LISA MELANIE FORD


Address: 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000
Phone: 9739729000

LISA MELANIE FORD (NPI# 1659445013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1659445013
Entity Type Individual
Full Name LISA MELANIE FORD
Credential MD
Practice Address 30 Bergen St
Admc 12 1205
Newark
NJ 07107-3000
Practice Telephone 9739729000
Enumeration Date 2006-11-20
Last Update Date 2016-03-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2084N0402X Psychiatry & Neurology
Specialization: Neurology with Special Qualifications in Child Neurology
25MA05696300 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 7328401 05

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Office Location

Street Address 30 BERGEN ST
ADMC 12 1205
City NEWARK
State NJ
Zip Code 07107-3000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235119686 Susan V Garstang Physical Medicine & Rehabilitation 30 Bergen St, Admc 101, Newark, NJ 07107-3000 2006-01-20
1699225227 University Physician Associates of New Jersey, Inc Otolaryngology 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 2016-10-06
1083068217 Ariel Patrice Sena Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 - Room 110, Newark, NJ 07107-3000 2016-04-13
1346694577 Helena Gvili Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc11 Rm 1110, Newark, NJ 07107-3000 2016-04-13
1124413265 Tiffany Chan Student in an Organized Health Care Education/Training Program 30 Bergen St, Emergency Medicine, Admc-11, Rm 1110, Newark, NJ 07107-3000 2015-04-06
1801152939 Subhanir Sunil Chitnis Emergency Medicine 30 Bergen St, Admc 11, Room 1110, Newark, NJ 07107-3000 2012-04-03
1659647873 Chidinma Dawn Kabba Emergency Medicine 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-04-02
1407122328 Joseph Alan Rogers Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-03-26
1477842631 Suzanne A Katsetos Emergency Medicine 30 Bergen St, Admc 11, Rm 1110, Newark, NJ 07107-3000 2011-03-28
1669603387 Tobechukwu Clouden Psychiatry & Neurology 30 Bergen St, Newark, NJ 07107-3000 2009-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1053743997 Center for Wound Science and Healing General Acute Care Hospital 495 North 13th Street, 2nd Floor, Newark, NJ 07107 2013-08-02
1750620944 Jeevan M Mathew Physical Therapist 500 0range Street, Suite 2, Newark, NJ 07107 2013-02-07
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Taxonomy Information

Taxonomy Code 2084N0402X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Neurology with Special Qualifications in Child Neurology

Taxonomy Definition

A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and city

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1932499266 Jeffrey Michael Kornitzer Psychiatry & Neurology 90 Bergen St Ste 8100, Room F-603, Newark, NJ 07103-2425 2011-04-07
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Providers in the same taxonomy and state

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1578663738 Gabor Barabas Psychiatry & Neurology 24 Muncy Dr, West Long Branch, NJ 07764-1147 2006-09-25
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Competitor

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City NEWARK
Zip Code 07107

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Dataset Information

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.

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