DR. RAJESH BUTALA (NPI# 1619018512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619018512 |
| Entity Type | Individual |
| Full Name | DR. RAJESH BUTALA |
| Credential | M.D. |
| Practice Address |
481 Edward H Ross Dr Elmwood Park NJ 07407-3118 |
| Mailing Address |
54 Lyle Pl Edison NJ 08820-4433 |
| Practice Telephone | 2017912600 |
| Practice Fax Number | 2017911941 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
25MA06169100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
481 EDWARD H ROSS DR |
| City | ELMWOOD PARK |
| State | NJ |
| Zip Code | 07407-3118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134277494 | Bio-reference Laboratories, Inc. | Clinical Medical Laboratory | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-01-05 |
| 1790234839 | Martin King | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2016-09-30 |
| 1528434875 | Erica Webb | Genetic Counselor, MS | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2015-08-20 |
| 1447508940 | Xinxin Yao | Genetic Counselor, MS | 481 Edward H Ross Dr, Genetic Counseling, Elmwood Park, NJ 07407-3118 | 2012-08-15 |
| 1295093169 | The Genetics Center, Inc | Obstetrics & Gynecology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2012-04-30 |
| 1023303971 | Jeffrey W Bissonnette | Genetic Counselor, MS | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2011-06-17 |
| 1639460942 | Becky Lynn Grey Milewski | Genetic Counselor, MS | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2011-04-21 |
| 1912237025 | Brli - Genpath Diagnostics, Inc | Clinical Medical Laboratory | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2010-01-12 |
| 1295969491 | Anna Katherine Mcgill | Genetic Counselor, MS | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2009-05-04 |
| 1598949240 | Genpath, Inc. | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042406 | Diana Marie Monteleon | Registered Nurse | 75 Miller Avenue, Elmwood Park, NJ 07407 | 2020-01-24 |
| 1427569102 | Fastcare Medical Transportation | Ambulance | 62 Philip Ave, Elmwood, NJ 07407 | 2017-10-20 |
| 1376078642 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 59 Boulevard, Elmwood Village Apartments, Elmwood Park, NJ 07407 | 2017-04-25 |
| 1457885048 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 111 Donor Avenue, Apt A, Elmwood Park, NJ 07407 | 2017-04-20 |
| 1295143196 | Juan Quesada | Student in an Organized Health Care Education/Training Program | 21 Craig Court, Elmwood Park, NJ 07407 | 2014-07-24 |
| 1548546492 | Pinnacle Mri Group, LLC | Clinic/Center | 97 Linden Avenue, Elmwood Park, NJ 07407 | 2011-10-24 |
| 1598914921 | Aaron David Brisman | Dentist | 511 River Drive, Elmwood Park, NJ 07407 | 2008-09-10 |
| 1922267004 | Borough of Elmwood Park | Public Health or Welfare | 182 Market Street, Health Department, Elmwood Park, NJ 07407 | 2008-06-04 |
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1558571828 | Yan Gao Fan | Pathology | 481 Edward H Ross Drive, Elmwood Park, NJ 07407 | 2007-05-23 |
| Find all providers in zip 07407 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043477599 | Deborah W. Buzaid | Pathology | 481 Edward H. Ross Drive, Elmwood Park, NJ 07407 | 2008-05-21 |
| 1598949240 | Genpath, Inc. | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-12-18 |
| 1760522957 | Marina Murkis | Pathology | 481 Edward H Ross Dr, Elmwood Park, NJ 07407-3118 | 2007-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881107498 | James Mark Vangurp Jr. | Pathology | 25 Raymond Pl, Hawthorne, NJ 07506-1112 | 2017-11-06 |
| 1902218498 | Tianhua Guo | Pathology | 385 Ocean Blvd Apt 3g, Long Branch, NJ 07740-5736 | 2014-06-02 |
| 1164850335 | Qualdx, LLC | Pathology | 1305 Kings Hwy N Ste 2, Cherry Hill, NJ 08034-1919 | 2013-10-24 |
| 1528493574 | Noel Kowal | Pathology | 150 Bergen St Dept Of, Newark, NJ 07103-2496 | 2013-09-10 |
| 1447591656 | Manuel Halcon Moraleda | Pathology | 1 Buckingham Dr, Berlin, NJ 08009-9689 | 2013-03-13 |
| 1801132634 | Sunder H, Mansukhani | Pathology | 48 Old Mill Dr, Voorhees, NJ 08043-4781 | 2012-12-26 |
| 1992062103 | Nicole Saviano | Pathology | 19 Woodfield Ln, Saddle River, NJ 07458-3219 | 2012-04-12 |
| 1619240991 | John Earl Pickering | Pathology | 357 Breakneck Rd, Sewell, NJ 08080-4407 | 2012-02-16 |
| 1235401936 | Richard Bruce Maranoff | Pathology | 402 Chanticleer, Cherry Hill, NJ 08003-4830 | 2012-01-27 |
| 1467735290 | Reena Schaeffer | Pathology | 61 Kings Hwy W, Haddonfield, NJ 08033-2114 | 2011-09-28 |
| Find all providers with the same taxonomy | ||||
| City | ELMWOOD PARK |
| Zip Code | 07407 |
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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.