GOUT INSTITUTE OF AMERICA (NPI# 1457842429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457842429 |
| Entity Type | Organization |
| Organization Name | GOUT INSTITUTE OF AMERICA |
| Practice Address |
727 Joralemon St. Belleville NJ 07109 |
| Mailing Address |
727 Joralemon Street Belleville NJ 07109 |
| Practice Telephone | 9734501600 |
| Practice Fax Number | 9734501600 |
| Mailing Telephone | 9734501600 |
| Mailing Fax Number | 9734501602 |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-05-24 |
| Authorized Official Name | DR. JORGE G. MENDEZ (OWNER) |
| Authorized Official Telephone | 9734501600 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
25MA08542000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
727 JORALEMON ST. |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| 1457636649 | Fil-am Ambulance LLC | Ambulance | 4 Jerome Ct, Belleville, NJ 07109 | 2011-10-19 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598294019 | Gout Institute of America LLC | Anesthesiology | 727 Joralemon St, Belleville, NJ 07109-1455 | 2017-06-08 |
| 1235474057 | Memorial Medical Group, LLC | Anesthesiology | 4550 Memorial Dr, Ste. 340, Belleville, IL 62226-5372 | 2012-12-05 |
| 1376858720 | Anodyne Healthcare Pllc | Anesthesiology | 11650 Belleville Rd, Suite 105, Belleville, MI 48111 | 2010-08-10 |
| 1811188949 | Kristina Naseer | Anesthesiology | 340 W Lincoln St, Suite 200, Belleville, IL 62220-1900 | 2007-08-05 |
| 1285720573 | James R Boivin | Anesthesiology | 4500 Memorial Drive, Belleville, IL 62223 | 2006-10-05 |
| 1093801383 | Randolph M Freeman | Anesthesiology | 4500 Memorial Drive, Belleville, IL 62223 | 2006-10-05 |
| 1447351648 | Michael E Leavell | Anesthesiology | 4500 Memorial Drive, Belleville, IL 62223 | 2006-09-26 |
| 1396846598 | Hong Kai Du | Anesthesiology | 4500 Memorial Drive, Belleville, IL 62223 | 2006-09-26 |
| 1063512705 | Mark C Morris | Anesthesiology | 4500 Memorial Drive, Belleville, IL 62223 | 2006-09-23 |
| 1053418251 | Kathleen H Slocomb | Anesthesiology | 4500 Memorial Drive, Belleville, IL 62223 | 2006-09-20 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
Please comment or provide details below to improve the information on GOUT INSTITUTE OF AMERICA.
| 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.