PAUL FONTANAZZA (NPI# 1225041965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225041965 |
| Entity Type | Individual |
| Full Name | PAUL FONTANAZZA |
| Credential | MD |
| Practice Address |
450 Bergen St Harrison NJ 07029 |
| Practice Telephone | 9734846900 |
| Practice Fax Number | 9734840029 |
| Mailing Telephone | 9734846900 |
| Mailing Fax Number | 9734840029 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 32061 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | CDS | D02037000 | 01 |
| NJ | DEA | AF7428003 | 01 |
| Street Address |
450 BERGEN ST |
| City | HARRISON |
| State | NJ |
| Zip Code | 07029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790798437 | Ralph Samuel Dagostino | Internal Medicine | 450 Bergen St, Harrison, NJ 07029 | 2006-08-14 |
| 1134386410 | Primary Care Medical Group Pa | Internal Medicine | 450 Bergen St, Harrison, NJ 07029-2291 | 2008-05-22 |
| 1861526550 | Shea Rehabilitation Services Inc. | Physical Therapist | 450 Bergen St, Harrison, NJ 07029-2291 | 2007-03-15 |
| 1205904976 | Robert Kevin Shea | Physical Therapist | 450 Bergen St, Harrison, NJ 07029-2291 | 2006-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831579887 | Developmental Disabilities Association of Nj Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 313-315 Davis Avenue, Harrison, NJ 07029 | 2015-06-04 |
| 1144574336 | Haveron Total Health, Pa | Chiropractor | 333-335 Harrison Ave, Harrison, NJ 07029 | 2012-11-09 |
| 1366708752 | Harrison Familt Dentist Pa | Dentist | 300 Harrison Ave, Harrison, NJ 07029 | 2012-04-10 |
| 1245526862 | Sunita Abkari | Pharmacist | 701 Frank E Rodgers Blvd. N, Ste 7, Harrison, NJ 07029 | 2011-06-22 |
| 1447461702 | Elba Catalina Ventura | Dentist | 105a-107 Frank E Rodgers Blvd N, Harrison, NJ 07029 | 2007-05-25 |
| 1538284575 | Salinas & Ventura The Family Dentist | Clinic/Center | 105a 107 Frank E Rodgers Blvd N, Harrison, NJ 07029 | 2007-03-20 |
| 1316000334 | Ruben Rivero | Chiropractor | 211 Frank Rodgers Blvd North, Harrison, NJ 07029 | 2006-12-19 |
| 1962505545 | Dr. Nasir General Dentistry | Dentist | 701 Frank E Rodgers Blvd North, Suite 5, Harrison, NJ 07029 | 2006-09-07 |
| 1821015546 | Artur M Carvalho | Internal Medicine | 620 Essex Street - 3rd Floor, Harrison, NJ 07029 | 2006-07-17 |
| 1790711208 | Select Physical Therapy Holdings Inc | Clinic/Center | 620 Essex St, Harrison, NJ 07029 | 2006-06-25 |
| Find all providers in zip 07029 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1487733754 | Taiwon Kim | Internal Medicine | 10541 Harrison Ave, Harrison, OH 45030-1943 | 2006-11-06 |
| 1790798437 | Ralph Samuel Dagostino | Internal Medicine | 450 Bergen St, Harrison, NJ 07029 | 2006-08-14 |
| 1821015546 | Artur M Carvalho | Internal Medicine | 620 Essex Street - 3rd Floor, Harrison, NJ 07029 | 2006-07-17 |
| 1104822741 | Jane A Blinzler | Internal Medicine | 10450 New Haven Rd Ste 5, Harrison, OH 45030-2761 | 2005-06-27 |
| 1801292578 | Mercy Health Physicians Cincinnati, LLC | Internal Medicine | 10450 New Haven Rd, Harrison, OH 45030-2780 | 2014-11-07 |
| 1992133953 | North Arkansas Regional Medical Center | Internal Medicine | 724 N Spring St, Harrison, AR 72601-2913 | 2013-10-29 |
| 1699023895 | Washington Regional Medical System | Internal Medicine | 1420 Highway 62 65 N, Harrison, AR 72601-1959 | 2012-08-17 |
| 1205104247 | Rani Hanna | Internal Medicine | 815 N Clare Ave, Harrison, MI 48625-9194 | 2011-12-05 |
| 1396062717 | Deborah Hemel | Internal Medicine | 600 Mamaroneck Ave, Harrison, NY 10528-1635 | 2010-04-24 |
| 1134386410 | Primary Care Medical Group Pa | Internal Medicine | 450 Bergen St, Harrison, NJ 07029-2291 | 2008-05-22 |
| Find all providers in HARRISON | ||||
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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.