FAITH ESSENCE SMASH (NPI# 1295246510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295246510 |
Entity Type | Individual |
Full Name | FAITH ESSENCE SMASH |
Credential | LMT |
Practice Address |
169 Paris Ave Northvale NJ 07647-2028 |
Practice Telephone | 2015647861 |
Mailing Telephone | 2015647861 |
Enumeration Date | 2017-10-12 |
Last Update Date | 2017-10-12 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 204C00000X | Neuromusculoskeletal Medicine, Sports Medicine | 18KT00649900 | NJ | Allopathic & Osteopathic Physicians |
N | 204D00000X | Neuromusculoskeletal Medicine & OMM | 18KT00649900 | NJ | Allopathic & Osteopathic Physicians |
N | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
18KT00649900 | NJ | Allopathic & Osteopathic Physicians |
Y | 261QP3300X |
Clinic/Center Specialization: Pain |
18KT00649900 | NJ | Ambulatory Health Care Facilities |
N | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
18KT00649900 | NJ | Allopathic & Osteopathic Physicians |
N | 2084N0008X |
Psychiatry & Neurology Specialization: Neuromuscular Medicine |
18KT006499 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
169 PARIS AVE |
City | NORTHVALE |
State | NJ |
Zip Code | 07647-2028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871097030 | Youth Consultation Service Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 148 Walnut Street, Northvale, NJ 07647 | 2018-03-22 |
1023352614 | Melanie Saladino | Speech-Language Pathologist | 34b Piermont Rd, Rockleigh, NJ 07647 | 2012-11-20 |
1356553028 | Company Medical Associates | General Practice | 160 Paris Avenue, Suite 1, Northvale, NJ 07647 | 2007-05-04 |
1114045523 | Vantage Health System | Substance Abuse Rehabilitation Facility | 35d Piermont Road, Rockleigh, NJ 07647 | 2007-03-26 |
1215093182 | County of Bergen Nj | Skilled Nursing Facility | 35 Piermont Rd, Rockleigh, NJ 07647 | 2006-12-28 |
1649367129 | Shilpa Ashok Patel | Pediatrics | 22 Paris Ave, Suite 109, Rockleigh, NJ 07647 | 2006-10-06 |
1093731036 | Thomas Matthew Donofrio | Physical Therapist | 595 Wildwood Rd W, Northvale, NJ 07647 | 2006-07-14 |
1669874939 | Jacqueline Sperber | Nurse Practitioner | 269 Livingston St Ste A, Northvale, NJ 07647 | 2014-09-18 |
1750509485 | Mary Kavanagh | Registered Nurse | 35d Piermont Road, Rockleigh, NJ 07647 | 2007-04-20 |
1700350998 | Mira Dogjani | Occupational Therapy Assistant | 10 Link Dr Rockleigh, Nj 07647 - 2504 United States, Rockleigh, NJ 07647-0763 | 2019-01-22 |
Find all providers in zip 07647 |
Taxonomy Code | 261QP3300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Pain |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821630286 | Fresh Start Medical Center Inc. | Clinic/Center | 317 Cleveland Ave Fl 1, Highland Park, NJ 08904-1817 | 2019-10-16 |
1407342728 | Golden Holistic Treatment Center | Clinic/Center | 6809 Bergenline Ave, West New York, NJ 07093-1807 | 2018-07-10 |
1396235990 | The Peace Within Spa & | Clinic/Center | 63 Beaverbrook Rd Ste 105, Lincoln Park, NJ 07035-1440 | 2018-05-18 |
1780174136 | Edison Spine & Pain Center LLC | Clinic/Center | 940 Amboy Ave Ste 103, Edison, NJ 08837-2869 | 2018-05-11 |
1598279218 | Spine Institute of North America LLC | Clinic/Center | 385 Cranbury Rd Ste 2, East Brunswick, NJ 08816-3000 | 2017-11-17 |
1245776582 | Jennifer Arango | Clinic/Center | 139 77th St, North Bergen, NJ 07047-5836 | 2017-01-10 |
1457896003 | Revive Spine and Pain Center | Clinic/Center | 515 South Broad St, Ste 201, Trenton, NJ 08611 | 2017-01-05 |
1043764269 | Interventional Pain and Spine Institute Inc | Clinic/Center | 1907 Oak Tree Rd Ste 102, Edison, NJ 08820-2070 | 2016-08-04 |
1003279506 | Advanced Spine and Pain Center LLC | Clinic/Center | 1060 Broad Street, Newark, NJ 07102 | 2016-04-01 |
1972978765 | Riverside Pain Management LLC | Clinic/Center | 1025 Maxwell Ln Apt 515, Hoboken, NJ 07030-6825 | 2015-12-06 |
Find all providers with the same taxonomy |
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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.