DR. PAUL KOVATIS (NPI# 1669475083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669475083 |
| Entity Type | Individual |
| Full Name | DR. PAUL KOVATIS |
| Credential | MD |
| Practice Address |
784 Franklin Ave Franklin Lakes NJ 07417-1306 |
| Practice Telephone | 8447770910 |
| Mailing Telephone | 8447770910 |
| Mailing Fax Number | 2015600712 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2019-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 25MA05561000 | NJ | Other Service Providers |
| N | 207X00000X | Orthopaedic Surgery | 25MA05561000 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207XX0004X |
Orthopaedic Surgery Specialization: Foot and Ankle Surgery |
25MA05561000 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | AETNA HMO # | 0817957 | 01 |
| NJ | AETNA PPO # | 5986397 | 01 |
| NJ | RR MDCR # | 200027488 | 01 |
| NJ | OXFORD # | P409968 | 01 |
| NJ | EMPIRE BC/BS # | 512961 | 01 |
| Street Address |
784 FRANKLIN AVE |
| City | FRANKLIN LAKES |
| State | NJ |
| Zip Code | 07417-1306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346806494 | Joel Marrero | Physician Assistant | 784 Franklin Ave, Franklin Lakes, NJ 07417 | 2019-05-14 |
| 1457822579 | Andrew Gurovich | Physical Therapist | 784 Franklin Ave, Franklin Lakes, NJ 07417-1306 | 2018-12-16 |
| 1265958920 | Harjot Singh | Physical Therapy Assistant | 784 Franklin Ave, Franklin Lakes, NJ 07417 | 2017-08-15 |
| 1629517248 | Edgardo Ikalina | Physical Therapist | 784 Franklin Ave, Franklin Lakes, NJ 07417-1306 | 2017-02-15 |
| 1861942070 | Kelliann Zindaki | Physical Therapist | 784 Franklin Ave, Suite 230, Franklin Lakes, NJ 07417-1306 | 2016-10-12 |
| 1992172969 | Krista Teresak | Physician Assistant | 784 Franklin Ave, Suite 250, Franklin Lakes, NJ 07417-1306 | 2015-08-26 |
| 1760880470 | Roya Salimi | Physician Assistant | 784 Franklin Ave, Suite 250, Franklin Lakes, NJ 07417-1306 | 2014-12-11 |
| 1154749455 | Franklin Lakes Medical Imaging, LLC | Clinic/Center | 784 Franklin Ave, Franklin Lakes Medical Imaging Suite 120, Franklin Lakes, NJ 07417-1306 | 2014-04-03 |
| 1013332055 | Gabriel Hannawi | Chiropractor | 784 Franklin Ave, Sutie 230, Franklin Lakes, NJ 07417-1306 | 2014-02-27 |
| 1073951513 | Body In Motion Sports & Orthopaedics, Inc. | Durable Medical Equipment & Medical Supplies | 784 Franklin Ave, Suite 110, Franklin Lakes, NJ 07417-1306 | 2013-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295204 | Rick Manista | Counselor | 349 Indian Trail Drive, Franklin Lakes, NJ 07417 | 2018-12-01 |
| 1538674189 | Rebecca Jill Eliason | Psychologist | 769 Susquehanna Avenue, Franklin Lakes, NJ 07417 | 2017-12-05 |
| 1316469786 | Katherine Rigby | Registered Nurse | 717 Oneida Trail, Franklin Lakes, NJ 07417 | 2017-07-07 |
| 1588089577 | Durdana G Gill | Dentist | 574 Franklin Ave., Franklin Lks, NJ 07417 | 2014-02-27 |
| 1669733549 | Douglas Caballero | Pharmacist | 727-ginger Lane, Franklin Lakes, NJ 07417 | 2012-06-06 |
| 1306028857 | Joshua A Weidman Md LLC | Obstetrics & Gynecology | 841 Franklin Avenue, Suite 5, Franklin Lakes, NJ 07417 | 2007-11-27 |
| 1265505739 | Franklin Dental Center Pa | Dentist | 574 Franklin Ave, Franklin Lakes, NJ 07417 | 2006-11-15 |
| 1659460152 | Alyssa K Lambrese | Physical Therapist | 795 Franklin Avenue, Franklin Lakes, NJ 07417 | 2006-10-12 |
| 1700802378 | Geoffrey A Dugue | Otolaryngology | Becton-dickinson, One Becton Drive Mc250, Franklin Lakes, NJ 07417 | 2006-07-15 |
| 1821040486 | David E Wertheimer | Internal Medicine | 801 Franklin Avenue, Suite 2, Seond Floor, Franklin Lakes, NJ 07417 | 2006-05-16 |
| Find all providers in zip 07417 | ||||
| Taxonomy Code | 207XX0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Foot and Ankle Surgery |
| Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, foot and ankle surgeons deal with adult reconstructive foot and ankle surgery, adult foot and ankle trauma, sports medicine foot and ankle, and children's foot and ankle reconstructive surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: title modified, definiton added, source added] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Separate board certification is not currently offered. ACGME Accredited Residency Program Requirements: 1 year of training with 5 years Orthopedic Surgery for a total of 6 years. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629124722 | Mark Sobel | Orthopaedic Surgery | 25 First Ave, Suite 110, Atlantic Highlands, NJ 07716-6354 | 2007-01-25 |
| 1811947187 | Seth Robert Queler | Orthopaedic Surgery | 45 Franklin Ave, Nutley, NJ 07110-3224 | 2006-05-10 |
| 1023677366 | Jacques Tran | Orthopaedic Surgery | 18 E Laurel Rd, Stratford, NJ 08084-1327 | 2019-06-11 |
| 1154877678 | Ankle & Foot Institute PC | Orthopaedic Surgery | 113 W Essex St, Suite 203, Maywood, NJ 07607-1023 | 2016-08-26 |
| 1144775560 | Total Ankle & Foot Institute LLC | Orthopaedic Surgery | 7823 Bergenline Ave, North Bergen, NJ 07047-4942 | 2016-08-16 |
| 1710331798 | Meagan Rivera Coleman | Orthopaedic Surgery | 400 Rte 17, Ridgewood, NJ 07450-2010 | 2016-04-15 |
| 1225353949 | Abdel M Bakhos, Md, Pa | Orthopaedic Surgery | 1145 Bordentown Ave, Parlin, NJ 08859-1851 | 2010-04-06 |
| 1740456318 | Brian Seth Winters | Orthopaedic Surgery | 2500 English Creek Ave, Building 1300, Egg Harbor Township, NJ 08234-5549 | 2008-05-05 |
| 1801060058 | Adam Scott Becker | Orthopaedic Surgery | 401 S Van Brunt St, Englewood, NJ 07631-4604 | 2008-04-18 |
| 1740485887 | Kevin S. White | Orthopaedic Surgery | 108 Bilby Road, Ste 201, Hackettstown, NJ 07840 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
| City | FRANKLIN LAKES |
| Zip Code | 07417 |
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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.