MRS. YURATA GERWEL MODZELEWSKI (NPI# 1275796286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275796286 |
| Entity Type | Individual |
| Full Name | MRS. YURATA GERWEL MODZELEWSKI |
| Credential | MD |
| Practice Address |
105 Powerville Road Boonton Twp NJ 07005 |
| Practice Telephone | 9732992903 |
| Practice Fax Number | 9732992903 |
| Mailing Telephone | 9732992903 |
| Mailing Fax Number | 9732992903 |
| Enumeration Date | 2008-07-09 |
| Last Update Date | 2008-07-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA03879000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
105 POWERVILLE ROAD |
| City | BOONTON TWP |
| State | NJ |
| Zip Code | 07005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669997524 | Kyle Feather | Physical Therapist | 315 Wootton Street, Units G and H, Boonton, NJ 07005 | 2017-08-11 |
| 1629445234 | Eric Capell | Preventive Medicine | 102 Boonton Ave, Boonton, NJ 07005 | 2015-08-31 |
| 1639553530 | The Rose House | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 929 Knoll Rd., Parsippany-troy Hills, NJ 07005 | 2015-07-10 |
| 1912241340 | Generation Pharmacy Group, LLC. | Pharmacy | 85 Fulton Street, Suite 9a, Boonton, NJ 07005 | 2012-11-26 |
| 1639323512 | Anna Marie Williams | Social Worker | 408 Main St Ste 204, Boonton, NJ 07005 | 2008-11-05 |
| 1467656280 | Suzanne L. Feuer | Counselor | Saint Clares Health System, 130 Powerville Road, Boonton, NJ 07005 | 2007-06-14 |
| 1619029261 | Laura Jean Nowak | Social Worker | 130 Powerville Road, Boonton, NJ 07005 | 2007-01-16 |
| 1891842803 | Wilda Mesias | Psychologist | 550 West Main St, Boonton, NJ 07005 | 2007-01-04 |
| 1710912332 | Philip Mark Scaduto | Internal Medicine | 223 West Main St, Boonton, NJ 07005 | 2006-07-12 |
| 1629003124 | Barlen Co Inc | Pharmacy | 131 Hawkins Place, Boonton, NJ 07005 | 2006-07-12 |
| Find all providers in zip 07005 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332831 | Alafia Medical Associates LLC | Pediatrics | 88 High St, Montclair, NJ 07042-2415 | 2020-10-07 |
| 1205443611 | Advocare, LLC | Pediatrics | 225 Highway 35 Ste 102, Red Bank, NJ 07701-5919 | 2020-09-29 |
| 1205440401 | Panda Pediatrics LLC | Pediatrics | 2 Hart Ct, Titusville, NJ 08560-1519 | 2020-09-04 |
| 1346853546 | Nkpeds PC | Pediatrics | 126 Madison Ave, Hasbrouck Heights, NJ 07604-1309 | 2020-08-26 |
| 1619580107 | Anzule Navarrete | Pediatrics | 3196 John F Kennedy Blvd, Union City, NJ 07087 | 2020-08-25 |
| 1992316715 | Advocare, LLC | Pediatrics | 241 Molnar Dr Ste 202, Elmwood Park, NJ 07407-3200 | 2020-08-14 |
| 1841808516 | Brianna Ayala | Pediatrics | 402 Lakewood Rd, New Egypt, NJ 08533-2113 | 2020-07-20 |
| 1306465349 | Little Big Pediatrics | Pediatrics | 521 Van Houten Ave Ste 1a, Clifton, NJ 07013-2190 | 2020-04-09 |
| 1154954139 | Advocare, LLC | Pediatrics | 6611 Winchester Ave, Ventnor City, NJ 08406-2159 | 2020-02-18 |
| 1033742051 | Advocare, LLC | Pediatrics | 135 Jackson Rd Ste B, Medford, NJ 08055-9231 | 2020-02-18 |
| Find all providers with the same taxonomy | ||||
| City | BOONTON TWP |
| Zip Code | 07005 |
Please comment or provide details below to improve the information on MRS. YURATA GERWEL MODZELEWSKI.
| 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.