MDSTYLE (NPI# 1376975649) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376975649 |
| Entity Type | Organization |
| Organization Name | MDSTYLE |
| Practice Address |
300 Grand Ave Suite 104 Englewood NJ 07631-4398 |
| Practice Telephone | 2014085430 |
| Practice Fax Number | 2014085437 |
| Mailing Telephone | 2014085430 |
| Mailing Fax Number | 2014085437 |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2013-09-19 |
| Authorized Official Name | DR. MONICA TADROS (MEDICAL DIRECTOR, CEO) |
| Authorized Official Telephone | 2014085430 |
| Authorized Official Credential | MD, FACS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207YX0905X |
Otolaryngology Specialization: Otolaryngology/Facial Plastic Surgery |
25MA07910000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
300 GRAND AVE SUITE 104 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-4398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114929635 | George Klafter | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-08-15 |
| 1063858751 | Renal Center of Englewood, LLC | Clinic/Center | 300 Grand Ave, Ste 103, Englewood, NJ 07631-6300 | 2013-05-21 |
| 1588930663 | Englewood Dermatology Center | Preferred Provider Organization | 300 Grand Ave, Suite 201, Englewood, NJ 07631-4398 | 2012-03-22 |
| 1326370172 | Chong Mu Lee | Acupuncturist | 300 Grand Ave, Suite 101, Englewood, NJ 07631-4398 | 2010-02-04 |
| 1346480738 | Rejuvenate Rehabilitation Center | Clinic/Center | 300 Grand Ave, Suite 101, Englewood, NJ 07631-4398 | 2009-02-25 |
| 1992901052 | Robert Bradley Simon | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2007-06-25 |
| 1518049832 | Gary D Wasserman | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2006-10-19 |
| 1144231515 | Monica Tadros | Specialist | 300 Grand Ave, Suite #104, Englewood, NJ 07631-4398 | 2006-08-11 |
| 1407846827 | Thomas Chun | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-10-26 |
| 1477555993 | Steven Katz | Urology | 300 Grand Ave, Suite 202, Englewood, NJ 07631-4398 | 2005-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 207YX0905X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| Specialization | Otolaryngology/Facial Plastic Surgery |
| An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922208875 | Englewood Ear Nose & Throat PC | Otolaryngology | 216 Engle St, Ste 101, Englewood, NJ 07631-2444 | 2007-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922416387 | Jan Czerepak | Otolaryngology | 325 Molnar Dr, Elmwood Park, NJ 07407-3207 | 2014-07-30 |
| 1386968220 | Lawrence Gordon Md Pllc | Otolaryngology | 521 Route 515, Vernon, NJ 07462-3033 | 2010-03-22 |
| 1093953762 | Alan M. Tell, Md | Otolaryngology | 140 Prospect Ave., Suite 7, Hackensack, NJ 07601-2260 | 2009-02-03 |
| 1093872640 | Frank S Dimauro | Otolaryngology | 106 E Jimmie Leeds Rd, Galloway, NJ 08205-9508 | 2007-01-02 |
| 1770507337 | Scott L Busch | Otolaryngology | 1797 Springdale Rd, Cherry Hill, NJ 08003-2136 | 2006-07-27 |
| 1013940717 | Scott Richard Schaffer | Otolaryngology | 406 Lippincott Dr Ste F, Marlton, NJ 08053-4168 | 2006-07-08 |
| 1376586412 | David Bromberg | Otolaryngology | 292 Hurffville Grenloch Rd, Suite 100, Sewell, NJ 08080-2656 | 2006-06-14 |
| 1871551812 | Francis Michael Jampol | Otolaryngology | 900 Lanidex Plz Ste 300, Parsippany, NJ 07054-2707 | 2006-05-01 |
| 1467428623 | Alvin Daniel Dubin | Otolaryngology | 1924 Route 70 E, Cherry Hill, NJ 08003-2118 | 2006-02-27 |
| 1568441988 | Amy D. Lazar | Otolaryngology | 245 Us Highway 22 Fl 3, Bridgewater, NJ 08807-2560 | 2006-01-13 |
| Find all providers with the same taxonomy | ||||
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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.