NORTH JERSEY THORACIC SURGICAL ASSOCIATES, PC (NPI# 1306994827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306994827 |
| Entity Type | Organization |
| Organization Name | NORTH JERSEY THORACIC SURGICAL ASSOCIATES, PC |
| Practice Address |
100 Madison Ave Fl 4 Carol G. Simon Cancer Center Suite 4101 Morristown NJ 07960-6136 |
| Mailing Address |
Po Box 1348 Morristown NJ 07962-1348 |
| Practice Telephone | 9736444844 |
| Practice Fax Number | 9736444776 |
| Mailing Telephone | 9736444844 |
| Mailing Fax Number | 9736444776 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2013-03-13 |
| Authorized Official Name | MARK D WIDMANN (PRESIDENT) |
| Authorized Official Telephone | 9736444844 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA GROUP ID | 7916122 | 01 |
| Street Address |
100 MADISON AVE FL 4 CAROL G. SIMON CANCER CENTER SUITE 4101 |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720246309 | Mark Shapiro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Ave Fl 4, Carol G. Simon Cancer Center Suite 4101, Morristown, NJ 07960-6136 | 2008-05-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962727644 | Benjamin Van Boxtel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Mid-atlantic Surgical Associates, 100 Madison Avenue, Morristown, NJ 07960 | 2010-04-06 |
| 1275846727 | Bledi Zaku | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Avenue, Mid-atlantic Surgical Associates, Morristown, NJ 07960 | 2010-07-26 |
| 1720246309 | Mark Shapiro | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Ave Fl 4, Carol G. Simon Cancer Center Suite 4101, Morristown, NJ 07960-6136 | 2008-05-30 |
| 1083779888 | Steve Xydas | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Ave, Gagnon Level C Mid-atlantic Surgical Associates, Morristown, NJ 07960 | 2006-12-22 |
| 1598828527 | Federico A Steiner | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Ave, Suite 4101, Morristown, NJ 07960-6136 | 2006-12-19 |
| 1730192071 | Marek Polomsky | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Avenue, Mid-atlantic Surgical Associates, Morristown, NJ 07960 | 2006-08-15 |
| 1992770168 | Nazly M Shariati | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Ave, Carol G. Simon Cancer Center, Morristown, NJ 07960-6136 | 2006-02-21 |
| 1982674248 | Mark Dennis Widmann | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Ave, Suite 4101, Morristown, NJ 07960-6136 | 2006-01-26 |
| 1043212434 | Christopher J Magovern | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Ave, Mid-atlantic Surgical Associates, Morristown, NJ 07960-6136 | 2005-08-15 |
| 1164424529 | John M Brown IIi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 100 Madison Ave, Mid-atlantic Surgical Associates, Morristown, NJ 07960-6136 | 2005-08-15 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
Please comment or provide details below to improve the information on NORTH JERSEY THORACIC SURGICAL ASSOCIATES, PC.
| 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.