KENNETH L JEWEL (NPI# 1386753077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386753077 |
| Entity Type | Individual |
| Full Name | KENNETH L JEWEL |
| Credential | MD |
| Practice Address |
161 East Main Street Denville NJ 07834 |
| Practice Telephone | 9735861212 |
| Practice Fax Number | 9735866555 |
| Mailing Telephone | 9735861212 |
| Mailing Fax Number | 9735866555 |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2010-04-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA02693200 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0250702 | 05 |
| Street Address |
161 EAST MAIN STREET |
| City | DENVILLE |
| State | NJ |
| Zip Code | 07834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235245119 | Denville Diagnostics Imaging and Open Mri LLC | Clinic/Center | 161 East Main Street, Denville, NJ 07834 | 2006-08-22 |
| 1871912030 | Rachel Ann Sicoli | Registered Nurse | 161 East Main Street, 2nd Floor, Denville, NJ 07834 | 2014-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304622 | Rosemarie Proven-fahy | Social Worker | 3175 Rt. 10 Building C, Suite 700, Denville, NJ 07834 | 2020-07-28 |
| 1568083327 | Anand Jetti | Student in an Organized Health Care Education/Training Program | Prime Healthcare Consortium At St. Mary's General Hospi, 25 Pocono Road, Denville, NJ 07834 | 2020-05-04 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1477022770 | Green Leaf Dentistry, LLC | Dentist | 3155 Route 10, Suite 201, Denville, NJ 07834 | 2018-11-15 |
| 1366955528 | Megan D Lukany | Social Worker | 4 2nd Ave Ste 208-b, Denville, NJ 07834 | 2017-11-09 |
| 1235680430 | Jennifer Jeanty | Nurse Practitioner | 280 W Main St Fl 2, Denville, NJ 07834 | 2016-10-22 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1265830830 | Denville Physical Therapy, LLC | Physical Therapist | 3155 Rte 10 E, Suite 112, Denville, NJ 07834 | 2014-12-15 |
| 1538565577 | Michael T. Cocuzza | Counselor | 76 Broadway Ste 200h, Denville, NJ 07834 | 2014-11-18 |
| Find all providers in zip 07834 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| 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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891021986 | Nadia M. Mirza | Radiology | 25 Pocono Rd, St Clare's Health System. Dpt. of Radiology, Denville, NJ 07834-2954 | 2009-10-23 |
| 1932314382 | Francis L Diaz | Radiology | 25 Pocono Rd, Denville, NJ 07834-2954 | 2007-05-11 |
| 1396769014 | Ronald Sharo | Radiology | 25 Pocono Rd, Denville, NJ 07834-2954 | 2006-07-26 |
| 1629008404 | Richard Claps | Radiology | 23 Pocono Rd, Denville, NJ 07834-2954 | 2006-07-04 |
| 1710917125 | Michael Henderson | Radiology | 25 Pocono Rd, Denville, NJ 07834-2954 | 2006-07-03 |
| 1629008032 | Arvin Smith | Radiology | 25 Pocono Rd, Denville, NJ 07834-2954 | 2006-07-03 |
| 1073540183 | Burton Sutker | Radiology | 25 Pocono Rd, Denville, NJ 07834-2954 | 2006-06-26 |
| 1831135250 | Richard Taylor | Radiology | 25 Pocono Rd, Denville, NJ 07834-2954 | 2006-06-22 |
| 1033155320 | Edward Martin Solomon | Radiology | 25 Pocono Rd, Denville, NJ 07834-2954 | 2006-06-22 |
| 1114963857 | Neil Freeman | Radiology | 25 Pocono Rd, Denville, NJ 07834-2954 | 2006-06-21 |
| Find all providers in DENVILLE | ||||
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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.