DR. THERESA MARIE IMPEDUGLIA (NPI# 1336189786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336189786 |
| Entity Type | Individual |
| Full Name | DR. THERESA MARIE IMPEDUGLIA |
| Credential | M.D. |
| Practice Address |
83 Summit Ave Hackensack NJ 07601-1262 |
| Practice Telephone | 2016460010 |
| Practice Fax Number | 2016460600 |
| Mailing Telephone | 2016460010 |
| Mailing Fax Number | 2016460600 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2017-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
195134 | NY | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MA72668 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03817627 | 05 |
| Street Address |
83 SUMMIT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601-1262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861949752 | Jessica Kicha | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2016-09-08 |
| 1407236748 | Meredith Aceste | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-06-02 |
| 1962898213 | Christopher Hires | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-04-14 |
| 1396138442 | Kenneth Welsh | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601 | 2015-03-13 |
| 1205174075 | Specialized Therapy Associates LLC | Psychiatry & Neurology | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2013-01-29 |
| 1851637557 | Specialized Therapy Associates LLC | Psychologist | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1467798157 | Specialized Therapy Associates LLC | Counselor | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1548506231 | Specialized Therapy Associates LLC | Social Worker | 83 Summit Ave, 2nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1417293101 | Specialized Therapy Associates LLC | Nurse Practitioner | 83 Summit Ave, 2 Nd Floor, Hackensack, NJ 07601-1262 | 2012-12-27 |
| 1750600888 | Sruti Patel | Surgery | 83 Summit Ave, Hackensack, NJ 07601-1262 | 2010-05-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093976466 | Kristin Cook | Surgery | 211 Essex St Ste 102, Hackensack, NJ 07601-3244 | 2008-06-19 |
| 1063736510 | David J O'connor | Surgery | 211 Essex St, Suite 102, Hackensack, NJ 07601-3231 | 2010-03-25 |
| 1336294594 | The Moss & Geuder Surgical Group, Pa | Surgery | 20 Prospect Ave, Suite 707, Hackensack, NJ 07601-1997 | 2007-01-25 |
| 1619022068 | James William Geuder | Surgery | 20 Prospect Ave, Suite 707, Hackensack, NJ 07601-1997 | 2007-01-24 |
| 1497802938 | Michael Jeffrey Wilderman | Surgery | 211 Essex St, Suite 102, Hackensack, NJ 07601-3231 | 2007-01-05 |
| 1316007743 | Massimo Mark Napolitano | Surgery | 211 Essex Street, Suite 102, Hackensack, NJ 07601 | 2006-12-08 |
| 1487745584 | Arnold Byer | Surgery | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-09-27 |
| 1578577425 | Joseph Manno | Surgery | 83 Summit Ave, Hackensack, NJ 07601-1262 | 2006-07-28 |
| 1528017944 | Gregory T Simonian | Surgery | 211 Essex St, Ste 102, Hackensack, NJ 07601 | 2006-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1063063188 | Jvg Cardiovascular LLC | Surgery | 60 Baldwin Rd Ste 101b, Parsippany, NJ 07054-2901 | 2019-09-20 |
| 1558918359 | Varicose Veins Doctor Pa | Surgery | 3478 Kennedy Blvd, Jersey City, NJ 07307-4117 | 2019-08-26 |
| 1437701729 | Usa Vascular Center of New Jersey LLC | Surgery | 272 Main St Ste A, Orange, NJ 07050-3605 | 2019-07-16 |
| 1396301974 | Vascular & Vein Center of New Jersey LLC | Surgery | 10 Industrial Way E Ste 103, Eatontown, NJ 07724-3332 | 2019-05-19 |
| 1568936326 | Heritage Vascular PC | Surgery | 663 E Crescent Ave Ste 111, Ramsey, NJ 07446-1220 | 2019-01-15 |
| 1144761685 | Center for Vascular Medicine Nj, LLC | Surgery | 415 Route 24 Ste 6/7, Chester, NJ 07930-2920 | 2017-03-16 |
| 1134665631 | Robert S.walsky Md | Surgery | 22 Angela Ct, Woodcliff Lake, NJ 07677-8102 | 2017-01-09 |
| 1982074290 | Frontier Medical Care | Surgery | 301 Tavistock, Cherry Hill, NJ 08034-4020 | 2015-09-29 |
| 1023486925 | Associates In Vascular Care LLC Limb Salvage Center | Surgery | 1000 Route 35 South, Suite 300, Middletown, NJ 07748-2606 | 2015-09-09 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.