MARVIN TILLMAN BOYD (NPI# 1417095126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417095126 |
| Entity Type | Individual |
| Full Name | MARVIN TILLMAN BOYD |
| Credential | M.D. |
| Practice Address |
350 Boulvard The Boyd Renal Clinic St. Mary's Hospital Ambulatory Services Passaic NJ 07055 |
| Mailing Address |
Po Box 2306 Paterson NJ 07509-2306 |
| Practice Telephone | 9735947800 |
| Practice Fax Number | 9735947801 |
| Mailing Telephone | 9737423300 |
| Mailing Fax Number | 9735820600 |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2012-10-02 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25MA03839300 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0371106 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760481857 | Marvin Austin Boyd | Dentist | 5239 Old Springville Rd, Suite 201, Pinson, AL 35126-7607 | 2005-07-20 |
| Street Address |
350 BOULVARD THE BOYD RENAL CLINIC ST. MARY'S HOSPITAL AMBULATORY SERVICES, |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1831183110 | Vijay K Gupta | Internal Medicine | 285 Lexington Ave, Passaic, NJ 07055-6308 | 2005-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091878 | Vitality Medical Associates | Internal Medicine | 561 East 28th Street, Paterson, NJ 07504-1862 | 2020-10-21 |
| 1396377784 | Dr Walead Latif Professional Corporation | Internal Medicine | 1 Thistle Ln, Warren, NJ 07059-5564 | 2020-02-04 |
| 1225508203 | Arianna Hope Sanborn | Internal Medicine | 1261 Route 38 Ste A, Hainesport, NJ 08036-2702 | 2018-12-03 |
| 1518417203 | Ajay Singh | Internal Medicine | 6 Bradford Ct, West Windsor, NJ 08550-3032 | 2016-10-06 |
| 1124571849 | Kathryn Anne Feldenzer | Internal Medicine | 41 Endicott Rd, Hamilton Square, NJ 08690-2145 | 2016-07-28 |
| 1104272368 | Aruna Yeldanidi Md LLC | Internal Medicine | 19 Cornell Dr, Livingston, NJ 07039-5504 | 2016-05-06 |
| 1972997146 | Adedamola Moji Adeboye | Internal Medicine | 111 Northfield Ave Ste 311, West Orange, NJ 07052-4703 | 2015-03-25 |
| 1457757726 | Vascular Access Center of Central New Jersey LLC | Internal Medicine | 1 Wills Way, Piscataway, NJ 08854-3770 | 2014-11-13 |
| 1851706410 | Eric S. Cantor | Internal Medicine | 1 Cedar Brook Drive, Cranbury, NJ 08512 | 2014-06-23 |
| 1821410192 | Lilian Saro-nunez | Internal Medicine | 360 Essex St Ste 304, Hackensack, NJ 07601-8566 | 2014-01-06 |
| 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.