MEDICENTER ONE OF JC (NPI# 1417061888) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417061888 |
| Entity Type | Organization |
| Organization Name | MEDICENTER ONE OF JC |
| Practice Address |
2954 Kennedy Blvd Jersey City NJ 07306 |
| Mailing Address |
P.o. Box 640 Belleville NJ 07109 |
| Practice Telephone | 2016536666 |
| Practice Fax Number | 2016534850 |
| Mailing Telephone | 9737598700 |
| Mailing Fax Number | 9737597545 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. NICOLA A VERNESE (PRESIDENT) |
| Authorized Official Telephone | 201-653-6666 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
2954 KENNEDY BLVD |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518224187 | Arthur M. Katz M.d. & Joan P. Noroff M.d., P.a. | Dermatology | 2954 Kennedy Blvd, 2nd Floor, Jersey City, NJ 07306-3897 | 2012-04-19 |
| 1639316268 | Nicola A. Vernese M.d., PC | Surgery | 2954 Kennedy Blvd, Jersey City, NJ 07306-3897 | 2009-01-20 |
| 1790866895 | Arthur M Katz | Dermatology | 2954 Kennedy Blvd, 2nd Fl, Jersey City, NJ 07306 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655186 | Hazem Shokry Mohamed Abdelhafez | Physical Therapist | 2 Vroom St, 4 R Apt, Jersey City, NJ 07306 | 2020-06-26 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| 1932679909 | Morgan Teeratananon | Occupational Therapist | 2854 John Fitzgerald Kennedy Blvd, Jersey City, NJ 07306 | 2018-12-03 |
| 1255824892 | Best Home Care Inc | Home Health | 879 Bergen Avenue, Ste 200, Ste 200, Jersey City, NJ 07306 | 2018-06-08 |
| 1518455203 | New Jersey Weight Loss & Surgery PC | Surgery | 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 | 2018-04-27 |
| 1225546922 | Chungmoo Huh | Acupuncturist | 720 Bergen Ave, Jersey City, NJ 07306 | 2018-01-16 |
| 1215451042 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2859 61 Kennedy Blvd, Jersey City, NJ 07306 | 2017-08-02 |
| 1447789128 | Krishna Shah | Physical Therapist | 43 Central Avenue, Jersey City, NJ 07306 | 2017-06-07 |
| 1275075749 | Jersey City Home Care | Home Health | 780 Newark Avenue Suite #203, Jersey City, NJ 07306 | 2016-11-15 |
| 1356752380 | Dina Ibrahim | Podiatrist | 550 Newark Ave Ste 307, Jersey City, NJ 07306 | 2014-05-13 |
| Find all providers in zip 07306 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821618968 | Radius Telemed, LLC | Internal Medicine | 2 2nd St Ph 4102, Jersey City, NJ 07302-7028 | 2020-04-18 |
| 1659879088 | Colombus Urgent Care PC | Internal Medicine | 3235 John F Kennedy Blvd, Jersey City, NJ 07306-3405 | 2018-01-31 |
| 1912357153 | Vijaya Chellapilla | Internal Medicine | 96 Coles St # 3, Jersey City, NJ 07302-2322 | 2016-06-19 |
| 1205203452 | Anjum Chatha | Internal Medicine | 580 Montgomery Street, Jersey City, NJ 07302 | 2015-08-24 |
| 1669848008 | Hassan I Qureshi | Internal Medicine | 451 Jersey Ave, Jersey City, NJ 07302-4027 | 2015-08-20 |
| 1720484777 | Doney B Jain | Internal Medicine | 751 Bergen Ave, Jersey City, NJ 07306-4705 | 2014-11-18 |
| 1740617240 | Xiaoling Li | Internal Medicine | 241 Erie St, Jersey City, NJ 07310-1303 | 2013-09-30 |
| 1932464047 | Kirit V Gandhi, M.d. P.a. | Internal Medicine | 3665 Kennedy Blvd, Jersey City, NJ 07307-3210 | 2012-07-05 |
| 1275896292 | Anna Sharovetskaya | Internal Medicine | 10 Regent St, #213, Jersey City, NJ 07302-7321 | 2012-06-25 |
| 1760788061 | Anwar Ahmad Rizvi | Internal Medicine | 151 Jewett Ave, Jersey City, NJ 07304-2003 | 2011-02-03 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07306 |
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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.