CHARLES BLAIR STILLERMAN (NPI# 1477628667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477628667 |
| Entity Type | Individual |
| Full Name | CHARLES BLAIR STILLERMAN |
| Credential | M.D., F.A.C.S. |
| Practice Address |
310 Madison Avenue Suite 300 Atlantic Neurosurgical Specialts Morristown NJ 07960-6967 |
| Practice Telephone | 9732857800 |
| Practice Fax Number | 9732857805 |
| Mailing Telephone | 9732857800 |
| Mailing Fax Number | 9732857805 |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2017-01-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 25MA 08659500 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0289043 | 05 |
| Street Address |
310 MADISON AVENUE SUITE 300 ATLANTIC NEUROSURGICAL SPECIALTS |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6967 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861893588 | Abelardo Dario Inoa | Neurological Surgery | 6 Normandy Pkwy, Morristown, NJ 07960-5716 | 2014-09-12 |
| 1295792380 | Catherine Mazzola | Neurological Surgery | 131 Madison Ave Ste 140, Nj Pediatric Neuroscience Institute, Morristown, NJ 07960-7360 | 2006-05-01 |
| 1003454158 | Nina Manesh Villalobos | Neurological Surgery | 310 Madison Ave Ste 300, Morristown, NJ 07960-6996 | 2019-12-18 |
| 1295961555 | Kyle T Chapple | Neurological Surgery | 310 Madison Ave, Suite 300, Morristown, NJ 07960-6967 | 2009-06-01 |
| 1558503672 | New Jersey Pediatric Neuroscience Institute, LLC | Neurological Surgery | 131 Madison Ave, Suite 140, Morristown, NJ 07960-7360 | 2009-04-03 |
| 1518126242 | Scott Andrew Meyer | Neurological Surgery | 310 Madison Avenue, Suite 200, Morristown, NJ 07960-9693 | 2008-06-06 |
| 1154516532 | Paul Stuart Saphier | Neurological Surgery | 310 Madison Ave, Suite 300, Morristown, NJ 07960-6967 | 2007-09-10 |
| 1427253665 | Pinakin R Jethwa | Neurological Surgery | 310 Madison Ave, Suite 300, Morristown, NJ 07960-6967 | 2007-06-18 |
| 1013111830 | Yaron Aharon Moshel | Neurological Surgery | 310 Madison Ave, Suite 300, Morristown, NJ 07960-6967 | 2007-06-14 |
| 1366576845 | David Wells-roth | Neurological Surgery | 310 Madison Ave, Suite 300, Morristown, NJ 07960-6967 | 2007-03-15 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
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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.