DANIEL MIZRAHI (NPI# 1457619686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457619686 |
| Entity Type | Individual |
| Full Name | DANIEL MIZRAHI |
| Practice Address |
44 E Jimmie Leeds Rd Ste 101 Galloway NJ 08205-9599 |
| Mailing Address |
111 S 11th St Thomas Jefferson University Hospital Philadelphia PA 19107-4824 |
| Practice Telephone | 6096779729 |
| Mailing Telephone | 2159556000 |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2019-09-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA10214700 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | MT201066 | PA | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0619523 | 05 | |
| NJ | MEDICARE OF NJ | 678486 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740499029 | Daniel Saul Mizrahi | Internal Medicine | 7633 E Jefferson Ave Ste 170, Detroit, MI 48214-3731 | 2007-05-22 |
| Street Address |
44 E JIMMIE LEEDS RD STE 101 |
| City | GALLOWAY |
| State | NJ |
| Zip Code | 08205-9599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790791804 | Jacinto Camarena IIi | Radiology | 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205-9599 | 2006-07-31 |
| 1962757690 | Christopher E Kim | Radiology | 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205-9599 | 2012-07-18 |
| 1407180243 | Sunita Nankoo | Radiology | 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205-9599 | 2009-09-27 |
| 1154598480 | Micah M Watts | Radiology | 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205-9599 | 2008-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942834973 | Foot & Ankle Center of Sj | Podiatrist | 408 Chris Gaupp Dr Ste 300, Galloway, NJ 08205 | 2020-02-28 |
| 1922640747 | Eve Atwell | Physical Therapist | 323 S. Pitney Rd, Galloway, NJ 08205 | 2019-10-14 |
| 1558911560 | Marcelo Pantaleon Alfaro Jr. | Non-emergency Medical Transport (VAN) | 403 Ebony Tree Ave., Galloway, NJ 08205 | 2019-09-12 |
| 1194374504 | Marsha J Brown | Technician | 27 Brampton St, Galloway, NJ 08205 | 2019-09-09 |
| 1790246296 | Jennifer Cella-roe | Social Worker | 309 S New York Rd Ste 10, Galloway, NJ 08205 | 2019-03-27 |
| 1952881450 | Center for Family Services, Inc. | Community/Behavioral Health | 312 East White Horse Pike, Absecon, NJ 08205 | 2018-08-15 |
| 1780178707 | Atlantic Community Charter School | Case Management | 112 South New York Rd, Galloway, NJ 08205 | 2018-06-22 |
| 1467985952 | Brian Pauling | Chiropractor | 506 S. New York Rd., Galloway, NJ 08205 | 2017-04-11 |
| 1598118903 | Career Opportunity Development, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 106 Jim Leeds Road, Galloway, NJ 08205 | 2016-07-20 |
| 1033582085 | Caringhouse Projects, Inc | Respite Care | 506 2nd Avenue, Galloway, NJ 08205 | 2015-11-12 |
| Find all providers in zip 08205 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790791804 | Jacinto Camarena IIi | Radiology | 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205-9599 | 2006-07-31 |
| 1912922790 | Thomas H.d. Tran | Radiology | 72 W Jimmie Leeds Rd Ste 1100, Galloway, NJ 08205-9426 | 2006-07-13 |
| 1932155702 | Harry Alan Cooperman | Radiology | 44 E Jimmie Leeds Rd, Ste 101, Galloway, NJ 08205-9599 | 2006-05-25 |
| 1518942408 | Michael John Schmidling | Radiology | 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205-9406 | 2005-12-13 |
| 1962757690 | Christopher E Kim | Radiology | 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205-9599 | 2012-07-18 |
| 1407180243 | Sunita Nankoo | Radiology | 44 E Jimmie Leeds Rd Ste 101, Galloway, NJ 08205-9599 | 2009-09-27 |
| 1922248962 | David Levi | Radiology | 72 W Jimmie Leeds Rd, Ste 1100, Galloway, NJ 08205-9406 | 2009-03-04 |
| 1427296235 | Kavita R Peshori | Radiology | 44 E Jimmie Leeds Rd, Ste 101, Galloway, NJ 08205-9599 | 2009-02-02 |
| 1841438728 | Atlantic Radiologists Professional Association LLC | Radiology | 72 W Jimmie Leeds Rd, Suite 1100, Galloway, NJ 08205-9406 | 2009-01-30 |
| 1528223765 | Michael Joseph Lee | Radiology | 44 E Jimmie Leeds Rd, Galloway, NJ 08205-9599 | 2008-07-28 |
| Find all providers in GALLOWAY | ||||
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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.