DR. IVAN SAFONOFF (NPI# 1558504514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558504514 |
| Entity Type | Individual |
| Full Name | DR. IVAN SAFONOFF |
| Credential | M.D. |
| Practice Address |
90 Stompf Tavern Rd Stockton NJ 08559-1801 |
| Practice Telephone | 6093978864 |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 084127-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NEW YORK STATE OFFICE OF PROFESSIONS | 084127-1 | 01 |
| Street Address |
90 STOMPF TAVERN RD |
| City | STOCKTON |
| State | NJ |
| Zip Code | 08559-1801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730569351 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 871 County Rte 579, Delaware Township, NJ 08559 | 2015-06-09 |
| 1497729305 | John A Salerno | Social Worker | 56 South Main St, Ste A, Stockton, NJ 08559 | 2006-02-15 |
| 1164498333 | Stuart H Freedenfeld | Family Medicine | 56 S Main St, Ste A, Stockton, NJ 08559 | 2006-02-27 |
| 1568436517 | Stuart H Freedenfeld | Family Medicine | 56 S Main St, Ste A, Stockton, NJ 08559 | 2006-02-15 |
| 1679076400 | Kasey Miller Ross | Behavioral Analyst | 60 Ferry Rd, Stockton, NJ 08559-1003 | 2018-03-18 |
| 1164653960 | Janet Patricia Mcmahon | Nurse Practitioner | 63 Britton Rd, Stockton, NJ 08559-1007 | 2009-07-28 |
| 1952781544 | Allies, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 85 Locktown Sergeantsville Rd, Stockton, NJ 08559-1115 | 2015-06-09 |
| 1053787903 | Sally Kydd | Psychologist | 17 Sanford Rd, Stockton, NJ 08559-1204 | 2015-08-14 |
| 1558897603 | David Herbel | Counselor | 42 Milltown Rd, Stockton, NJ 08559-1303 | 2017-05-11 |
| 1972586642 | Gary Alan Falcetano | Physician Assistant | 4 Edna Horn Dr, Stockton, NJ 08559-1401 | 2005-11-27 |
| Find all providers in zip 08559 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255956132 | Adventist Health Physicians Network | Internal Medicine | 10200 Trinity Pkwy Ste 102, Stockton, CA 95219-7287 | 2020-06-16 |
| 1750773792 | Centurion Valley Healthcare Inc. | Internal Medicine | 6337 Brook Hollow Cir, Stockton, CA 95219-2441 | 2015-02-27 |
| 1134477599 | Mahboob Ali | Internal Medicine | 1801 E March Ln Ste A170, Stockton, CA 95210-6673 | 2012-08-16 |
| 1841586781 | Brian Aloyisus Boyle | Internal Medicine | 112 Dunkard Church Rd, Stockton, NJ 08559-1406 | 2011-06-20 |
| 1154635506 | Shalini Madugundi | Internal Medicine | 2015 E Mariposa Rd, Stockton, CA 95205-7735 | 2010-07-27 |
| 1952534927 | Geriatrics Long Term Care Medical Corporation | Internal Medicine | 1240 Robinhood Drive, Suite A, Stockton, CA 95207-5507 | 2009-08-25 |
| 1427212653 | Connie Tang Singh | Internal Medicine | 1801 E March Ln Ste C310, Stockton, CA 95210-6683 | 2008-07-16 |
| 1285897892 | Rashaad Ahmed Chothia | Internal Medicine | 415 E Harding Way Ste I, Stockton, CA 95204 | 2008-07-03 |
| 1346400546 | Swetha Ramachandran | Internal Medicine | 5049 Pine Lake Ct, Stockton, CA 95219-2030 | 2008-06-11 |
| 1942467451 | Yi-po Anthony Wu.,m.d.,m.p.h.,inc | Internal Medicine | 645 W Harding Way Ste 15, Stockton, CA 95204-5688 | 2008-05-21 |
| Find all providers in STOCKTON | ||||
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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.