DORIAN J. WILSON (NPI# 1700811494) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700811494 |
Entity Type | Individual |
Full Name | DORIAN J. WILSON |
Credential | M.D. |
Practice Address |
30 Bergen St Admc 12 1205 Newark NJ 07107-3000 |
Practice Telephone | 9739720037 |
Enumeration Date | 2006-07-11 |
Last Update Date | 2007-07-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 204F00000X | Transplant Surgery | 25MA04259200 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 2008505 | 05 |
Street Address |
30 BERGEN ST ADMC 12 1205 |
City | NEWARK |
State | NJ |
Zip Code | 07107-3000 |
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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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
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 |
1982967386 | D & M Quality of Life Services, LLP | In Home Supportive Care | 285 Roseville Avenue, Suite 118, Newark, NJ 07107 | 2012-06-20 |
1710121496 | Paul Hsu | Pharmacist | 421 Bloomfield Ave, Guardys, Newark, NJ 07107 | 2009-04-27 |
1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
Find all providers in zip 07107 |
Taxonomy Code | 204F00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Transplant Surgery |
Definition to come. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295971430 | Diego C Reino | Transplant Surgery | 185 S Orange Ave # Msbg-506, Newark, NJ 07103-2757 | 2008-12-17 |
1407021132 | Keri Elizabeth Lunsford | Transplant Surgery | 140 Bergen St # E1650, Newark, NJ 07103 | 2008-04-23 |
1417998782 | James Vincent Guarrera | Transplant Surgery | 140 Bergen St # E1620, Newark, NJ 07103 | 2006-06-09 |
1003462854 | University Surgical Associates (om) | Transplant Surgery | 90 Bergen St, Newark, NJ 07103-2425 | 2019-08-16 |
1760666507 | Flavio Paterno | Transplant Surgery | 140 Bergen St, Newark, NJ 07103-2425 | 2007-12-27 |
1114136645 | Lloyd Garth Brown | Transplant Surgery | 185 S Orange Ave, Msb, Room G-594, Newark, NJ 07103-2757 | 2007-05-22 |
1437161874 | Subhashini Manjula Ayloo | Transplant Surgery | 140 Bergen Street, Acc Bldg D-1650, Newark, NJ 07103 | 2006-08-13 |
1912925157 | Adrian A. Fisher | Transplant Surgery | 90 Bergen St, Doc 7100, Newark, NJ 07103-2425 | 2006-07-17 |
1588694558 | Baburao Koneru | Transplant Surgery | 90 Bergen St, Doc 7100, Newark, NJ 07103-2425 | 2006-07-04 |
1487608667 | Velma P Scantlebury | Transplant Surgery | 4735 Ogletown Stanton Rd, Medical Arts Pavilion 2, Suite 2224, Newark, DE 19713-2072 | 2006-05-20 |
Find all providers in NEWARK |
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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.