CHARLES EDWARD KORDULA (NPI# 1578999116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578999116 |
| Entity Type | Individual |
| Full Name | CHARLES EDWARD KORDULA |
| Credential | MD |
| Practice Address |
9 Elm Pl Woodcliff Lake NJ 07677-8013 |
| Practice Telephone | 2019300422 |
| Mailing Telephone | 2015730493 |
| Mailing Fax Number | 2019300422 |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2013-09-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | 25MA03586200 | NJ | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 25MA03586200 | NJ | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 25MA03586200 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
9 ELM PL |
| City | WOODCLIFF LAKE |
| State | NJ |
| Zip Code | 07677-8013 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801238605 | Rachel Ann Herron | Social Worker | 5 Pascack Road, Woodcliff Lake, NJ 07677 | 2013-07-22 |
| 1023306982 | Eleanor M Van Wyk | Surgery | 106 Werimus Rd, Woodcliff Lake, NJ 07677 | 2011-07-13 |
| 1417111055 | Donald Ray Caine | Dentist | 99 Winding Way, Woodcliff Lake, NJ 07677 | 2008-07-14 |
| 1649450685 | William E Kurylo | Dentist | 39 Woodcliff Ave, Woodcliff Lake, NJ 07677 | 2007-11-07 |
| 1689881385 | Jeffrey M Davis | Chiropractor | 52 Heritage Ct., Woodcliff Lake, NJ 07677 | 2007-05-16 |
| 1861529851 | Zahida Nagy | Psychologist | 14 Kinderkamaek Road, Woodcliff Lake, NJ 07677 | 2007-02-27 |
| 1508905605 | Rachela Marie Paul | Social Worker | 23 Marz Drive, Woodcliff Lake, NJ 07677 | 2007-02-05 |
| 1831261585 | Wendi L Polhemus | Chiropractor | 21 Broadway, Suite E, Woodcliff Lake, NJ 07677 | 2006-11-15 |
| 1801979752 | Mahmood M Karimi | Family Medicine | 50 Kinderkamack Road, Woodcliff Lake, NJ 07677 | 2006-10-23 |
| 1205931268 | Alison Strasser Winston | Psychologist | 50 Tice Blvd Ste 340, Woodcliff Lake, NJ 07677 | 2006-09-14 |
| Find all providers in zip 07677 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| Find all providers with the same taxonomy | ||||
| City | WOODCLIFF LAKE |
| Zip Code | 07677 |
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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.