RIVENDELL PEDIATRIC AND ADOLSCENT MEDICINE, PC (NPI# 1497797864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497797864 |
| Entity Type | Organization |
| Organization Name | RIVENDELL PEDIATRIC AND ADOLSCENT MEDICINE, PC |
| Practice Address |
25 Homestead Dr Ste H Columbus NJ 08022-1005 |
| Practice Telephone | 6094240340 |
| Practice Fax Number | 6092987452 |
| Mailing Telephone | 6094240340 |
| Mailing Fax Number | 6092987452 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. KENNETH MICHAEL HIRSCH (MD/PRES) |
| Authorized Official Telephone | 6094240340 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 25MA04122800 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
25 HOMESTEAD DR STE H |
| City | COLUMBUS |
| State | NJ |
| Zip Code | 08022-1005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023015880 | Kenneth Michael Hirsch | Pediatrics | 25 Homestead Dr, Ste H, Columbus, NJ 08022-1005 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053824284 | Whitney Gould | Physical Therapist | 23204 Colubus Road, Homestead Plaza II, Columbus, NJ 08022 | 2017-11-09 |
| 1902286693 | Advoserv of New Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1182 Hedding Rd, Columbus, NJ 08022 | 2015-06-08 |
| 1649547621 | Eric Brian Pullen | Pharmacist | 25 Homestead Drive Suite F, Boyds Pharmacy of Mansfield,inc, Columbus, NJ 08022 | 2011-11-19 |
| 1730478165 | Alicia Thornton | Physical Therapy Assistant | 51 Birmingham Drive, Columbus, NJ 08022 | 2011-04-06 |
| 1801063508 | Lisa Antas | Veterinarian | 3075 Rte 206, Columbus, NJ 08022 | 2008-05-12 |
| 1477729044 | Howard William Redlus | Veterinarian | 3075 Rte 206 S Columbus Central Veterinary Hospital, Columbus, NJ 08022 | 2008-05-05 |
| 1225175011 | Jaeok Cha | Psychiatry & Neurology | 45 Homestead Drive, Suite B, Columbus, NJ 08022 | 2007-01-31 |
| 1104984822 | The Foot and Ankle Group PC | Podiatrist | 1 Sheffield Drive, Columbus, NJ 08022 | 2006-12-05 |
| 1699846113 | Kennedy Health System Assisted Living | Assisted Living Facility | .3501 West Chapel Avenue, Cherry Hill, NJ 08022 | 2006-11-13 |
| 1629076625 | Rim Al-bezem | Internal Medicine | 23203 Columbus Rd Ste 1, Columbus, NJ 08022 | 2005-07-13 |
| Find all providers in zip 08022 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528677085 | Mariam Khan | Pediatrics | 2277 Summit St, Columbus, OH 43202-3131 | 2020-07-30 |
| 1992354344 | Rouba Sayegh | Pediatrics | 315 Frankfort Sq, Columbus, OH 43206-1061 | 2019-09-09 |
| 1649736042 | Ece Baris | Pediatrics | 5900 River Rd # 401, Columbus, GA 31904-4578 | 2019-02-11 |
| 1386150282 | Another Beginning Inc | Pediatrics | 1830 Bethel Rd Ste D, Columbus, OH 43220 | 2017-12-15 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| 1457763096 | Darren Klawinski | Pediatrics | 700 Childrens Dr # Drive5, Columbus, OH 43205-2664 | 2014-06-02 |
| 1689002198 | Pediatric Partners of Columbus PC | Pediatrics | 1336 3rd Avenue, Suite B, Columbus, GA 31901-2114 | 2013-10-18 |
| 1639450877 | Mercymed of Columbus Inc | Pediatrics | 3702 2nd Avenue, Columbus, GA 31904 | 2011-09-01 |
| 1558658997 | Shilpa Jeevan Vernekar | Pediatrics | 1546 10th Ave Ste A, Columbus, GA 31901-3613 | 2011-07-06 |
| 1053605642 | W Lloyd Hudson Jr | Pediatrics | 5652 Veterans Pkwy, Columbus, GA 31904-9002 | 2011-06-01 |
| Find all providers in COLUMBUS | ||||
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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.