MICHELLE ELENA BLUMBERG WEINER (NPI# 1235161423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235161423 |
| Entity Type | Individual |
| Full Name | MICHELLE ELENA BLUMBERG WEINER |
| Other Name | MICHELLE ELENA BLUMBERG |
| Credential | PA |
| Practice Address |
7600 River Road North Bergen NJ 07047 |
| Mailing Address |
Po Box 5075 Cherry Hill NJ 08034-5075 |
| Practice Telephone | 2018545009 |
| Practice Fax Number | 8566161919 |
| Mailing Telephone | 8566168100 |
| Mailing Fax Number | 8566161919 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2011-02-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 25MP0093500 | NJ | Allopathic & Osteopathic Physicians |
| Y | 363A00000X | Physician Assistant | 25MP00093500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7600 RIVER ROAD |
| City | NORTH BERGEN |
| State | NJ |
| Zip Code | 07047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215963467 | Palisades Emergency Consultants, PC | Emergency Medicine | 7600 River Road, North Bergen, NJ 07047 | 2006-06-22 |
| 1740749910 | Mohamed Ahmed | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-18 |
| 1700311560 | Stanton Nielsen Jr. | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2017-04-28 |
| 1710418959 | Jerris-stephanie Erinma Okonkwo | Student in an Organized Health Care Education/Training Program | 7600 River Road, Hackensackumc Palisades, North Bergen, NJ 07047 | 2017-03-21 |
| 1912360488 | Sophia S Kwon | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2016-04-01 |
| 1427469493 | John Hassani | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2014-05-13 |
| 1477972867 | Asad Ahmed | Internal Medicine | 7600 River Road, Palisades Medical Center, North Bergen, NJ 07047 | 2014-04-14 |
| 1710301841 | Kathleen Flawagan | Nurse Practitioner | 7600 River Road, Palisades Medical Center, North Bergen, NJ 07047 | 2014-02-10 |
| 1396759270 | Alvin Goldberg | Emergency Medicine | 7600 River Road, North Bergen, NJ 07047 | 2006-07-28 |
| 1356361778 | Alvaro Alban | Emergency Medicine | 7600 River Road, North Bergen, NJ 07047 | 2006-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850490 | Maria Purita Yballe | Nurse Practitioner | 8100 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-10-29 |
| 1639799646 | Red Oak Pharmacy Corp | Pharmacy | 9225 John F Kennedy Blvd, Unit F, North Bergen, NJ 07047 | 2020-04-20 |
| 1811520091 | Andres A Varilias | Pharmacist | 7917 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2020-02-17 |
| 1669016986 | Rebecca Lee | Dentist | 3123 John F. Kennedy Blvd, North Bergen, NJ 07047 | 2019-10-30 |
| 1720648439 | Hannah Joy Guharajan | Speech-Language Pathologist | 5665 John F. Kennedy Blvd, Apt. 508, North Bergen, NJ 07047 | 2019-06-14 |
| 1417417080 | Chandini Sajja | Student in an Organized Health Care Education/Training Program | 7600 River Road, North Bergen, NJ 07047 | 2019-03-20 |
| 1215455522 | Xavier Steven Alzate | Specialist/Technologist | 338 75th Street, 2b, North Bergen, NJ 07047 | 2017-09-07 |
| 1962923151 | Hala Altunji | Dentist | 8407 Jfk Blvd E, North Bergen, NJ 07047 | 2017-06-28 |
| 1871023457 | Diego Nieto | Specialist | 6112 Durham Ave, North Bergen, NJ 07047 | 2017-06-15 |
| 1326578105 | Hudson Hills Senior Living, LLC | Nursing Care | 3505 Bergen Tpke, North Bergen, NJ 07047 | 2017-06-14 |
| Find all providers in zip 07047 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972076636 | Samone Desai | Physician Assistant | 9225 Kennedy Blvd Ste B, North Bergen, NJ 07047-5361 | 2019-01-05 |
| 1750747945 | Christina Marie Garcia | Physician Assistant | 328 77th St, North Bergen, NJ 07047-5616 | 2016-01-05 |
| 1578841045 | Lacey M Herald | Physician Assistant | 8901 John F Kennedy Blvd W, Suite 4 Sw, North Bergen, NJ 07047 | 2011-08-01 |
| 1902075294 | Kruti Mcdonald | Physician Assistant | 901 Grand Ave, Apt 2b, North Bergen, NJ 07047-1648 | 2008-02-21 |
| 1083170005 | Ayelet Esther Gaon | Physician Assistant | 7600 River Rd, North Bergen, NJ 07047-6217 | 2019-02-14 |
| 1558838060 | Leanna Vastoler | Physician Assistant | 7600 River Rd, North Bergen, NJ 07047-6217 | 2018-11-01 |
| 1548745326 | Karina Marin | Physician Assistant | 7600 River Rd, North Bergen, NJ 07047-6217 | 2018-09-27 |
| 1093226557 | Ashley Gomola | Physician Assistant | 7600 River Rd, North Bergen, NJ 07047-6217 | 2017-10-23 |
| 1306356704 | Laura Pozotrigo | Physician Assistant | 7600 River Rd, North Bergen, NJ 07047-6217 | 2017-10-11 |
| 1356860308 | Kaitlyn Paige Probasco | Physician Assistant | 7600 River Rd, North Bergen, NJ 07047-6217 | 2017-09-11 |
| Find all providers in NORTH BERGEN | ||||
| City | NORTH BERGEN |
| Zip Code | 07047 |
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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.