DR. ABELARDO DESIDERIO (NPI# 1487768610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487768610 |
| Entity Type | Individual |
| Full Name | DR. ABELARDO DESIDERIO |
| Credential | MD |
| Practice Address |
25 Pocono Rd Pathology Department Denville NJ 07834-2954 |
| Mailing Address |
98 Ford Rd Denville NJ 07834-1374 |
| Practice Telephone | 9736256716 |
| Practice Fax Number | 9739832367 |
| Mailing Telephone | 9736253366 |
| Mailing Fax Number | 9736250349 |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
25MA02964000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1699407 | 05 |
| Street Address |
25 POCONO RD PATHOLOGY DEPARTMENT |
| City | DENVILLE |
| State | NJ |
| Zip Code | 07834-2954 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950049 | Jin H Kim | Anesthesiology | 25 Pocono Rd, Denville, NJ 07834-2954 | 2005-05-27 |
| 1467076992 | Jason Pallimulla | Student in an Organized Health Care Education/Training Program | 25 Pocono Rd, Denville, NJ 07834-2954 | 2020-06-01 |
| 1770103087 | Moksha P Vangala | Student in an Organized Health Care Education/Training Program | 25 Pocono Rd, Denville, NJ 07834-2954 | 2020-04-16 |
| 1649899170 | Yanxi Jiang-nast | Student in an Organized Health Care Education/Training Program | 25 Pocono Rd, Denville, NJ 07834-2954 | 2020-04-14 |
| 1437778495 | Ravnit Singh | Student in an Organized Health Care Education/Training Program | 25 Pocono Rd, Denville, NJ 07834-2954 | 2020-04-10 |
| 1265061683 | Muhammad Riaz Khan | Student in an Organized Health Care Education/Training Program | 25 Pocono Rd, Denville, NJ 07834-2954 | 2020-04-07 |
| 1578192373 | Jonathan Livingston | Student in an Organized Health Care Education/Training Program | 25 Pocono Rd, Denville, NJ 07834-2954 | 2020-04-03 |
| 1053949420 | Liliana Moreno Garcia | Student in an Organized Health Care Education/Training Program | 25 Pocono Rd, Denville, NJ 07834-2954 | 2020-03-31 |
| 1134757396 | Prajeet Reddy | Student in an Organized Health Care Education/Training Program | 25 Pocono Rd, Denville, NJ 07834-2954 | 2020-03-31 |
| 1790313260 | Ikechukwu Chidobem | Student in an Organized Health Care Education/Training Program | 25 Pocono Rd, Denville, NJ 07834-2954 | 2020-03-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891304622 | Rosemarie Proven-fahy | Social Worker | 3175 Rt. 10 Building C, Suite 700, Denville, NJ 07834 | 2020-07-28 |
| 1568083327 | Anand Jetti | Student in an Organized Health Care Education/Training Program | Prime Healthcare Consortium At St. Mary's General Hospi, 25 Pocono Road, Denville, NJ 07834 | 2020-05-04 |
| 1265088892 | Absolute Awakenings Treatment Center LLC | Clinic/Center | 3000 Route 10 West, Denville, NJ 07834 | 2019-08-09 |
| 1326607243 | Recovery Zone Solutions, LLC | Clinic/Center | 124 East Main Street, Ste#109, Denville, NJ 07834 | 2019-06-13 |
| 1477022770 | Green Leaf Dentistry, LLC | Dentist | 3155 Route 10, Suite 201, Denville, NJ 07834 | 2018-11-15 |
| 1366955528 | Megan D Lukany | Social Worker | 4 2nd Ave Ste 208-b, Denville, NJ 07834 | 2017-11-09 |
| 1235680430 | Jennifer Jeanty | Nurse Practitioner | 280 W Main St Fl 2, Denville, NJ 07834 | 2016-10-22 |
| 1689129942 | Alejandro Castano | Dentist | 16 Pocono Rd Ste 213, Denville, NJ 07834 | 2016-08-16 |
| 1265830830 | Denville Physical Therapy, LLC | Physical Therapist | 3155 Rte 10 E, Suite 112, Denville, NJ 07834 | 2014-12-15 |
| 1538565577 | Michael T. Cocuzza | Counselor | 76 Broadway Ste 200h, Denville, NJ 07834 | 2014-11-18 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043324338 | Jun Li | Pathology | 25 Pocono Road, Pathology Department, Denville, NJ 07834-2954 | 2006-08-17 |
| 1639405764 | Avante Pathology, LLC | Pathology | 25 Pocono Rd, Saint Clares Hospital Department of Pathology, Denville, NJ 07834-2954 | 2009-10-24 |
| 1003920240 | Seraphim Rimarenko | Pathology | 25 Pocono Rd, Pathology Department, Denville, NJ 07834-2954 | 2006-08-17 |
| 1962460386 | Leonid Li | Pathology | 25 Pocono Rd, 2nd Floor St.clare's Hospital, Denville, NJ 07834-2954 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881107498 | James Mark Vangurp Jr. | Pathology | 25 Raymond Pl, Hawthorne, NJ 07506-1112 | 2017-11-06 |
| 1902218498 | Tianhua Guo | Pathology | 385 Ocean Blvd Apt 3g, Long Branch, NJ 07740-5736 | 2014-06-02 |
| 1164850335 | Qualdx, LLC | Pathology | 1305 Kings Hwy N Ste 2, Cherry Hill, NJ 08034-1919 | 2013-10-24 |
| 1528493574 | Noel Kowal | Pathology | 150 Bergen St Dept Of, Newark, NJ 07103-2496 | 2013-09-10 |
| 1447591656 | Manuel Halcon Moraleda | Pathology | 1 Buckingham Dr, Berlin, NJ 08009-9689 | 2013-03-13 |
| 1801132634 | Sunder H, Mansukhani | Pathology | 48 Old Mill Dr, Voorhees, NJ 08043-4781 | 2012-12-26 |
| 1992062103 | Nicole Saviano | Pathology | 19 Woodfield Ln, Saddle River, NJ 07458-3219 | 2012-04-12 |
| 1619240991 | John Earl Pickering | Pathology | 357 Breakneck Rd, Sewell, NJ 08080-4407 | 2012-02-16 |
| 1235401936 | Richard Bruce Maranoff | Pathology | 402 Chanticleer, Cherry Hill, NJ 08003-4830 | 2012-01-27 |
| 1467735290 | Reena Schaeffer | Pathology | 61 Kings Hwy W, Haddonfield, NJ 08033-2114 | 2011-09-28 |
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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.