DR. MICHAEL JEFFREY EDWARDS (NPI# 1689644213) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689644213 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JEFFREY EDWARDS |
| Credential | MD |
| Practice Address |
350 Boulevard Passaic NJ 07055-2840 |
| Mailing Address |
935 Allwood Rd Suite 230 Clifton NJ 07012-1988 |
| Practice Telephone | 9733654300 |
| Practice Fax Number | 9733659980 |
| Mailing Telephone | 9733652750 |
| Mailing Fax Number | 9733659980 |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2014-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25MA04966100 | NJ | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1000900 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619493921 | Michael Edwards | Psychologist | 875 Waimanu St Suite 612, Honolulu, HI 96813-5248 | 2017-08-17 |
| 1427380658 | Michael Kevin Edwards | Specialist/Technologist, Other | 1882 Mustang Trl, Suffolk, VA 23432-1832 | 2010-02-15 |
| 1295964088 | Michael J Edwards Sr. | Counselor | 2102 Tradewind Dr, Suite 172, Mesquite, TX 75150-3309 | 2009-07-14 |
| 1215172069 | Michael Edwards | Dentist | 384 Montauk Highway, Suite 3, Wainscott, NY 11975-0387 | 2008-12-09 |
| 1376664359 | Michael Edwards | Counselor | 2004 Hospital Way, Whitefish, MT 59937-7858 | 2007-04-03 |
| 1164555918 | Michael D Edwards | Dentist | 449 Main St North, Wedowee, AL 36278 | 2007-03-13 |
| 1043391410 | Michael C Edwards | Plastic Surgery | 8530 W. Sunset Road, Suite 130, Las Vegas, NV 89113 | 2006-10-18 |
| 1386651073 | Michael A Edwards | Family Medicine | 40-42 Asbury St, South Hamilton, MA 01982 | 2006-08-02 |
| 1891774147 | Michael Edwards | Surgery | 1440 E 1st St, Suite 100, Santa Ana, CA 92701-6384 | 2006-01-14 |
| 1477058170 | Michael Hollis Edwards | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2018-03-26 |
| Street Address |
350 BOULEVARD |
| City | PASSAIC |
| State | NJ |
| Zip Code | 07055-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225031370 | Nena L Sy | Specialist | 350 Boulevard, Passaic, NJ 07055-2840 | 2005-05-23 |
| 1851908297 | Capital Anesthesia Solutions of New Jersey, LLC | Nurse Anesthetist, Certified Registered | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-09-29 |
| 1144846130 | Jonathan Engelhardt | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-06-25 |
| 1053937045 | Abshan Malik | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-06-25 |
| 1154950053 | Jeffrey Alan Kantor | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-04-03 |
| 1831722586 | Prime Healthcare Services - St. Mary's Passaic LLC | Psychiatric Unit | 350 Boulevard, Passaic, NJ 07055-2840 | 2020-02-20 |
| 1609415231 | Jane Lee | Specialist/Technologist, Other | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-12-30 |
| 1386208874 | Christopher Andrew Bergen | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-04-30 |
| 1962066076 | Kenny Luong | Student in an Organized Health Care Education/Training Program | 350 Boulevard, Passaic, NJ 07055-2840 | 2019-04-24 |
| 1336625425 | Inhospital Physicians Corp of New Jersey, PC | Internal Medicine | 350 Boulevard, Passaic, NJ 07055-2840 | 2018-07-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598300410 | Nilsy Munoz | Counselor | Revelation University Wellness Unit, 307 Monroe St #4, Passaic, NJ 07055 | 2019-11-14 |
| 1093206880 | Capitol Chiropractic and Rehabilitation | Clinic/Center | 15 Howe Ave., 2nd Floor, Passaic, NJ 07055 | 2018-05-29 |
| 1336665827 | 110 Van Houten LLC | Pharmacy | 110 Van Houten Ave, Passaic, NJ 07055 | 2017-08-17 |
| 1528584380 | Lpcnj, LLC | Community/Behavioral Health | 129 Prospect Street, 2nd Floor, Passaic, NJ 07055 | 2017-08-14 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1144750241 | Chana Gittel Lemberger | Behavioral Analyst | 277 Pennington Ave, Passaic, NJ 07055 | 2017-06-13 |
| 1205377025 | Glendolin Grant | Massage Therapist | 105 Van Buren St, Passaic, NJ 07055 | 2017-03-13 |
| 1760924310 | Hadassah Selengut | Speech-Language Pathologist | 254 Pennington Ave, Passaic, NJ 07055 | 2016-11-14 |
| 1992180376 | Massiel Parra | Dentist | 625 Main Avenue, Passaic, NJ 07055 | 2015-07-27 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| Find all providers in zip 07055 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548880644 | Michal Lasowsky | Specialist | 1 Idaho St, Passaic, NJ 07055-3336 | 2020-04-20 |
| 1306483086 | Susan Schwartz | Specialist | 33 Randolph St, Passaic, NJ 07055-4619 | 2019-12-02 |
| 1467930792 | Libby Leibowitz | Specialist | 52 Meade Ave, Passaic, NJ 07055-3752 | 2018-07-30 |
| 1255851572 | Chana Risa Twersky | Specialist | 164 Ascension St, Passaic, NJ 07055 | 2017-06-27 |
| 1609319680 | Russell Wien | Specialist | 128 Boulevard Apt 14, Passaic, NJ 07055-4769 | 2016-11-23 |
| 1215309604 | Cathy Morales | Specialist | 76 Palmer St, Passaic, NJ 07055-5422 | 2015-10-24 |
| 1306240270 | Passaic Pediatrics II Pa | Specialist | 93 Market Street, Passaic, NJ 07055 | 2014-10-21 |
| 1578863874 | Yonatan A Korbman | Specialist | 199 Lafayette Avenue, 2i, Passaic, NJ 07055-4782 | 2010-11-02 |
| 1518091248 | Chava Kurtz | Specialist | 315 Terhune Ave, Passaic, NJ 07055-3326 | 2007-03-15 |
| 1437105319 | Nova Medical Group LLC | Specialist | 158 Hamilton Ave, Passaic, NJ 07055-5241 | 2006-05-25 |
| Find all providers in PASSAIC | ||||
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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.