BORIS KOSTROMA


Address: 1 Clara Maass Dr, Belleville, NJ 07109-3550
Phone: 9734502000

BORIS KOSTROMA (NPI# 1760550537) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760550537
Entity Type Individual
Full Name BORIS KOSTROMA
Credential M.D.
Practice Address 1 Clara Maass Dr
Belleville
NJ 07109-3550
Mailing Address 11781 Lee Jackson Memorial Hwy
Suite 550
Fairfax
VA 22033-3309
Practice Telephone 9734502000
Mailing Telephone 5717775157
Mailing Fax Number 7038902650
Enumeration Date 2006-12-01
Last Update Date 2016-06-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207L00000X Anesthesiology 25MA07495200 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 9029206 05

Office Location

Street Address 1 CLARA MAASS DR
City BELLEVILLE
State NJ
Zip Code 07109-3550

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811989924 Mustafa A Abdul-hadi Internal Medicine 1 Clara Maass Dr, Belleville, NJ 07109-3550 2005-08-16
1467067736 Amanda Krieger Dietitian, Registered 1 Clara Maass Dr, Belleville, NJ 07109-3550 2020-09-13
1598376501 Ademola Adesola Ogunruku Registered Nurse 1 Clara Maass Dr, Belleville, NJ 07109-3550 2020-08-12
1821618711 Jamilton B Carlon Respiratory Therapist, Certified 1 Clara Maass Dr, Belleville, NJ 07109-3550 2020-04-20
1649800814 Kelsey Ann Vella Physician Assistant 1 Clara Maass Dr, Belleville, NJ 07109-3550 2020-01-16
1922649318 Wendy Cheung Physician Assistant 1 Clara Maass Dr, Belleville, NJ 07109-3550 2019-10-07
1952952020 Kathleen Villarino Dietitian, Registered 1 Clara Maass Dr, Belleville, NJ 07109-3550 2019-09-20
1083261309 Tatyana Aponte Dietitian, Registered 1 Clara Maass Dr, Belleville, NJ 07109-3550 2019-08-21
1891348462 Rose Parker Physician Assistant 1 Clara Maass Dr, Belleville, NJ 07109-3550 2019-07-22
1629621818 Gina P Derito Physician Assistant 1 Clara Maass Dr, Belleville, NJ 07109-3550 2019-07-17
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851871370 Mario Jr Millan Clinic/Center 114 Washington Avenue, Belleville, NJ 07109 2018-08-14
1881186641 Wayne J Caputo Dpm Podiatrist 5 S Franklin Avenue, Belleville, NJ 07109 2018-06-06
1457842429 Gout Institute of America Anesthesiology 727 Joralemon St., Belleville, NJ 07109 2018-05-24
1477078632 Keith Pishna Social Worker 224 Washington Avenue, Belleville, NJ 07109 2017-08-09
1669915906 Priyankaben Gajjar Nurse Practitioner 668 Mill St, Apt A5, Belleville, NJ 07109 2016-11-18
1861878829 1st Cerebral Palsy of New Jersey Contractor 31 Cuozzo Street, Belleville, NJ 07109 2015-07-31
1730562323 1st Cerebral Palsy of New Jersey Contractor 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 2015-07-01
1407241441 Janet Labadie Nurse Practitioner 140 Belmont Avenue, Bellevile, NJ 07109 2015-04-06
1790180537 Eshwary Yerramsetty Pharmacist 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 2014-10-22
1477971794 Molly Marie Murray Physician Assistant 1 Clara Maass Dr., Belleville, NJ 07109 2014-04-03
Find all providers in zip 07109

Taxonomy Information

Taxonomy Code 207L00000X
Grouping Allopathic & Osteopathic Physicians
Classification Anesthesiology

Taxonomy Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053616763 Abdurrahim M Abdulhadi Anesthesiology 4500 Mem. Drive, The Memorial Hospital, Belleville, IL 62223 2011-01-12
1801031695 Jose Jesus Morales Anesthesiology 204 Warrensburg Drive, Belleville, IL 62223 2008-12-08
1619009990 Norma Recio-pasia Anesthesiology 28 North 64th Street, Belleville, IL 62223-3808 2007-03-12
1831105527 Jocelyn Lao Anesthesiology One Clara Maass Dr, Belleville, NJ 07109 2006-08-01
1861408593 Laureto S Bada Jr. Anesthesiology One Clara Maass Drive, Belleville, NJ 07109 2006-08-01
1790737799 Hussein A Huraibi IIi Anesthesiology 11650 Belleville Rd, Ste 105, Belleville, MI 48111-3380 2006-05-17
1326045568 Kenneth I Bluestone Anesthesiology 4500 Memorial Dr, Belleville, IL 62226-5360 2005-07-01
1770006306 Kings Anesthesia Anesthesiology 727 Joralemon St, Belleville, NJ 07109-1455 2017-07-25
1821466780 Anesthesia Consultants of Michigan, Pllc Anesthesiology 11650 Belleville Rd, Suite 107, Belleville, MI 48111-3380 2015-09-09
1033549779 Christine Na-eun Millar Anesthesiology 4500 Memorial Dr, Belleville, IL 62226 2013-11-15
Find all providers in BELLEVILLE

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City BELLEVILLE
Zip Code 07109

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Dataset Information

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.

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