ADVANCED MEDICAL GROUP LLC (NPI# 1619260189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619260189 |
| Entity Type | Organization |
| Organization Name | ADVANCED MEDICAL GROUP LLC |
| Practice Address |
145 Route 46 W Suite 304 Wayne NJ 07470-6830 |
| Practice Telephone | 9738268290 |
| Practice Fax Number | 8667604555 |
| Mailing Telephone | 9738268290 |
| Mailing Fax Number | 8667604555 |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |
| Authorized Official Name | DR. KHASHAYAR VOSOUGH (MEMBER) |
| Authorized Official Telephone | 9738268290 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295784270 | Advanced Medical Group LLC | Pharmacy | 108 S Broad St, Thomasville, GA 31792-5541 | 2006-05-08 |
| 1659346542 | Advanced Medical Group LLC | Durable Medical Equipment & Medical Supplies | 2820 Augusta Rd, Langley, SC 29834 | 2006-02-22 |
| 1699274167 | Advanced Medical Group LLC | Pharmacy | 206 E Broad St, Wrens, GA 30833-1109 | 2018-02-09 |
| 1255585097 | Advanced Medical Group LLC | Specialist | 15835 S 46th St, Ste. 132, Phoenix, AZ 85048-0446 | 2008-11-06 |
| Street Address |
145 ROUTE 46 W SUITE 304 |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-6830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942321070 | Surgaide 1 LLC | Specialist | 145 Route 46 W, Wayne, NJ 07470-6830 | 2007-04-03 |
| 1093012650 | Sa Healthcare Physicians,llc | Specialist | 145 Route 46 W, Wayne, NJ 07470-6830 | 2011-02-17 |
| 1134449184 | Sa Healthcare Management, LLC | Obstetrics & Gynecology | 145 Route 46 W, Suite 304, Wayne, NJ 07470-6830 | 2010-06-01 |
| 1265679708 | Lisa Beth Kogan | Physician Assistant | 145 Route 46 W, Suite 304, Wayne, NJ 07470-6830 | 2009-01-20 |
| 1356533624 | Surgaide 2 LLC | Specialist | 145 Route 46 W, Wayne, NJ 07470-6830 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
| 1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
| 1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
| 1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
| 1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
| 1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
| 1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
| 1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
| 1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
| 1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
| Find all providers in zip 07470 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669843892 | Sarah Barber | Obstetrics & Gynecology | 57 Willowbrook Blvd Ste 301, Wayne, NJ 07470-7047 | 2015-10-14 |
| 1912299777 | Athena Healthcare Group LLC | Obstetrics & Gynecology | 145 Rte 46 W, Suite 304, Wayne, NJ 07470-6830 | 2011-05-11 |
| 1043525439 | Diana Rodrigues Vitale | Obstetrics & Gynecology | 502 Valley Rd, Suite 106, Wayne, NJ 07470-3509 | 2010-08-10 |
| 1942467378 | John W. Armstead M.d. PC | Obstetrics & Gynecology | 4020 Venoy Rd., Suite 400, Wayne, MI 48184-1891 | 2008-05-22 |
| 1073666129 | Nawal M Desoky | Obstetrics & Gynecology | 2411 Hamburg Tpke, Wayne, NJ 07470-6225 | 2007-01-20 |
| 1972671170 | Debra L Rosenzweig | Obstetrics & Gynecology | 2035 Hamburg Turnpike, Ste C, Wayne, NJ 07405 | 2006-12-04 |
| 1386732600 | Sonia M Gof | Obstetrics & Gynecology | 510 Hamburg Tnpk, Suite 202, Wayne, NJ 07470 | 2006-10-11 |
| 1528092608 | Les A Burns | Obstetrics & Gynecology | 1784 Hamburg Tpke, Wayne, NJ 07470 | 2006-07-11 |
| 1801826987 | Cameron A Darvish Do Ms PC | Obstetrics & Gynecology | 401 Hamburg Turnpike, Suite 309, Wayne, NJ 07470 | 2006-07-04 |
| 1194794412 | Adilakshmi Kaza | Obstetrics & Gynecology | 4020 Venoy Rd, Suite 400, Wayne, MI 48184-1869 | 2006-03-17 |
| Find all providers in WAYNE | ||||
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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.