WALID J. BADDOURA M.D.,P.A. (NPI# 1467544015) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467544015 |
| Entity Type | Organization |
| Organization Name | WALID J. BADDOURA M.D.,P.A. |
| Practice Address |
716 Broad St Clifton NJ 07013-1645 |
| Practice Telephone | 9737777733 |
| Practice Fax Number | 9737770669 |
| Mailing Telephone | 9737777733 |
| Mailing Fax Number | 9737770669 |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2011-12-12 |
| Authorized Official Name | WALID J BADDOURA (OWNER) |
| Authorized Official Telephone | 9737777733 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MA33827 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3075001 | 05 |
| Street Address |
716 BROAD ST |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-1645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326093204 | Edward F Kugler | Obstetrics & Gynecology | 716 Broad St, Clifton, NJ 07013-1645 | 2006-05-22 |
| 1235655077 | Pediatrics First LLC | General Practice | 716 Broad St, Clifton, NJ 07013-1645 | 2017-08-14 |
| 1396285375 | Kate Elizabeth Keller | Advanced Practice Midwife | 716 Broad St, Clifton, NJ 07013-1645 | 2017-02-24 |
| 1164960480 | Jessica Hayes | Advanced Practice Midwife | 716 Broad St, Clifton, NJ 07013-1645 | 2017-02-07 |
| 1588110746 | Alyssa Wall | Nurse Practitioner | 716 Broad St, 2a, Clifton, NJ 07013-1645 | 2016-08-28 |
| 1760849426 | Jennifer C. Gobencion | Advanced Practice Midwife | 716 Broad St, Clifton, NJ 07013-1645 | 2016-01-26 |
| 1053787036 | Jennifer Enrique | Nurse Practitioner | 716 Broad St, Suite 2a, Clifton, NJ 07013-1645 | 2015-08-13 |
| 1154701167 | Victor Mendez | Dietitian, Registered | 716 Broad St, 2nd Fl, Suite 2-e, Clifton, NJ 07013-1645 | 2015-06-04 |
| 1922485556 | Nj Premier Heart LLC | Internal Medicine | 716 Broad St, Suite 2d, Clifton, NJ 07013-1645 | 2015-05-04 |
| 1386021913 | Nj Premier Medical Care | Internal Medicine | 716 Broad St, Clifton, NJ 07013-1645 | 2015-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1205924248 | John J Farkas | Internal Medicine | 842 Clifton Ave Ste 6, Clifton, NJ 07013-1800 | 2006-10-11 |
| 1205846904 | Ashok Gupta | Internal Medicine | 842 Clifton Ave, Suite 6, Clifton, NJ 07013 | 2006-08-08 |
| 1043266596 | Hossam Elfarra Md Pa | Internal Medicine | 1300 Main Ave Ste 1b, Clifton, NJ 07011-2266 | 2006-05-26 |
| 1093772030 | Steven David Gronowitz | Internal Medicine | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2006-04-26 |
| 1295712446 | Parthiv V Raval | Internal Medicine | 1100 Clifton Ave, Suite 7, Clifton, NJ 07013-3631 | 2005-12-29 |
| 1225294499 | Andrew Scott Boxer | Internal Medicine | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2008-08-06 |
| 1306005962 | Natan Krohn | Internal Medicine | 1011 Clifton Ave, Clifton, NJ 07013-3518 | 2008-06-08 |
| 1245499433 | Parthiv V Raval,md LLC | Internal Medicine | 975 Clifton Ave, Clifton, NJ 07013-2722 | 2008-06-03 |
| 1508053125 | William J. Focazio, Md Pa | Internal Medicine | 999 Clifton Ave, Clifton, NJ 07013-2711 | 2007-09-27 |
| 1245371459 | Dr. John Farkas Md | Internal Medicine | 716 Broad St, Clifton, NJ 07013-1645 | 2007-02-09 |
| Find all providers in CLIFTON | ||||
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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.