TARA P. KANETKAR, MD, PA (NPI# 1326186768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326186768 |
| Entity Type | Organization |
| Organization Name | TARA P. KANETKAR, MD, PA |
| Practice Address |
2149 Woodbridge Ave Edison NJ 08817-4474 |
| Practice Telephone | 7329852151 |
| Practice Fax Number | 7329850650 |
| Mailing Telephone | 7329852151 |
| Mailing Fax Number | 7329850650 |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-09-20 |
| Authorized Official Name | TARA P KANETKAR (OWNER) |
| Authorized Official Telephone | 7329852151 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | MA023527 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2091704 | 05 |
| Street Address |
2149 WOODBRIDGE AVE |
| City | EDISON |
| State | NJ |
| Zip Code | 08817-4474 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487688586 | Ketankumar N Vaidya | Internal Medicine | 2149 Woodbridge Ave, Edison, NJ 08817-4474 | 2006-07-11 |
| 1417095845 | Ketankumar Vaidya, LLC | Internal Medicine | 2149 Woodbridge Ave, Edison, NJ 08817-4474 | 2007-02-01 |
| 1043370612 | Tara P Kanetkar | Family Medicine | 2149 Woodbridge Ave, Edison, NJ 08817 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447862750 | Ling Zhu | Pharmacist | 2124 A State Route 27, Edison, NJ 08817 | 2020-08-18 |
| 1912525825 | Pennreach | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Truman Square, Apt 1109, Edison, NJ 08817 | 2020-07-07 |
| 1518582956 | Ismile Dental Care of Edison | Dentist | 1914 B Route 27, Edison, NJ 08817 | 2020-06-11 |
| 1437704905 | Ethel Diagnostic Laboratory | Pathology | 4 Ethel Road, Suite 402a, Edison, NJ 08817 | 2019-08-01 |
| 1316509250 | Hyun Sang Lee | Optometrist | 2210 Route 27 North, Edison, NJ 08817 | 2019-07-01 |
| 1578022851 | Labor of Love Healthcare LLC | Nursing Care | 1967 Lincoln Highway, Suite 33, Edison, NJ 08817 | 2019-03-18 |
| 1932664349 | Marlene Bott | Occupational Therapist | 2035 Lincoln Highway, Edison Square West, Edison, NJ 08817 | 2019-02-11 |
| 1174092928 | Neil Bakhru | Occupational Therapist | 802 Merrywood Drive, Edison, NJ 08817 | 2018-11-21 |
| 1164912697 | Milton Perez | Driver | 14m Reading Rd, Edison, NJ 08817 | 2018-05-10 |
| 1366931891 | Roseanna Perez | Recreation Therapist | 14m Reading Rd., Edison, NJ 08817 | 2018-05-10 |
| Find all providers in zip 08817 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922501568 | Seri Kwon | Family Medicine | 67 Carriage Pl, Edison, NJ 08820-4018 | 2018-03-09 |
| 1760902100 | Paul J Kang | Family Medicine | 1921 Oak Tree Rd Ste 103, Edison, NJ 08820-2073 | 2017-06-27 |
| 1760929392 | Samrana Arefeen | Family Medicine | 2090 Highway 27, Edison, NJ 08817-3372 | 2017-01-20 |
| 1508250705 | Patrick Wong | Family Medicine | 10 Parsonage Rd Ste 410, Edison, NJ 08837 | 2015-03-25 |
| 1154760379 | Edison Healthcare Management LLC | Family Medicine | 1717 Lincoln Hwy, Edison, NJ 08817-3471 | 2013-06-20 |
| 1851601330 | Garden State Physicians | Family Medicine | 1002 Amboy Ave., Edison, NJ 08837 | 2010-10-18 |
| 1043452881 | Surgicure LLC | Family Medicine | 200 W Grant Ave, Edison, NJ 08820-1333 | 2009-03-25 |
| 1740318559 | Meenakshi Kukreja | Family Medicine | 3537 Progress St, Suite B5, Edison, NJ 08820-1102 | 2007-03-01 |
| 1124188412 | Karl Otto Schwarz | Family Medicine | 327 N Eighth Ave, Edison, NJ 08817-2914 | 2006-12-09 |
| 1356457725 | M. Mohammed Nisar Md Pa | Family Medicine | 1895 Oak Tree Rd, Edison, NJ 08820-2122 | 2006-08-21 |
| Find all providers in EDISON | ||||
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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.