DR. PHILIP JUDE PASSALAQUA (NPI# 1730167560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730167560 |
| Entity Type | Individual |
| Full Name | DR. PHILIP JUDE PASSALAQUA |
| Credential | M.D. |
| Practice Address |
1131 Broad St Suite 103 Shrewsbury NJ 07702-4329 |
| Mailing Address |
660 White Plains Rd Fl 4 Tarrytown NY 10591-5139 |
| Practice Telephone | 7323893388 |
| Practice Fax Number | 7323893389 |
| Mailing Telephone | 9149842546 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2019-04-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | 25MA07227800 | NJ | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063670131 | Philip Anthony Passalaqua | Internal Medicine | 311 Crescent Pkwy, Sea Girt, NJ 08750-3015 | 2008-05-27 |
| Street Address |
1131 BROAD ST SUITE 103 |
| City | SHREWSBURY |
| State | NJ |
| Zip Code | 07702-4329 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942200795 | Cara Dorazio | Audiologist | 1131 Broad St, Ste 103, Shrewsbury, NJ 07702-4329 | 2005-07-22 |
| 1790141752 | Robert B Grossman Md LLC | Orthopaedic Surgery | 1131 Broad St, Suite 104, Shrewsbury, NJ 07702-4329 | 2016-01-06 |
| 1346618808 | Pain Relief Central New Jersey LLC | Nurse Practitioner | 1131 Broad St, 201, Shrewsbury, NJ 07702-4329 | 2015-09-14 |
| 1710308937 | Monmouth County Pain Management and Wellness Center | Clinic/Center | 1131 Broad St, Shrewsbury, NJ 07702-4329 | 2013-12-16 |
| 1609205269 | Monmouth County Pain Management & Wellness Center | Nurse Practitioner | 1131 Broad St, Shrewsbury, NJ 07702-4329 | 2013-11-04 |
| 1043548969 | Dr Eric L Winarsky LLC | Otolaryngology | 1131 Broad St, Suite 102, Shrewsbury, NJ 07702-4329 | 2009-12-04 |
| 1881922706 | Dr John L Saporito LLC | Otolaryngology | 1131 Broad St, Suite 102, Shrewsbury, NJ 07702-4329 | 2009-12-04 |
| 1851629471 | Central Jersey Otolaryngology LLC | Otolaryngology | 1131 Broad St, Suite 103, Shrewsbury, NJ 07702-4329 | 2009-11-19 |
| 1548491442 | Orthopaedic Spine Specialists of Nj, LLC | Orthopaedic Surgery | 1131 Broad St, Suite 201, Shrewsbury, NJ 07702-4329 | 2009-07-27 |
| 1962645150 | Karen Mary Kupper Langan | Audiologist | 1131 Broad St, Suite 103, Shrewsbury, NJ 07702-4329 | 2009-04-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477965457 | Courtney Anderson | Psychologist | 40 Avenue At The Cmn Ste 203, Shrewsbury, NJ 07702 | 2014-05-27 |
| 1952723264 | Encore Dental of Shrewsbury | Dentist | 40 Shrewsbury Plaza, Shrewsbury, NJ 07702 | 2014-01-07 |
| 1952503393 | Dana L Essner | Nurse Practitioner | 655 Shrewsbury Ave Ste 206, Shrewsbury, NJ 07702 | 2007-06-05 |
| 1265646764 | Marvin Jeffrey Sher | Dentist | 23 White Street, Shrewsbury, NJ 07702 | 2007-05-10 |
| 1467679076 | Lori A. Magoulas | Dietitian, Registered | 39 Avenue At The Common, Suite 106, Shrewsbury, NJ 07702 | 2007-04-18 |
| 1932247459 | Judith Lorraine Krusell | Psychologist | 322 Sycamore Avenue, Shrewsbury, NJ 07702 | 2007-02-05 |
| 1114070539 | Jessica L Federici | Social Worker | 812 Broad St, Shrewsbury, NJ 07702 | 2007-01-19 |
| 1043363583 | Nursefinders Inc | Home Health | 170 Avenue At The Common, Suite 1, Shrewsbury, NJ 07702 | 2007-01-19 |
| 1598816365 | Mitchell Jeffrey Gardiner | Dentist | 59 Avenue At The Common, Suite 205, Shrewsbury, NJ 07702 | 2007-01-16 |
| 1144383837 | Global Healthcare Alliances, LLC | Skilled Nursing Facility | 39 Ave At The Commons, Suite 206, Shrewsbury, NJ 07702 | 2006-12-18 |
| Find all providers in zip 07702 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023484052 | Eun Hae Chang | Otolaryngology | 1131 Broad St Ste 102, Shrewsbury, NJ 07702-4334 | 2015-08-13 |
| 1043548969 | Dr Eric L Winarsky LLC | Otolaryngology | 1131 Broad St, Suite 102, Shrewsbury, NJ 07702-4329 | 2009-12-04 |
| 1881922706 | Dr John L Saporito LLC | Otolaryngology | 1131 Broad St, Suite 102, Shrewsbury, NJ 07702-4329 | 2009-12-04 |
| 1851629471 | Central Jersey Otolaryngology LLC | Otolaryngology | 1131 Broad St, Suite 103, Shrewsbury, NJ 07702-4329 | 2009-11-19 |
| 1598927535 | S. Thomas Westerman Md Pa | Otolaryngology | 170 Avenue At The Cmn, Suite 6, Shrewsbury, NJ 07702-4803 | 2008-07-01 |
| 1063516441 | John Lewis Saporito | Otolaryngology | 1131 Broad Street, Ste 102, Shrewsbury, NJ 07702 | 2006-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962977249 | Clinical Health Care Associates of New Jersey, PC | Otolaryngology | 719 Us Highway 206 Ste 101, Hillsborough, NJ 08844-1529 | 2018-10-12 |
| 1962918078 | Ira Sanders | Otolaryngology | 5 Rye Cliff Rd, Oakland, NJ 07436-1423 | 2017-12-27 |
| 1053772608 | St. Luke's Warren Physician Group, PC | Otolaryngology | 755 Memorial Pkwy Ste 112, Phillipsburg, NJ 08865-2774 | 2016-03-10 |
| 1184010415 | Alisa Yamasaki | Otolaryngology | 1543 State Route 27 Ste 21, Somerset, NJ 08873-4015 | 2015-04-14 |
| 1134532708 | Ahmad F Mahmoud | Otolaryngology | 6 Brighton Rd Ste 104, Clifton, NJ 07012-1647 | 2014-06-11 |
| 1881007250 | David A Temmermand | Otolaryngology | 620 North Broad Street, Woodbury, NJ 08096 | 2014-06-03 |
| 1477986420 | Amit N Bhojwani | Otolaryngology | 708 Gregorys Way, Voorhees, NJ 08043-2055 | 2013-08-14 |
| 1831440726 | Anthony G Rossi | Otolaryngology | 912 Pompton Ave, Suite A1, Cedar Grove, NJ 07009-1264 | 2012-10-02 |
| 1871802751 | Ronald B Lorenc Md Pa | Otolaryngology | 225 Laurel Heights Dr, Bridgeton, NJ 08302-3635 | 2010-09-27 |
| 1932412087 | Ronald Li, Md PC | Otolaryngology | 812 Executive Dr, Princeton, NJ 08540-1530 | 2010-07-19 |
| Find all providers with the same taxonomy | ||||
| City | SHREWSBURY |
| Zip Code | 07702 |
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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.