PAUL KESHISHIAN, D.O., P.C. (NPI# 1427347459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427347459 |
| Entity Type | Organization |
| Organization Name | PAUL KESHISHIAN, D.O., P.C. |
| Practice Address |
186 Rochelle Ave Suite #2a Rochelle Park NJ 07662-4111 |
| Practice Telephone | 2013683384 |
| Practice Fax Number | 2015870300 |
| Mailing Telephone | 2013683384 |
| Mailing Fax Number | 2015870300 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-04-24 |
| Authorized Official Name | DR. PAUL KESHISHIAN (PRESIDENT) |
| Authorized Official Telephone | 2013683384 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MB03905100 | NJ | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 4866100 | 05 |
| Street Address |
186 ROCHELLE AVE SUITE #2A |
| City | ROCHELLE PARK |
| State | NJ |
| Zip Code | 07662-4111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881695336 | James Richard Clifford | Internal Medicine | 186 Rochelle Ave, Rochelle Park, NJ 07662-4111 | 2005-08-09 |
| 1104168616 | Rochelle Park Cardiac Center Corporation | Internal Medicine | 186 Rochelle Ave, Rochelle Park, NJ 07662-4111 | 2013-03-22 |
| 1124362751 | Rochelle Park Cardiac Care Center LLC | Internal Medicine | 186 Rochelle Ave, Rochelle Park, NJ 07662-4111 | 2012-11-20 |
| 1437449691 | Betsy Mathew Varghese | Internal Medicine | 186 Rochelle Ave, Rochelle Park, NJ 07662 | 2011-04-08 |
| 1982871638 | Adrianna Komeshok | Nurse Practitioner | 186 Rochelle Ave, Rochelle Park, NJ 07662-4122 | 2008-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152959 | In-session Psychotherapy Services, LLC | Marriage & Family Therapist | 151 W. Passaic Street, Office #30, Rochelle Park, NJ 07662 | 2019-06-11 |
| 1518409929 | Sensorywellness, LLC | Occupational Therapist | 336 West Passaic St, Rochelle Park, NJ 07662 | 2016-11-16 |
| 1083030076 | The Lasik Vision Institute LLC | Clinic/Center | 336 West Passaic Street, Suite 202, Rochelle Park, NJ 07662 | 2014-03-14 |
| 1023386869 | Criselda Pineda | Physical Therapist | 94 West Oldis Street, Rochelle Park, NJ 07662 | 2011-12-08 |
| 1205138500 | Jaehoon Chung | Internal Medicine | 216 Rout 17 North, Suite 201, Rochelle Park, NJ 07662 | 2010-11-19 |
| 1639355720 | Bergen Care Home Health, LLC | Home Health | 365 W. Passaic Street, Suite 115, Rochelle Park, NJ 07662 | 2008-01-18 |
| 1700977535 | Humberto Luis Martinez | Psychiatry & Neurology | 175 Rochelle Avenue, Unit 323, Rochelle Park, NJ 07662 | 2006-09-27 |
| 1982702700 | New Jersey Cvs Pharmacy LLC | Pharmacy | 150 Rochelle Ave, Rochelle Park, NJ 07662 | 2006-09-20 |
| 1437169745 | Thomas John Mazejy | Dentist | 5 W Passaic St, Rochelle Park, NJ 07662 | 2006-08-09 |
| 1851392435 | Leonardo Joseph Divagno | Internal Medicine | 216 Route 17 North Ste 201, Rochelle Park, NJ 07662 | 2005-08-09 |
| Find all providers in zip 07662 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497980734 | Ann Wry,md., LLC | Clinic/Center | 114 Essex St, Rochelle Park, NJ 07662-4335 | 2009-05-15 |
| 1669691952 | Wellness Medical Center LLC | Clinic/Center | 60 Essex St, Suite 202, Rochelle Park, NJ 07662-4347 | 2007-04-24 |
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| 1386275352 | Mgm Medical Center | Clinic/Center | 262 William St, East Orange, NJ 07017-4324 | 2020-01-29 |
| 1316580632 | R-health Primary Care Medical Home LLC | Clinic/Center | 2 Cooper St, Camden, NJ 08102-2348 | 2019-10-18 |
| 1881247054 | Priority Health and Wellness of Montvale, LLC | Clinic/Center | 136 Summit Ave Ste 102, Montvale, NJ 07645-1720 | 2019-07-17 |
| 1124586326 | Newmed Mua LLC | Clinic/Center | 831 Main Ave Ste 5a, Passaic, NJ 07055-8400 | 2019-03-06 |
| Find all providers with the same taxonomy | ||||
| City | ROCHELLE PARK |
| Zip Code | 07662 |
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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.