DR. CARL RESTIVO JR. (NPI# 1245217751) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245217751 |
| Entity Type | Individual |
| Full Name | DR. CARL RESTIVO JR. |
| Credential | MD |
| Practice Address |
3 Webster Ave Jersey City NJ 07307 |
| Practice Telephone | 2017982900 |
| Practice Fax Number | 2017983582 |
| Mailing Telephone | 2017982900 |
| Mailing Fax Number | 2017983582 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2010-08-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA03328700 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 44466385J | 05 |
| Street Address |
3 WEBSTER AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154328193 | James Glen Sanderson | Family Medicine | 3 Webster Ave, Jersey City, NJ 07307-1824 | 2005-07-06 |
| 1326354267 | Carl Restivo Jr., M.d., Pa | Internal Medicine | 3 Webster Ave, Jersey City, NJ 07307-1866 | 2010-08-30 |
| 1487628467 | Dominic Joseph Maiello | Internal Medicine | 3 Webster Ave, Jersey City, NJ 07307-1824 | 2006-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952914244 | Anna Manioudakis | Nurse Practitioner | 3540 Kennedy Blvd., Jersey City, NJ 07307 | 2020-08-26 |
| 1497222095 | M.e.t.s. Charter School | Local Education Agency (LEA) | M.e.t.s. Charter School, 211 Sherman Street, Jersey City, NJ 07307 | 2018-11-01 |
| 1255704540 | Caringhouse Projects, Inc | Respite Care | 1089 Summit Avenue, Apt 6, Jersey City, NJ 07307 | 2015-11-09 |
| 1114390739 | Pei Lin, Md | Otolaryngology | 3624 Jfk Blvd, Jersey City, NJ 07307 | 2015-11-04 |
| 1700259330 | Ruju Shah | Physical Therapist | 151 Bleecker St, Apt 6, Jersey City, NJ 07307 | 2015-11-04 |
| 1750780656 | Mariam Marzouk | Psychologist | 224 Bowers Street, Jersey City, NJ 07307 | 2014-08-15 |
| 1063820462 | Briones Family Dental, Inc. | Dentist | 3592 John F. Kennedy Blvd, Jersey City, NJ 07307 | 2014-07-29 |
| 1295159713 | Anukriti Mehta | Pharmacist | 1212 Summit Avenue, Jersey City, NJ 07307 | 2014-02-05 |
| 1033552872 | Diana Lorena Ceron | Marriage & Family Therapist | 147 Columbian Turnpike, Suit 307, Florham Park, NJ 07307 | 2013-04-11 |
| 1104162767 | Khurram Saleem Malik | Internal Medicine | 126 Terrace Ave, Jersey City, NJ 07307 | 2012-12-28 |
| Find all providers in zip 07307 | ||||
| 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 |
|---|---|---|---|---|
| 1821618968 | Radius Telemed, LLC | Internal Medicine | 2 2nd St Ph 4102, Jersey City, NJ 07302-7028 | 2020-04-18 |
| 1659879088 | Colombus Urgent Care PC | Internal Medicine | 3235 John F Kennedy Blvd, Jersey City, NJ 07306-3405 | 2018-01-31 |
| 1912357153 | Vijaya Chellapilla | Internal Medicine | 96 Coles St # 3, Jersey City, NJ 07302-2322 | 2016-06-19 |
| 1205203452 | Anjum Chatha | Internal Medicine | 580 Montgomery Street, Jersey City, NJ 07302 | 2015-08-24 |
| 1669848008 | Hassan I Qureshi | Internal Medicine | 451 Jersey Ave, Jersey City, NJ 07302-4027 | 2015-08-20 |
| 1720484777 | Doney B Jain | Internal Medicine | 751 Bergen Ave, Jersey City, NJ 07306-4705 | 2014-11-18 |
| 1740617240 | Xiaoling Li | Internal Medicine | 241 Erie St, Jersey City, NJ 07310-1303 | 2013-09-30 |
| 1932464047 | Kirit V Gandhi, M.d. P.a. | Internal Medicine | 3665 Kennedy Blvd, Jersey City, NJ 07307-3210 | 2012-07-05 |
| 1275896292 | Anna Sharovetskaya | Internal Medicine | 10 Regent St, #213, Jersey City, NJ 07302-7321 | 2012-06-25 |
| 1760788061 | Anwar Ahmad Rizvi | Internal Medicine | 151 Jewett Ave, Jersey City, NJ 07304-2003 | 2011-02-03 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07307 |
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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.