DR. THERESA MARIE IMPEDUGLIA


Address: 83 Summit Ave, Hackensack, NJ 07601-1262
Phone: 2016460010

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NY 03817627 05

Office Location

Street Address 83 SUMMIT AVE
City HACKENSACK
State NJ
Zip Code 07601-1262

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 2086S0129X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Vascular Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City HACKENSACK
Zip Code 07601

Improve Information

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Dataset Information

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.

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