DR. JOSEPH DISAVERIO (NPI# 1740331495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740331495 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH DISAVERIO |
| Credential | M.D. |
| Practice Address |
140 Chestnut St Suite 301 Ridgewood NJ 07450-2599 |
| Practice Telephone | 2014472777 |
| Practice Fax Number | 2014453835 |
| Mailing Telephone | 2014472777 |
| Mailing Fax Number | 2014453835 |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MA37427 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 3019101 | 05 |
| Street Address |
140 CHESTNUT ST SUITE 301 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588620199 | John Alexander Co | Internal Medicine | 140 Chestnut St, Suite 202, Ridgewood, NJ 07450-2599 | 2006-04-22 |
| 1629357835 | Jennifer Hsieh | Internal Medicine | 140 Chestnut St, Suite 300, Ridgewood, NJ 07450-2599 | 2011-08-05 |
| 1336448497 | John A. Co, Md, LLC | Internal Medicine | 140 Chestnut St, Suite 202, Ridgewood, NJ 07450-2562 | 2011-03-15 |
| 1275862732 | Jay Paul Babich | Internal Medicine | 140 Chestnut St, Ridgewood, NJ 07450-2599 | 2009-12-12 |
| 1841527637 | Colon & Rectal Surgery of North Jersey, L.L.C. | Colon & Rectal Surgery | 140 Chestnut St, Suite Number 301, Ridgewood, NJ 07450-2599 | 2009-11-16 |
| 1023296407 | Gastrointestinal Associates Pa | Internal Medicine | 140 Chestnut St, Ridgewood, NJ 07450-2599 | 2008-02-07 |
| 1073701686 | Better Breathing A Center for Respiratory & Sleep Medicine | Internal Medicine | 140 Chestnut St, Suite 200, Ridgewood, NJ 07450-2599 | 2007-10-09 |
| 1134244841 | Joseph Disaverio Md Pa | Surgery | 140 Chestnut St, Suite 301, Ridgewood, NJ 07450-2599 | 2007-03-20 |
| 1700915592 | North Jersey Pediatric Orthpedics Pa | Orthopaedic Surgery | 140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 | 2007-03-05 |
| 1437200672 | Douglas George Avella | Orthopaedic Surgery | 140 Chestnut St, Suite 201, Ridgewood, NJ 07450-2599 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346513041 | Archana Raman | Surgery | 1200 E Ridgewood Ave Ste 203, Ridgewood, NJ 07450-3937 | 2012-02-12 |
| 1013954205 | Mary Ann Benigno | Surgery | 145 Prospect Street, Ridgewood, NJ 07450 | 2006-05-31 |
| 1306845540 | Edward A Pucci | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2005-07-19 |
| 1912465980 | Elvita Genelus-dominique, D.o, F.a.c.s, P.c | Surgery | 5850 Catalpa Ave, Ridgewood, NY 11385-5028 | 2019-03-07 |
| 1477966513 | Gerald Valme, PC | Surgery | 1010 Ocean Avenue, Gerald Valme, PC, Ridgewood, NY 11385-5028 | 2014-06-06 |
| 1528312923 | North Jersey Neurosurgical Associates, Pa | Surgery | 225 Dayton St, Ridgewood, NJ 07450-4407 | 2012-11-07 |
| 1750517801 | Chidambaram Raman Md LLC | Surgery | 1200 E Ridgewood Ave, West Wing, 2nd Floor, Ridgewood, NJ 07450-3957 | 2009-06-03 |
| 1730326356 | Advanced Laparoscopic Specialists | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2009-01-20 |
| 1407016108 | Melissa Bahareh Bagloo | Surgery | 579 Franklin Tpke, Ridgewood, NJ 07450-1990 | 2008-06-16 |
| 1255452447 | Anthony Enrico Pucci | Surgery | 61 N Maple Ave, Suite 205, Ridgewood, NJ 07450-3255 | 2007-04-03 |
| Find all providers in RIDGEWOOD | ||||
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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.