DR. PAVEL TISHUK (NPI# 1205088572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205088572 |
| Entity Type | Individual |
| Full Name | DR. PAVEL TISHUK |
| Credential | MD |
| Practice Address |
183 High St Newton NJ 07860-9601 |
| Mailing Address |
183 High St Ste 1200 Newton NJ 07860-9601 |
| Practice Telephone | 9733000579 |
| Mailing Telephone | 7327713335 |
| Enumeration Date | 2008-10-18 |
| Last Update Date | 2018-07-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA08825900 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
25MA08825900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
183 HIGH ST |
| City | NEWTON |
| State | NJ |
| Zip Code | 07860-9601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821098500 | Yevgeniy I Khesin | Psychiatry & Neurology | 183 High St, Suite 1200, Newton, NJ 07860-9601 | 2005-07-26 |
| 1518472182 | Rmm Anesthesia | Clinic/Center | 183 High St, Newton, NJ 07860-9601 | 2017-12-05 |
| 1205166147 | Sarah Osasu Chima | Surgery | 183 High St, Suite 1500, Newton, NJ 07860-9601 | 2009-12-26 |
| 1295999142 | Amit Vora | Ophthalmology | 183 High St, Suite 2200, Newton, NJ 07860-9601 | 2008-07-10 |
| 1962535047 | J. Keith Espinosa | Dentist | 183 High St, Suite 2100, Newton, NJ 07860-9601 | 2007-03-14 |
| 1235280306 | Medical Center Opticians | Durable Medical Equipment & Medical Supplies | 183 High St, Newton, NJ 07860-9601 | 2007-01-16 |
| 1801993217 | Eye Physicians of Sussex County | Clinic/Center | 183 High St, Newton, NJ 07860-9601 | 2006-09-20 |
| 1669406732 | Edwin M. Miller | Ophthalmology | 183 High St, Newton, NJ 07860-9601 | 2006-07-11 |
| 1649204710 | Harold S. Perlmutter | Ophthalmology | 183 High St, Newton, NJ 07860-9601 | 2006-07-11 |
| 1558395624 | Richard I. Hansen | Ophthalmology | 183 High St, Newton, NJ 07860-9601 | 2006-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841827920 | Alepty Krista Dwyer | Social Worker | 4 High Street, Newton, NJ 07860 | 2020-03-26 |
| 1588298962 | Gen-tel Medicine, LLC | Clinic/Center | The Center for Prevention and Counseling/dr.ganon, 61 Spring Street, First Floor, Newton, NJ 07860 | 2020-02-25 |
| 1558849836 | Deanna Brace | Marriage & Family Therapist | 30 Moran Street, 2nd Floor, Newton, NJ 07860 | 2018-07-30 |
| 1336630599 | Steven Frank Bogart Dds and Hubert Gugala Dmd | Oral & Maxillofacial Surgery | 57 Route 46 Suite 207, Hackettstown, NJ 07860 | 2018-05-23 |
| 1598141889 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 55 Mill Street, Newton, NJ 07860 | 2015-08-10 |
| 1962888990 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 429 Ridge Road, Fredon, NJ 07860 | 2015-07-31 |
| 1407232432 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6 James Street, Newton, NJ 07860 | 2015-07-31 |
| 1841676988 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 15 Stuart Street, Newton, NJ 07860 | 2015-07-30 |
| 1215313341 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 71b Trinity Street, Newton, NJ 07860 | 2015-07-30 |
| 1467837153 | Willowglen Academy-new Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 51 Ballantine Road, Andover Township, NJ 07860 | 2015-07-23 |
| Find all providers in zip 07860 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558755835 | Grigoriy I Labun | Psychiatry & Neurology | 23 Peach Tree Ln, Newton, MA 02459-3123 | 2015-03-24 |
| 1740578582 | Farzaneh Khezri | Psychiatry & Neurology | 394 Langley Rd Apt 5, Newton, MA 02459-2370 | 2011-07-14 |
| 1578653804 | Arthur Paul Safran | Psychiatry & Neurology | 12 Ivanhoe St, Newton, MA 02458-2716 | 2006-10-16 |
| 1306933924 | Robert Paul Torchin | Psychiatry & Neurology | 10 Fox Ln, Newton, MA 02459-3024 | 2006-10-06 |
| 1821045618 | Brian S Mercer | Psychiatry & Neurology | 173 Lincoln St, Newton, MA 02461-1501 | 2006-05-27 |
| 1740241736 | Claudia J Chaves | Psychiatry & Neurology | 2000 Washington St Ste 567, Newton, MA 02462-1626 | 2006-03-29 |
| 1811956998 | Sarab Alseoudi | Psychiatry & Neurology | 700 Medical Center Dr., Suite 240, Newton, KS 67114 | 2006-03-20 |
| 1821098500 | Yevgeniy I Khesin | Psychiatry & Neurology | 183 High St, Suite 1200, Newton, NJ 07860-9601 | 2005-07-26 |
| 1821382011 | Margarita Ebril-lel | Psychiatry & Neurology | 2000 Washington St, Green 567, Newton, MA 02462-1650 | 2011-06-05 |
| 1962692061 | Marcus R Yountz | Psychiatry & Neurology | 2000 Washington St, Green #567, Newton, MA 02462-1650 | 2007-07-26 |
| Find all providers in NEWTON | ||||
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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.