MARK MICHAEL


Address: 201 Lyons Ave, Suite L5, Newark, NJ 07112-2027
Phone: 9739263500

MARK MICHAEL (NPI# 1528296142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528296142
Entity Type Individual
Full Name MARK MICHAEL
Credential DO
Practice Address 201 Lyons Ave
Suite L5
Newark
NJ 07112-2027
Mailing Address 201 Lyons Ave
L5
Newark
NJ 07112-2027
Practice Telephone 9739263500
Enumeration Date 2009-06-23
Last Update Date 2016-09-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0202X Pediatrics
Specialization: Pediatric Cardiology
25MB09737300 NJ Allopathic & Osteopathic Physicians

Other Providers MARK MICHAEL

NPI Name Taxonomy Address Enumeration
1710997390 Mark Michael Allergy & Immunology 5757 Glenway Ave, Cincinnati, OH 45238-2105 2006-08-08
1467486522 Mark A Michael Chiropractor 405 N Calhoun Rd, Suite 105, Brookfield, WI 53005-5902 2006-07-11
1508864166 Mark C Michael Psychologist 309 Federal Ave E, Ste A, Seattle, WA 98102-5416 2005-07-08
1134745482 Mark Michael Student in an Organized Health Care Education/Training Program 1 Medical Center Dr Ste 146, Stratford, NJ 08084-1500 2020-06-23
1225660400 Mark Michael Registered Nurse 10467 93rd Ave N, Maple Grove, MN 55369-4112 2020-02-06
1992138382 Mark Reid Michael General Acute Care Hospital 1200 N Beaver St, Flagstaff, AZ 86001-3118 2013-08-21
1457321069 Mark A Michael Optometrist 4403 W Court St, Suite J, Pasco, WA 99301-2879 2006-01-25

Office Location

Street Address 201 LYONS AVE
SUITE L5
City NEWARK
State NJ
Zip Code 07112-2027

Providers in the same location

NPI Name Taxonomy Address Enumeration
1982607149 Dong Chen Anesthesiology 201 Lyons Ave, Newark, NJ 07112-2027 2005-05-23
1558962100 Chris Kemen Student in an Organized Health Care Education/Training Program 201 Lyons Ave, Newark, NJ 07112-2027 2020-11-02
1275132904 Special LLC Emergency Medicine 201 Lyons Ave, Newark, NJ 07112-2027 2020-10-23
1326646019 University Medical Associates (om) Internal Medicine 201 Lyons Ave, Newark, NJ 07112-2027 2020-10-14
1063010742 University Pediatric Associates (om) Pediatrics 201 Lyons Ave, Newark, NJ 07112-2027 2020-10-14
1932716586 University Physician Associates of New Jersey, Inc. Pediatrics 201 Lyons Ave, Newark, NJ 07112-2027 2020-09-28
1225642200 Cresencia E Leopold Nurse Practitioner 201 Lyons Ave, Newark, NJ 07112-2027 2020-09-07
1538786546 Uri Netanel Schneider Student in an Organized Health Care Education/Training Program 201 Lyons Ave, Newark, NJ 07112-2027 2020-06-25
1275158032 Nneka E Emenaka Nurse Practitioner 201 Lyons Ave, Newark, NJ 07112-2027 2020-06-08
1447874151 Sarah Karron Student in an Organized Health Care Education/Training Program 201 Lyons Ave, Newark, NJ 07112-2027 2020-05-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073129680 Kimberly Sjockeia Smith-jones Massage Therapist 590 Irvine Turner Blvd, Newark, NJ 07112 2020-09-18
1346880325 Latifat Olabisi Bamgbose Licensed Practical Nurse 233 Lehigh Avenue, #3, Newark, NJ 07112 2020-01-08
1316588122 Leila Renee Grubbs Counselor 140 Chancellor Avenue, 1b, Newark, NJ 07112 2019-10-02
1891347225 Obeng Pharmacy LLC Pharmacy 431-433 Elizabeth Avenue, Newark, NJ 07112 2019-07-16
1124595723 Patience Marks Nurse Practitioner 15 Shaw Avenue, Newark, NJ 07112 2018-11-01
1215425145 Johnbosco Okpala Student in an Organized Health Care Education/Training Program Nbimc 201 Lyons Ave, Newark, NJ 07112 2018-04-26
1700383809 Big Sam's Services LLC Home Health 349 Hawthorne Avenue, Newark, NJ 07112 2018-04-06
1780117325 Vivien Wai Tung Ku Student in an Organized Health Care Education/Training Program 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 2017-04-11
1265839922 Bhavinkumar Shah Pharmacist 178-180 Lyons Ave, Newark, NJ 07112 2014-11-24
1629377445 Isaac Abiola Popoola Registered Nurse 357 Schley Aptb4, Newark, NJ 07112 2011-03-18
Find all providers in zip 07112

Taxonomy Information

Taxonomy Code 2080P0202X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Cardiology

Taxonomy Definition

A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
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/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326277799 Sarika Kalantre Pediatrics 90 Bergen St # 5100, Newark, NJ 07103 2009-07-07
1669769741 Kanwal Majeed Farooqi Pediatrics 90 Bergen St, Division of Pediatric Cardiology, Newark, NJ 07103-2425 2011-07-08
1114134715 Jose R Antillon Pediatrics 90 Bergen St, Doc 5100, Newark, NJ 07103-2425 2007-05-16
1275640518 Claire Kathleen Mcmahon Pediatrics 90 Bergen St, Doc 5100, Newark, NJ 07103-2425 2006-08-24
1144237645 Rajiv Verma Pediatrics 201 Lyons Ave, Pediatric Cardiology, Suite L-5, Newark, NJ 07112-2027 2006-08-01

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1134773716 Children's Center for Holistic Heart Health LLC Pediatrics 9 Hemlock Dr, Paramus, NJ 07652-3311 2019-07-31
1124420211 Hudson Childrens Heart Center LLC Pediatrics 3234 John F Kennedy Blvd, Jersey City, NJ 07306-3419 2014-09-19
1649400656 Cornelia Balteanu Pediatrics 1056 Dearborn Rd, Fort Lee, NJ 07024-4235 2009-07-24
1871739748 Mohy Eldin A Kotb Pediatrics 33-41 Newark St Ste 4c, Hoboken, NJ 07030-5620 2008-12-26
1043486129 Subhashini Subramanian Pediatrics 155 Polifly Rd Ste 106, Hackensack, NJ 07601-1749 2008-05-07
1164631537 Maria Angela Tobias Umali-pamintuan Pediatrics 1623 Route 88 West, Suite A, Brick, NJ 08723 2007-05-22
1457571150 Alpert,zales and Castro Pediatric Cardiology, Pa Pediatrics 1623 Route 88, Suite A, Brick, NJ 08724-3048 2007-04-26
1760606230 Howard A Zucker Pediatrics 100 Winston Dr, Apt 9j-south, Cliffside Park, NJ 07010-3240 2007-04-13
1215079702 Jose Marin Pediatrics 75 Raritan Avenue, Highland Park, NJ 08904 2007-02-13
1235167123 Loyda I Rivera Pediatrics 3204 Allaire Rd, Wall Township, NJ 07719-9165 2006-06-29
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Competitor

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City NEWARK
Zip Code 07112

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Dataset Information

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.

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