HERITAGE LAPAROSCOPY ACUTE CARE SURGERY PC (NPI# 1598316143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598316143 |
| Entity Type | Organization |
| Organization Name | HERITAGE LAPAROSCOPY ACUTE CARE SURGERY PC |
| Practice Address |
9 Post Rd Ste M7 Oakland NJ 07436-1615 |
| Mailing Address |
17-05 Greenwood Dr Fair Lawn NJ 07410-4533 |
| Practice Telephone | 2018332888 |
| Mailing Telephone | 2018730500 |
| Enumeration Date | 2019-09-25 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | DR. DAVID S RADVINSKY (INCORPORATOR) |
| Authorized Official Telephone | 2018730500 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 261 Old Hook Rd, Westwood, NJ 076753102 | 2018332888 | |
| 741 Teaneck Rd Ste B, Teaneck, NJ 076664243 | 2018332888 |
| Street Address |
9 POST RD STE M7 |
| City | OAKLAND |
| State | NJ |
| Zip Code | 07436-1615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376065680 | Jade Chinesse West | Occupational Therapy Assistant | 21 Oswego Ave, Oakland, NJ 07436 | 2017-07-10 |
| 1932521101 | Joyce Thomas | Nurse Practitioner | 14 Post Rd., Oakland, NJ 07436 | 2014-01-07 |
| 1770849739 | James A Hertel | Pharmacist | 373 Ramapo Valley Road, Oakland, NJ 07436 | 2012-04-04 |
| 1841520616 | Megan E Brooks | Physical Therapist | 100 Bauer Drive, Oakland, NJ 07436 | 2009-12-30 |
| 1669621231 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 409 Ramapo Valley Rd, Oakland, NJ 07436 | 2008-09-18 |
| 1265691190 | Donna J Lombardi-goldfus | Pediatrics | 50 Overlook Ridge, Oakland, NJ 07436 | 2008-06-05 |
| 1962547836 | Marvin Lagstein D M D P A | Dentist | 9 Post Road, Suite M1a Longhill Medical Dental Center, Oakland, NJ 07436 | 2007-02-20 |
| 1275677304 | James Joseph Scillieri | Dentist | 19 Yawpo Ave., Oakland, NJ 07436 | 2007-02-20 |
| 1528125036 | Steven William Kennelly | Specialist/Technologist | Giants Stadium, East Rutherford, NJ 07436 | 2007-01-03 |
| 1306955042 | Maurice M Maccario | Oral & Maxillofacial Surgery | 180 Ramapo Valley Road, Oakland, NJ 07436 | 2006-08-29 |
| Find all providers in zip 07436 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344321 | Sadeghi Medical Corporation | Surgery | 3871 Piedmont Ave # 105, Oakland, CA 94611-5378 | 2020-10-21 |
| 1699164137 | Thomas Michael Slemmer | Surgery | 6559 Farallon Way, Oakland, CA 94611-1201 | 2015-01-22 |
| 1336554708 | Benjamin Patrick Sopczynski | Surgery | 365 Hawthorne Ave Ste 101, Oakland, CA 94609-3115 | 2014-06-24 |
| 1922325695 | Leslie Wong | Surgery | 3600 Broadway Fl 3, Oakland, CA 94611-5730 | 2010-04-21 |
| 1649507146 | Charles William Fedde | Surgery | 410 Sam Snead Cir, Oakland, MD 21550-5507 | 2009-11-04 |
| 1619203866 | Pooyan B Sadeghi | Surgery | 39 Montell St, Oakland, CA 94611-4923 | 2009-10-22 |
| 1659530822 | Kelley I-kai Chuang | Surgery | 1411 E 31st St # 22134, Oakland, CA 94602-1018 | 2008-06-03 |
| 1396845384 | Charles A Walch | Surgery | 255 North 4th Street, Suite 2, Oakland, MD 21550-1395 | 2006-09-22 |
| 1235171307 | Eileen T. Consorti | Surgery | 350 30th St Ste 411, Oakland, CA 94609 | 2006-06-12 |
| 1457359515 | Bruce D Moorstein | Surgery | 350 30th St Ste 430, Oakland, CA 94609-3426 | 2005-07-12 |
| Find all providers in OAKLAND | ||||
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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.