DR. AMANDA FARAG (NPI# 1548421910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548421910 |
| Entity Type | Individual |
| Full Name | DR. AMANDA FARAG |
| Credential | MD |
| Practice Address |
385 Tremont Ave (561/128) East Orange NJ 07018-1023 |
| Practice Telephone | 9736761000 |
| Mailing Telephone | 9736761000 |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2015-07-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
25MA09263000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
385 TREMONT AVE (561/128) |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018-1023 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396731691 | Bernadette Galli | Nurse Practitioner | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2005-09-22 |
| 1134735509 | Avneesh Singh Arora | Social Worker | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-09-21 |
| 1447866967 | Frank Andrew Feraco | Dentist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-09-21 |
| 1194339259 | Kelly Chu | Psychologist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-09-04 |
| 1780297903 | Meredith Fleece | Social Worker | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-08-27 |
| 1740892280 | Julianna Marie Mola | Optometrist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-08-17 |
| 1285244434 | Samantha Varon | Psychologist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-08-03 |
| 1639797319 | Jan Mika Dy Tioco | Pharmacist | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-07-09 |
| 1508480393 | Estefania Pilar Cabezas | Clinic/Center | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-06-08 |
| 1578186771 | Stephanie Solanki | Student in an Organized Health Care Education/Training Program | 385 Tremont Ave, East Orange, NJ 07018-1023 | 2020-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1659882082 | Bmg East Orange LLC | Internal Medicine | 200 Freeway Dr E Ste 305, East Orange, NJ 07018 | 2017-10-12 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811098437 | Carol M Gibson-gill | Physical Medicine & Rehabilitation | 385 Tremont Ave, East Orange, NJ 07018 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073567095 | Regional Orthopedic Professional Association | Physical Medicine & Rehabilitation | 499 Cooper Landing Rd, Cherry Hill, NJ 08002 | 2006-05-22 |
| 1235119686 | Susan V Garstang | Physical Medicine & Rehabilitation | 30 Bergen St, Admc 101, Newark, NJ 07107-3000 | 2006-01-20 |
| 1336485630 | Monica Mehta Md | Physical Medicine & Rehabilitation | 191 Palisade Ave, Jersey City, NJ 07306-1112 | 2012-12-14 |
| 1063739829 | Integrative Functional Medicine Associates LLC | Physical Medicine & Rehabilitation | 292 Bloomfield Ave, 2nd Floor, Montclair, NJ 07042-3624 | 2010-05-03 |
| 1962731000 | Trevor Anthony Justin Dyson-hudson | Physical Medicine & Rehabilitation | 1199 Pleasant Valley Way, Kessler Foundation Research Center, West Orange, NJ 07052-1424 | 2009-12-21 |
| 1043274350 | Kurt Florian P Thomas | Physical Medicine & Rehabilitation | 30 Prospect Ave, Neuroscience Institute, Hackensackumc, Hackensack, NJ 07601-1915 | 2006-04-13 |
| City | EAST ORANGE |
| Zip Code | 07018 |
Please comment or provide details below to improve the information on DR. AMANDA FARAG.
| 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.