PATISH DPM PC (NPI# 1275819823) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275819823 |
| Entity Type | Organization |
| Organization Name | PATISH DPM PC |
| Practice Address |
23 Branford Pl Newark NJ 07102-2711 |
| Practice Telephone | 9734240080 |
| Practice Fax Number | 9734240088 |
| Mailing Telephone | 9734240080 |
| Mailing Fax Number | 9734240088 |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2011-10-27 |
| Authorized Official Name | MS. LINA G RUGOVA (BILLING MANAGER) |
| Authorized Official Telephone | 9734240080 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | 25MD00298800 | NJ | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811264344 | Patish Dpm PC | Podiatrist | 8549 Eliot Ave, Rego Park, NY 11374-2755 | 2011-11-29 |
| Street Address |
23 BRANFORD PL |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700802790 | Robert Daniel Collin | Internal Medicine | 23 Branford Pl, Newark, NJ 07102-2711 | 2006-07-14 |
| 1114295524 | Brick Hause Physical Therapy PC | Physical Therapist | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-12-13 |
| 1023385051 | Branford Dental Group PC | Dentist | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-11-18 |
| 1295002343 | Branford Psychiatric Associates PC | Psychiatry & Neurology | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-11-17 |
| 1811271208 | Zhanna Kanevsky, Md PC | Internal Medicine | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-10-04 |
| 1801178736 | Om Medical Group PC | Internal Medicine | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-09-16 |
| 1255613576 | Branford Medical Group, PC | Urology | 23 Branford Pl, Newark, NJ 07102-2711 | 2011-09-13 |
| 1952615247 | Ellen Levan, Md, PC | Internal Medicine | 23 Branford Pl, Newark, NJ 07102-2711 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| 1114284106 | Jennifer R Seifert | Podiatrist | 4745 Ogletown Stanton Rd Ste 225, Newark, DE 19713-1387 | 2012-04-16 |
| 1962728675 | Kbf Foot & Ankle Surgeons, Pa | Podiatrist | 254 Walnut St, Newark, NJ 07105-1717 | 2010-04-20 |
| 1710165170 | Foot & Ankle Specialists Of | Podiatrist | 1950 Tamarack Rd, Newark, OH 43055-1363 | 2008-02-07 |
| 1902937568 | John Zatourian | Podiatrist | 389 Sanford Ave, Newark, NJ 07106-1149 | 2007-03-08 |
| 1750420899 | Carrie Z. O'neill | Podiatrist | 165 W Shore Blvd, Newark, NY 14513-1259 | 2007-02-05 |
| 1710057468 | James C Totten | Podiatrist | 40 Ferry Street, Newark, NJ 07105 | 2006-11-09 |
| 1568557890 | William Scott Newcomb | Podiatrist | 4051 Ogletown Rd Ste 102, Newark, DE 19713-3101 | 2006-10-03 |
| 1679689764 | Javier Ricardo Ponce | Podiatrist | 654 Mount Prospect Ave Ste 301, Newark, NJ 07104-3110 | 2006-08-22 |
| 1689617961 | Anthony H Mascioli | Podiatrist | 918 N Main St, Newark, NY 14513-1030 | 2006-06-14 |
| Find all providers in NEWARK | ||||
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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.