FOOT & ANKLE CENTER AT ST JAMES (NPI# 1447434923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447434923 |
| Entity Type | Organization |
| Organization Name | FOOT & ANKLE CENTER AT ST JAMES |
| Other Organization Name | FAMILY CARE CENTER AT ST JAMES |
| Practice Address |
228 Lafayette St Newark NJ 07105-1815 |
| Mailing Address |
66 W Gilbert St 2nd Floor Red Bank NJ 07701-4918 |
| Practice Telephone | 9734652790 |
| Mailing Telephone | 7322120051 |
| Mailing Fax Number | 7322120052 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | DR. LILIA BLANCO (MANAGING PHYSICIAN) |
| Authorized Official Telephone | 9734652790 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ========= | NJ | Allopathic & Osteopathic Physicians |
| N | 207VM0101X |
Obstetrics & Gynecology Specialization: Maternal & Fetal Medicine |
========= | NJ | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
========= | NJ | Allopathic & Osteopathic Physicians |
| N | 213E00000X | Podiatrist | ========= | NJ | Podiatric Medicine & Surgery Service Providers |
| Y | 207V00000X | Obstetrics & Gynecology | ========= | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | HORIZON NJ HEALTH | 1050989 | 01 |
| NJ | OXFORD | G2055487 | 01 |
| NJ | 6313515 | 05 | |
| NJ | AMERICHOICE | 01000027000 | 01 |
| NJ | 6313507 | 05 |
| Other Name | Type Code |
|---|---|
| FAMILY CARE CENTER AT ST JAMES | Doing Business As Name - Organization |
| Street Address |
228 LAFAYETTE ST |
| City | NEWARK |
| State | NJ |
| Zip Code | 07105-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407912322 | Euk Hyun Kim | Obstetrics & Gynecology | 228 Lafayette St, Newark, NJ 07105 | 2006-12-28 |
| 1699149666 | Rawa Chater | Nurse Practitioner | 228 Lafayette St, Newark, NJ 07105-1815 | 2015-11-13 |
| 1225409675 | Saint James Health Inc | Clinic/Center | 228 Lafayette St, 2nd Floor, Newark, NJ 07105-1815 | 2015-10-12 |
| 1982049557 | Newark Community Health Centers Inc | Clinic/Center | 228 Lafayette St, Newark, NJ 07105-1815 | 2013-05-08 |
| 1538406806 | Wellness and Sports Chiropractic PC | Chiropractor | 228 Lafayette St, Newark, NJ 07105-1815 | 2013-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053802819 | Ferry Pharmacy | Pharmacy | 165 Ferry St, Newark, NJ 07105 | 2018-05-28 |
| 1467969287 | Gabriela Cristina Celeiro | Social Worker | 243 East Kinney Street, Newark, NJ 07105 | 2018-01-02 |
| 1194238899 | Astra Health Center of Newark LLC | Internal Medicine | 41 Wilson Ave., Newark Nj, NJ 07105 | 2017-11-16 |
| 1760909501 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 140 42 Ferry St, Newark, NJ 07105 | 2017-08-23 |
| 1487185286 | Mercy Drive Regional Corporation | Day Training, Developmentally Disabled Services | 498-500 Ferry Street 1st Floor, Newark, NJ 07105 | 2017-03-23 |
| 1891236329 | Mercy Drive Regional Corporation | Home Health | 498 Ferry Street, Newark, NJ 07105 | 2017-03-16 |
| 1073968640 | Neha Rajkotia | Physical Therapist | 360 Avenue P, Preferred Freezer Bldg, 3rd Floor Immedicare, Newark, NJ 07105 | 2016-05-02 |
| 1184099251 | Child Smiles Spec LLC | Dentist | 67-73 Fillmore Street, Newark, NJ 07105 | 2015-12-01 |
| 1982099602 | Fermin Alejandro Padron | Pharmacist | 140-42 Ferry Street, Newark, NJ 07105 | 2015-03-31 |
| 1598162968 | Peak Chiropractic & Wellness LLC | Chiropractor | 411 419 Chestnut St, 1a, Newark, NJ 07105 | 2014-12-01 |
| Find all providers in zip 07105 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821383555 | Michelle Marie Pacis | Obstetrics & Gynecology | 4735 Ogletown Stanton Rd Ste 2103, Newark, DE 19713-8000 | 2011-06-10 |
| 1679803704 | Women First, LLC | Obstetrics & Gynecology | 875 Aaa Blvd Ste B, Newark, DE 19713-3624 | 2010-01-13 |
| 1568669075 | Stephanie Lynne Marshall | Obstetrics & Gynecology | 185 S Orange Ave # 506, Newark, NJ 07103-2757 | 2007-06-28 |
| 1114067527 | Mrinal Koul | Obstetrics & Gynecology | 341 Walnut St, Newark, NJ 07105-2611 | 2007-02-07 |
| 1154476190 | Mark G Cadungog | Obstetrics & Gynecology | 4701 Ogletown Stanton Rd Ste 2335, Newark, DE 19713-7016 | 2007-01-23 |
| 1528124880 | Kelli M Gevas | Obstetrics & Gynecology | 15 Messimer Drive, Newark, OH 43055 | 2006-12-29 |
| 1407912322 | Euk Hyun Kim | Obstetrics & Gynecology | 228 Lafayette St, Newark, NJ 07105 | 2006-12-28 |
| 1659430528 | Luis A Yerovi Sr. | Obstetrics & Gynecology | 91 Congress St, Newark, NJ 07105-1801 | 2006-12-07 |
| 1811065634 | Abdul Wahij Najafi | Obstetrics & Gynecology | 410 Chancellor Ave, Newark, NJ 07112-1030 | 2006-12-01 |
| 1891808861 | Janae M. Davis | Obstetrics & Gynecology | 20 W Locust St, Newark, OH 43055-5520 | 2006-08-16 |
| Find all providers in NEWARK | ||||
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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.