | Social Worker | 87 Route 17 North, Maywood, NJ 07607 | 2014-08-15 |
| 1720344351 | Nurse Practitioner Professional Services Inc | Nurse Practitioner | 100 West Magnolia Avenue, Maywood Center for Health & Rehabilitation, Maywood, NJ 07607 | 2012-04-09 |
| 1689960676 | Douglas Jay Saphier | Psychiatry & Neurology | 87 Rte 17 N, Maywood, NJ 07607 | 2011-06-28 |
| 1275764581 | Nayana Parekh | Internal Medicine | 113 W Essex St Ste 204, Maywood, NJ 07607 | 2009-08-04 |
| 1205078946 | Total Physical Therapy, LLC. | Physical Therapist | 25 E. Spring Valley Ave, Suite 190, Maywood, NJ 07607 | 2009-03-26 |
| 1619141918 | Vincent C Okabekwa | Psychiatry & Neurology | 87 Route 17 N, Maywood, NJ 07607 | 2008-04-17 |
| 1710045588 | Harold Hugh Gardy | Dentist | 61 W Pleasant Drive, Maywood, NJ 07607 | 2006-12-05 |
| Find all providers in zip 07607 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1053773044 | Seshank Arimilli | Internal Medicine | 2160 S 1st Ave Bldg 1027609, Maywood, IL 60153-3328 | 2016-03-28 |
| 1891971305 | Lopa Maharaja | Internal Medicine | 255 W Spring Valley Ave Ste 100, Maywood, NJ 07607-1444 | 2008-01-15 |
| 1700409125 | Mohamed Yussif | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2020-05-20 |
| 1659894889 | Manubolu Devanand | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2017-07-19 |
| 1083918486 | Fritzie Saavedra Albarillo | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153 | 2010-12-29 |
| 1255502506 | Anilrudh Venugopal | Internal Medicine | 2160 S 1st Ave, Fahey Bldg, Room 115, Maywood, IL 60153-3328 | 2008-03-14 |
| 1164606158 | Han Ngoc Nguyen | Internal Medicine | 255 W. Spring Valley Ave, Suite 100, Maywood, NJ 07601-1323 | 2007-12-26 |
| 1912064536 | Andrew M Bonwit | Internal Medicine | 2160 S 1st Ave, (maguire Center, Rm. 3307), Maywood, IL 60153-3328 | 2007-01-02 |
| 1891809067 | Nina M. Clark | Internal Medicine | 2160 S 1st Ave, Loyola University Health System Fahey Center Rm 112, Maywood, IL 60153-3328 | 2006-08-17 |
| 1306867247 | Ravi Venkata Durvasula | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2006-07-23 |
| Find all providers in MAYWOOD | ||||
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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.