MARK MICHAEL (NPI# 1528296142) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
25MB09737300 | NJ | Allopathic & Osteopathic Physicians |
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 |
Street Address |
201 LYONS AVE SUITE L5 |
City | NEWARK |
State | NJ |
Zip Code | 07112-2027 |
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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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 Code | 2080P0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Cardiology |
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. |
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 |
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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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.