DR. JAMES MICHAEL PRIMAVERA (NPI# 1730154287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730154287 |
| Entity Type | Individual |
| Full Name | DR. JAMES MICHAEL PRIMAVERA |
| Credential | MD |
| Practice Address |
355 Grand Street Ground Floor Jersey City NJ 07302 |
| Mailing Address |
30 Bergen St Rm 1205 Newark NJ 07107-3000 |
| Practice Telephone | 2019152000 |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2019-08-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
25MA08537100 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 101081712 | 05 | |
| NJ | 0196711 | 05 |
| Street Address |
355 GRAND STREET GROUND FLOOR |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689678039 | James H Brown Jr. | Radiology | 355 Grand Street, Jersey City Medical Center, Jersey City, NJ 07302 | 2005-06-13 |
| 1336757244 | Katrina Kam-yue Au | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2020-07-16 |
| 1790305308 | Shayan Faiq | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2020-04-23 |
| 1922627215 | Sandra Oluwatofarati Akinbinu | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2020-04-16 |
| 1124648464 | Salman Samar | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2020-04-16 |
| 1174142558 | Saad Sharif | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2020-04-15 |
| 1558927954 | Shanice Peters | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2019-05-13 |
| 1508421868 | Devanshi Patel | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2019-05-02 |
| 1922560903 | Alejandro Jose Herrera | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Jersey City, NJ 07302 | 2019-04-01 |
| 1700375706 | Prakash Bahadur Chand | Student in an Organized Health Care Education/Training Program | 355 Grand Street, Department of Internal Medicine, Jersey City, NJ 07302 | 2018-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1497218044 | Wolf Performance Consulting LLC | Clinic/Center | 150 Bay Street 2nd Floor - Commercial Entrance, Located Inside of 150 Bay Crossfit, Jersey City, NJ 07302 | 2019-04-10 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1144724873 | Banan Mohammad | Chiropractor | 190 Christopher Columbus Dr # 5c, Jersey City, NJ 07302 | 2018-03-19 |
| 1477062347 | Kingsley Ogigi Oyem | Nurse Practitioner | Rwjbarnabas Health, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2017-09-23 |
| Find all providers in zip 07302 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619084696 | Asia Bano Khawaja | Pathology | 176 Palisade Ave, Christ Hospital Lab, Jersey City, NJ 07306 | 2006-08-24 |
| 1336131283 | Usha L Pai | Pathology | 355 Grand St, Jersey City, NJ 07302-4321 | 2005-08-17 |
| 1770575623 | Liberty Diagnostic Pathology Pa | Pathology | 355 Grand St, Jersey City, NJ 07302-4321 | 2005-08-17 |
| 1225030604 | Gunawan Kartika | Pathology | 355 Grand St, Jersey City, NJ 07302-4321 | 2005-08-15 |
| 1154323533 | Calvin L Strand | Pathology | 355 Grand St, Jersey City, NJ 07302-4321 | 2005-08-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881107498 | James Mark Vangurp Jr. | Pathology | 25 Raymond Pl, Hawthorne, NJ 07506-1112 | 2017-11-06 |
| 1902218498 | Tianhua Guo | Pathology | 385 Ocean Blvd Apt 3g, Long Branch, NJ 07740-5736 | 2014-06-02 |
| 1164850335 | Qualdx, LLC | Pathology | 1305 Kings Hwy N Ste 2, Cherry Hill, NJ 08034-1919 | 2013-10-24 |
| 1528493574 | Noel Kowal | Pathology | 150 Bergen St Dept Of, Newark, NJ 07103-2496 | 2013-09-10 |
| 1447591656 | Manuel Halcon Moraleda | Pathology | 1 Buckingham Dr, Berlin, NJ 08009-9689 | 2013-03-13 |
| 1801132634 | Sunder H, Mansukhani | Pathology | 48 Old Mill Dr, Voorhees, NJ 08043-4781 | 2012-12-26 |
| 1992062103 | Nicole Saviano | Pathology | 19 Woodfield Ln, Saddle River, NJ 07458-3219 | 2012-04-12 |
| 1619240991 | John Earl Pickering | Pathology | 357 Breakneck Rd, Sewell, NJ 08080-4407 | 2012-02-16 |
| 1235401936 | Richard Bruce Maranoff | Pathology | 402 Chanticleer, Cherry Hill, NJ 08003-4830 | 2012-01-27 |
| 1467735290 | Reena Schaeffer | Pathology | 61 Kings Hwy W, Haddonfield, NJ 08033-2114 | 2011-09-28 |
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| City | JERSEY CITY |
| Zip Code | 07302 |
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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.