EDWARD M DWYER JR.


Address: 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000
Phone: 9739720037

EDWARD M DWYER JR. (NPI# 1386857860) 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) 1386857860
Entity Type Individual
Full Name EDWARD M DWYER JR.
Practice Address 30 Bergen St
Admc 12 1205
Newark
NJ 07107-3000
Practice Telephone 9739720037
Practice Fax Number 9739729355
Enumeration Date 2007-05-08
Last Update Date 2009-07-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
25MA02128900 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 6418104 05

Other Providers EDWARD DWYER

NPI Name Taxonomy Address Enumeration
1083717441 Edward A Dwyer Dentist 4111 Seneca Street, West Seneca, NY 14224-3045 2006-09-07
1497828479 Edward Dwyer Internal Medicine 161 Fort Washington Ave, New York, NY 10032-3729 2006-11-16

Office Location

Street Address 30 BERGEN ST
ADMC 12 1205
City NEWARK
State NJ
Zip Code 07107-3000

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NPI Name Taxonomy Address Enumeration
1235119686 Susan V Garstang Physical Medicine & Rehabilitation 30 Bergen St, Admc 101, Newark, NJ 07107-3000 2006-01-20
1699225227 University Physician Associates of New Jersey, Inc Otolaryngology 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 2016-10-06
1083068217 Ariel Patrice Sena Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 - Room 110, Newark, NJ 07107-3000 2016-04-13
1346694577 Helena Gvili Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc11 Rm 1110, Newark, NJ 07107-3000 2016-04-13
1124413265 Tiffany Chan Student in an Organized Health Care Education/Training Program 30 Bergen St, Emergency Medicine, Admc-11, Rm 1110, Newark, NJ 07107-3000 2015-04-06
1801152939 Subhanir Sunil Chitnis Emergency Medicine 30 Bergen St, Admc 11, Room 1110, Newark, NJ 07107-3000 2012-04-03
1659647873 Chidinma Dawn Kabba Emergency Medicine 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-04-02
1407122328 Joseph Alan Rogers Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-03-26
1477842631 Suzanne A Katsetos Emergency Medicine 30 Bergen St, Admc 11, Rm 1110, Newark, NJ 07107-3000 2011-03-28
1669603387 Tobechukwu Clouden Psychiatry & Neurology 30 Bergen St, Newark, NJ 07107-3000 2009-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134747272 Kobie Blair Morgan Counselor Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 2020-07-06
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1568941375 Orange Street Spec LLC Dentist 509a Orange Street Suite A, Newark, NJ 07107 2018-08-13
1548617103 Jose Andres Morales Case Manager/Care Coordinator 541 Roseville Av., Newark, NJ 07107 2016-05-24
1053743997 Center for Wound Science and Healing General Acute Care Hospital 495 North 13th Street, 2nd Floor, Newark, NJ 07107 2013-08-02
1750620944 Jeevan M Mathew Physical Therapist 500 0range Street, Suite 2, Newark, NJ 07107 2013-02-07
1982967386 D & M Quality of Life Services, LLP In Home Supportive Care 285 Roseville Avenue, Suite 118, Newark, NJ 07107 2012-06-20
1710121496 Paul Hsu Pharmacist 421 Bloomfield Ave, Guardys, Newark, NJ 07107 2009-04-27
1194969774 Prescriptions Etc Inc. Clinic/Center 421 Bloomfield Ave., Guardys, Newark, NJ 07107 2009-04-27
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Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194077586 Hosmane Cardiology LLC Internal Medicine 4547 Ogletown Stanton Rd, Medical Arts Pavillion 1 Suite 135, Newark, DE 19713 2012-10-09
1568745016 Emad F Aziz Internal Medicine 90 Bergen St # 3500, Newark, NJ 07103 2011-09-21
1497045504 Usman I Choudhry Internal Medicine 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 2011-04-10
1326357765 Irvin Goldfarb, Md, Pa Internal Medicine 306 Martin Luther King Blvd, 4th Floor, Newark, NJ 07102 2010-10-04
1457670739 Access Medicine Nj Internal Medicine 228 Lafayette St Fl 5, Newark, NJ 07105 2010-05-25
1467636936 Cathedral Faculty Practice Internal Medicine 268 Dr. Martin Luther King Boulevard, Newark, NJ 07102-2094 2007-12-20
1790965259 Irena O. Stolar, M.d., P.a. Internal Medicine 320 Christiana Medical Ctr, Newark, DE 19702-1653 2007-11-13
1235334145 James Matthew Maher Internal Medicine 185 S Orange Ave # I532, Newark, NJ 07103-2757 2007-06-19
1366594848 Sunrays Cardiology Inc Internal Medicine 71 South Terrace Avenue, Newark, OH 43055 2007-01-17
1184796682 David S. Grubbs, M.d., P.a. Internal Medicine K15 Omega Drive, Suite 5, Newark, DE 19713 2006-11-14
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City NEWARK
Zip Code 07107

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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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