DR. BRIAN F CANAVAN (NPI# 1760595516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760595516 |
| Entity Type | Individual |
| Full Name | DR. BRIAN F CANAVAN |
| Credential | DO |
| Practice Address |
34-36 Progress Street Suite B2 Edison NJ 08820 |
| Mailing Address |
J2 Brier Hill Ct East Brunswick NJ 08816-3340 |
| Practice Telephone | 9087579696 |
| Practice Fax Number | 9087579721 |
| Mailing Telephone | 7323907750 |
| Mailing Fax Number | 7323907725 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2016-07-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD05551400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6556906 | 05 | |
| QUALCARE | 223254679001 | 01 | |
| BLUE SHIELD HORIZON | 223254679 | 01 | |
| HEALTH NET | F03506 | 01 | |
| OXFORD HEALTH PLANS | P788711 | 01 | |
| OXFORD HEALTHCARE MEDI | P788711 | 01 | |
| US HEALTHCARE | 0469749 | 01 | |
| AETNA | 0469749 | 01 | |
| ACS | F03506 | 01 | |
| CHAMPUS | J021315 | 01 | |
| UNITED HEALTHCARE MEDI | 110108158 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851384093 | Brian A Canavan | Specialist | 2160 S First Avenue, Loyola University Medical Center, Chicago, IL 60153 | 2005-08-23 |
| Street Address |
34-36 PROGRESS STREET SUITE B2 |
| City | EDISON |
| State | NJ |
| Zip Code | 08820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639388028 | Middlesex Oncology Pa | Internal Medicine | 34-36 Progress Street, Suite B2, Edison, NJ 08820 | 2007-05-22 |
| 1982782561 | Stephen Glenn Lawson | Dentist | 34-36 Progress Street, Twin Plaza, Suite A-3, Edison, NJ 08820 | 2006-11-01 |
| 1306926159 | Edison Nephrorlogy Consultants | Specialist | 34-36 Progress Street, Suite A7, Edison, NJ 08820 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457964702 | Time Line Diagnostic LLC | Spec/Tech, Cardiovascular | 25 Cinder Road Apt 3j, Edison, NJ 08820 | 2020-08-26 |
| 1376185504 | Jason Chester | Physical Therapist | 72 Nj-27, Edison, NJ 08820 | 2019-10-09 |
| 1497237838 | Pooja Kansagra | Behavior Technician | 3826 Park Ave Suite 102, Edison, NJ 08820 | 2018-09-01 |
| 1568941086 | Thomas Dipaolo LLC | Physical Therapist | 3840 Park Ave # D108, Edison, NJ 08820 | 2018-08-07 |
| 1467939561 | Aisha Musa Abdulkadir | Student in an Organized Health Care Education/Training Program | Jfk Family Practice, 65 James Street, Edison, NJ 08820 | 2018-07-23 |
| 1801380522 | Edison Spine and Pain Management, P.C. | Physical Medicine & Rehabilitation | 1692 Oak Tree Road, Edison, NJ 08820 | 2018-06-16 |
| 1386136521 | Chirag A Gandhi | Physical Therapist | 3830 Park Ave Ste 202, Edison, NJ 08820 | 2018-06-04 |
| 1770097446 | Arthur Royzner | Dentist | 1 Lincoln Hwy Ste 6, Edison, NJ 08820 | 2017-11-16 |
| 1356850671 | Nj Allergy & Asthma Care LLC | Clinic/Center | 26 Parker Rd, Edison, NJ 08820 | 2017-09-29 |
| 1790226223 | Julianna Marie Zilli | Specialist/Technologist | 24 Woodrow Wilson Dr, Edison, NJ 08820 | 2017-03-16 |
| Find all providers in zip 08820 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356357479 | Arvind Kumar | Internal Medicine | 2177 Oak Tree Road, Suite 104, Edison, NJ 08820 | 2006-07-31 |
| 1952344277 | Richard M Schuman | Internal Medicine | 34 36 Progress St, Suite B2, Edison, NJ 08820 | 2006-06-14 |
| 1649256066 | Bruce Harris Wallach | Internal Medicine | 34-36 Progress St., Suite B-2, Edison, NJ 08820 | 2005-12-17 |
| 1972505311 | Beaula V Koduri | Internal Medicine | 2110 Oak Tree Road, Edison, NJ 08820-3626 | 2005-08-15 |
| 1053318063 | Juhee Gupta | Internal Medicine | 35-37 Progress St Ste A1, Edison, NJ 08820-1179 | 2005-07-05 |
| 1508319039 | Regional Cancer Care Associates LLC | Internal Medicine | 34-36 Progress St, Suite B-2, Edison, NJ 08820-1197 | 2016-08-02 |
| 1831408418 | In Young Chung, M.d., P.a. | Internal Medicine | 4 Progress St, Suite A-7, Edison, NJ 08820-1199 | 2010-09-30 |
| 1538395637 | Hematology Oncology Consultants LLC | Internal Medicine | 2110 Oak Tree Road, Edison, NJ 08820-3626 | 2009-06-03 |
| 1083872436 | Garden State Oncology,p.c. | Internal Medicine | 2 Ethel Rd, Suite 206 B, Edison, NJ 08817-2839 | 2008-06-01 |
| 1639388028 | Middlesex Oncology Pa | Internal Medicine | 34-36 Progress Street, Suite B2, Edison, NJ 08820 | 2007-05-22 |
| Find all providers in EDISON | ||||
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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.