JACQUELINE M FACCONE (NPI# 1659594455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659594455 |
| Entity Type | Individual |
| Full Name | JACQUELINE M FACCONE |
| Credential | DO |
| Practice Address |
63 Ridge Rd Green Brook NJ 08812 |
| Practice Telephone | 7325370310 |
| Mailing Telephone | 7325370310 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2008-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | MB62797 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7032404 | 05 |
| Street Address |
63 RIDGE RD |
| City | GREEN BROOK |
| State | NJ |
| Zip Code | 08812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245882687 | Patel Eye Associates | Optometrist | Patel Eye Associates, 228 Plainfield Ave, Edison, NJ 08812 | 2019-07-16 |
| 1922500990 | Maximum Health & Wellness Manville | Acupuncturist | 119 Us 22, Green Brook Twsp, NJ 08812 | 2018-03-06 |
| 1689991515 | Wellness Life Counseling, LLC | Community/Behavioral Health | 235 Rt. 22 East, Green Brook, NJ 08812 | 2010-05-03 |
| 1649402140 | Catherine Binder | Occupational Therapist | 303 Rock Avenue, Green Brook, NJ 08812 | 2009-08-17 |
| 1760664213 | Snehal M Desai | Pharmacist | 6 Pheasant Road, Green Brook, NJ 08812 | 2007-11-27 |
| 1174719934 | Keron A Sinclair | Family Medicine | 1005 No Washington Ave, Green Brook, NJ 08812 | 2007-09-14 |
| 1225221989 | Family Care,p.a. | Clinic/Center | 257 Route 22 E, Green Brook, NJ 08812 | 2007-08-24 |
| 1477743011 | Ronald Bass | Durable Medical Equipment & Medical Supplies | 6 Andrew Street, Green Brook, NJ 08812 | 2007-07-30 |
| 1023208022 | Richard D Collins | Chiropractor | 146 New Market Road, Dunellen, NJ 08812 | 2007-07-26 |
| 1326251307 | Bridgewater-greenbrook Dental L.l.p | Dentist | 257 Route 22 East, Suite C, Green Brook, NJ 08812 | 2007-05-07 |
| Find all providers in zip 08812 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194332130 | Houston Anesthesia Services Pllc | Anesthesiology | 111 Town Square Pl Ste 420, Jersey City, NJ 07310-1755 | 2020-09-24 |
| 1710593694 | Intel Anesthesia LLC | Anesthesiology | 1167 Mcbride Ave Fl 2, Woodland Park, NJ 07424-2543 | 2020-09-16 |
| 1154947190 | Ogden Ave Sleep Doctor LLC | Anesthesiology | 600 Ogden Ave, Teaneck, NJ 07666-2921 | 2020-06-24 |
| 1396360319 | Dr Michael Vassallo, Inc | Anesthesiology | 335 Wyckoff Ave, Wyckoff, NJ 07481-2237 | 2020-06-15 |
| 1538782768 | Leslie Osei-tutu Anesthesia LLC | Anesthesiology | 1760 Cooper Rd, Scotch Plains, NJ 07076-2552 | 2020-05-21 |
| 1982226965 | Cmd Anesthesia PC | Anesthesiology | 177 N Dean St Ste 301, Englewood, NJ 07631-2527 | 2020-05-12 |
| 1053947853 | Guardian Anesthesia | Anesthesiology | 35 Pebble Beach Dr, Livingston, NJ 07039-8208 | 2020-03-12 |
| 1982235602 | Rest Assured Relief | Anesthesiology | 111 Madison Ave Ste 308, Morristown, NJ 07960-7347 | 2020-01-31 |
| 1356972699 | Sunita Dhawlikar M.d. LLC | Anesthesiology | 6 Evergreen Ln, Colts Neck, NJ 07722-1276 | 2020-01-27 |
| 1609422757 | Rdp Anesthesia | Anesthesiology | 666 Plainsboro Rd Ste 1d, Plainsboro, NJ 08536-3003 | 2019-08-14 |
| Find all providers with the same taxonomy | ||||
| City | GREEN BROOK |
| Zip Code | 08812 |
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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.