PREVENTIVE MEDICINE OF NEW JERSEY INC (NPI# 1578619508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578619508 |
Entity Type | Organization |
Organization Name | PREVENTIVE MEDICINE OF NEW JERSEY INC |
Practice Address |
2 Lincoln Highway Suite 410 Edison NJ 08820 |
Practice Telephone | 7329060016 |
Practice Fax Number | 7329068540 |
Mailing Telephone | 7329060016 |
Mailing Fax Number | 7329068540 |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-08-22 |
Authorized Official Name | GEORGE JAMES MILLENDICK (MEDICAL DIRECTOR) |
Authorized Official Telephone | 7329060016 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
25MA03420900 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
2 LINCOLN HIGHWAY SUITE 410 |
City | EDISON |
State | NJ |
Zip Code | 08820 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124090881 | Jonathan C Dunn | Internal Medicine | 2 Lincoln Highway, Suite 501, Edison, NJ 08820 | 2006-02-06 |
1992850820 | Aijuan Wang | Pediatrics | 2 Lincoln Highway, Suite 500, Edison, NJ 08820 | 2007-01-23 |
1912098765 | Kenneth I Mirsky | Anesthesiology | 2 Lincoln Highway, Suite 500, Edison, NJ 08820 | 2006-09-27 |
1902997760 | Matthew Thompson | Anesthesiology | 2 Lincoln Highway, Suite 500, Edison, NJ 08820 | 2006-09-27 |
1619068475 | Lakshmi Gudimella | Anesthesiology | 2 Lincoln Highway, Suite 500, Edison, NJ 08820 | 2006-09-27 |
1528159381 | Michael Armao | Anesthesiology | 2 Lincoln Highway, Suite 500, Edison, NJ 08820 | 2006-09-27 |
1346331105 | Alton B Kinsey II | Anesthesiology | 2 Lincoln Highway, Suite 500, Edison, NJ 08820 | 2006-09-27 |
1104917814 | George Doss | Anesthesiology | 2 Lincoln Highway, Suite 500, Edison, NJ 08820 | 2006-09-27 |
1487745196 | Herbert Lee | Anesthesiology | 2 Lincoln Highway, Suite 500, Edison, NJ 08820 | 2006-09-27 |
1639260342 | Ramon Carabuena | Anesthesiology | 2 Lincoln Highway, Suite 500, Edison, NJ 08820 | 2006-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
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Taxonomy Code | 2083P0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Preventive Medicine |
Specialization | Preventive Medicine/Occupational Environmental Medicine |
A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932227246 | David A Tobias | Preventive Medicine | 135 Raritan Center Pkwy, Edison, NJ 08837-3625 | 2007-03-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164828695 | Healthstat On-site Clinic-plymouth Rock Mgt Group | Preventive Medicine | 581 Main St Ste 304, Woodbridge, NJ 07095-1148 | 2014-11-11 |
1245636851 | Total Restorative Health, LLC | Preventive Medicine | 519 River Rd, Second Floor, Edgewater, NJ 07020-1146 | 2014-11-10 |
1184038283 | Healthstat Onsite Clinic- Zeus Branchburg | Preventive Medicine | 134 Chubb Way, Branchburg, NJ 08876-3935 | 2014-06-17 |
1114296845 | Healthstat Inc. | Preventive Medicine | 40 Technology Dr, Warren, NJ 07059-5148 | 2011-12-27 |
1932397742 | Glenn Joel Greene | Preventive Medicine | 72 Jacobs Creek Rd, West Trenton, NJ 08628-1704 | 2007-10-05 |
1275753063 | James A. Neubrander | Preventive Medicine | 485a Route 1 S, Suite 320, Iselin, NJ 08830-3012 | 2007-04-26 |
1003934159 | Francis E Mann | Preventive Medicine | 70-94 Levine Street, Paterson, NJ 07503 | 2007-03-27 |
1538287909 | Lisa C James | Preventive Medicine | 116 Corporate Blvd, South Plainfield, NJ 07080-2437 | 2007-03-26 |
1215080775 | Omowunmi Yejide Osinubi | Preventive Medicine | 170 Frelinghuysen Rd Rm 202, Environmental & Occupational Health Sciences Institute, Piscataway, NJ 08854-8020 | 2007-01-19 |
1336151471 | Ron F. Teichman | Preventive Medicine | 4 Forest Dr, West Orange, NJ 07052-2207 | 2006-08-13 |
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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.