SHOSHANNAH POLLACK (NPI# 1306800156) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306800156 |
| Entity Type | Individual |
| Full Name | SHOSHANNAH POLLACK |
| Credential | MD |
| Practice Address |
1777 Hamburg Tpke Ste 206 Wayne NJ 07470-5243 |
| Practice Telephone | 9738351823 |
| Practice Fax Number | 9738317585 |
| Mailing Telephone | 9738351823 |
| Mailing Fax Number | 9738317585 |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2019-03-04 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 63147 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1777 HAMBURG TPKE STE 206 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-5243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528047842 | Physicians Health Alliance Pa | Internal Medicine | 1777 Hamburg Tpke, Wayne, NJ 07470-5211 | 2006-01-13 |
| 1497131114 | Emily Pomante | Nurse Practitioner | 1777 Hamburg Tpke, Wayne, NJ 07470-5211 | 2015-08-04 |
| 1306283841 | Melissa Claire Bentley | Nurse Practitioner | 1777 Hamburg Tpke, Wayne, NJ 07470-5211 | 2013-05-23 |
| 1295008183 | Therapy Interventions and Resource Agency, LLC | Clinic/Center | 1777 Hamburg Tpke, Suite 105, Wayne, NJ 07470-5211 | 2012-02-23 |
| 1154653988 | Allen Shalit, M.d., P.a. | Internal Medicine | 1777 Hamburg Tpke, Suite 103, Wayne, NJ 07470-5211 | 2010-02-04 |
| 1144498916 | Gary Drillings, Md, P.a. | Orthopaedic Surgery | 1777 Hamburg Tpke, Suite 305, Wayne, NJ 07470-5211 | 2008-02-14 |
| 1831376151 | Orthopaedic Hand Specialists,p.a. | Orthopaedic Surgery | 1777 Hamburg Tpke, Suite 203, Wayne, NJ 07470-5211 | 2008-01-29 |
| 1275723231 | Dana Gabrielle Garcia | Physician Assistant | 1777 Hamburg Tpke, Suite 305, Wayne, NJ 07470-5211 | 2007-07-26 |
| 1457480543 | Andrei M Manalang | Physical Therapist | 1777 Hamburg Tpke, Suite 105, Wayne, NJ 07470-5211 | 2007-03-05 |
| 1225181787 | Dawn Ammirata | Nurse Practitioner | 1777 Hamburg Tpke, Suite 202, Wayne, NJ 07470-5211 | 2007-01-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447391172 | Edward Milano | Dermatology | 10 Route 23 South, Wayne, NJ 07470 | 2007-02-08 |
| 1295712487 | John K Wildemore Iv | Dermatology | 744 W Lancaster Ave, Suite 230, Wayne, PA 19087-2523 | 2005-12-28 |
| 1770801086 | Mona Lisa Cosmetic Surgery Center | Dermatology | 1176 Hamburg Tpke, Wayne, NJ 07470-5069 | 2010-05-11 |
| 1750610069 | K.neena Chima, M.d., L.L.C. | Dermatology | 508 Hamburg Tpke, Suite 101, Wayne, NJ 07470-8482 | 2009-12-15 |
| 1669622148 | Susan Seo | Dermatology | 995 Old Eagle School Rd, Wayne, PA 19087-1709 | 2008-09-22 |
| 1801950480 | Alice C Cardullo | Dermatology | 330 Ratzer Rd, Suite B9, Wayne, NJ 07470-7702 | 2006-12-20 |
| 1376632257 | John K. Wildemore, Md, LLC | Dermatology | 744 W Lancaster Ave, Building 2, Suite 230, Wayne, PA 19087-2523 | 2006-10-11 |
| 1447263744 | Diana S Leu | Dermatology | 601 Hamburg Tpke, Suite 211, Wayne, NJ 07470-2048 | 2006-08-15 |
| 1780614537 | Herbert Simon Maier | Dermatology | 220 Hamburg Tpke, Suite 22, Wayne, NJ 07470-2110 | 2006-07-04 |
| 1497794861 | Kuljit Chima | Dermatology | 246 Hamburg Tpke, Suite 306, Wayne, NJ 07470-2156 | 2006-06-04 |
| Find all providers in WAYNE | ||||
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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.