DR. LAURA RACHEL FAGEN (NPI# 1144638719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144638719 |
| Entity Type | Individual |
| Full Name | DR. LAURA RACHEL FAGEN |
| Credential | MD |
| Practice Address |
185 S Orange Ave # Msbe-609 Newark NJ 07103-2757 |
| Mailing Address |
185 S Orange Ave # Msb-e609 Newark NJ 07103-2757 |
| Practice Telephone | 9739725123 |
| Mailing Telephone | 9739725123 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MA10631400 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
185 S ORANGE AVE # MSBE-609 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2757 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144859257 | Aakash Amin | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbe-609, Newark, NJ 07103-2757 | 2020-04-02 |
| 1124657234 | Sharmi Elamin | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbe-609, Newark, NJ 07103-2757 | 2020-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659789816 | Andrew Parrish | Emergency Medicine | 201 Lyons Avenue, Suite D11, Dept of Emergency Medicine, Newark, NJ 07112-2027 | 2014-07-31 |
| 1750792883 | Kenadeed Hersi | Emergency Medicine | 30 Bergen Street Room 1110, Newark, NJ 07103 | 2014-05-12 |
| 1447479092 | William Stanley Vachon | Emergency Medicine | 4755 Ogletown Rd, Christiana Hospital, Academic Affairs - Suite 2a00, Newark, DE 19718-0001 | 2007-04-24 |
| 1811027436 | Justin Morgan | Emergency Medicine | 4755 Olgetown Stanton Road, Newark, DE 19713 | 2007-03-06 |
| 1821133257 | Christian Coletti | Emergency Medicine | Christiana Hospital C/o Academic Affairs, Suite 2a00christiana Hospital, Newark, DE 19718-0001 | 2007-02-21 |
| 1902967235 | Jenna Marie Fredette | Emergency Medicine | 4755 Oggletown Stanton Rd, Newark, DE 19718-0001 | 2006-12-12 |
| 1700947108 | Eli Morgan Zeserson | Emergency Medicine | Christiana Care Health System / Dept Emergency Med, 4755 Ogletown-stanton Road, Newark, DE 19718-0001 | 2006-12-12 |
| 1619043387 | Parmjit M Singh | Emergency Medicine | 5763 Stevenson Blvd, Newark, CA 94560-5301 | 2006-11-27 |
| 1912954041 | Frank Suttman Orth | Emergency Medicine | 1906 Tamarack Rd, Newark, OH 43055-2303 | 2006-05-26 |
| 1588616460 | Patrick Blaine Hinfey | Emergency Medicine | 201 Lyons Avenue, Newark Beth Israel Medical Center, Newark, NJ 07112-2094 | 2006-05-17 |
| Find all providers in NEWARK | ||||
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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.