DR. SAMI M MAMOUN (NPI# 1780620682) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780620682 |
| Entity Type | Individual |
| Full Name | DR. SAMI M MAMOUN |
| Credential | MD |
| Practice Address |
204 Eagle Rock Avenue Roseland NJ 07068 |
| Mailing Address |
Po Box 219 54 Meyersville Road Green Village NJ 07935 |
| Practice Telephone | 9732267565 |
| Practice Fax Number | 9732264645 |
| Mailing Telephone | 9733772560 |
| Mailing Fax Number | 9735141522 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0122X |
Surgery Specialization: Plastic and Reconstructive Surgery |
25MA02926300 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
204 EAGLE ROCK AVENUE |
| City | ROSELAND |
| State | NJ |
| Zip Code | 07068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437216330 | Roseland Spinal Rehabilitation Center PC | Chiropractor | 204 Eagle Rock Avenue, Roseland, NJ 07068 | 2007-01-02 |
| 1720141336 | John Anthony Capriglione | Chiropractor | 204 Eagle Rock Avenue, Roseland, NJ 07068 | 2006-12-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496845 | Dheeraj Muddasani | Student in an Organized Health Care Education/Training Program | 43 Barretta Ct, Roseland, NJ 07068 | 2018-05-07 |
| 1477094472 | Shp V Roseland, LLC | Alzheimer Center (Dementia Center) | 345 Eagle Rock Avenue, Roseland, NJ 07068 | 2017-03-10 |
| 1699103663 | Jennifer Karen Lenci | Social Worker | 204 Eagle Rock Ave., Roseland, NJ 07068 | 2013-10-29 |
| 1083768469 | Elaine C Terry Garrod | Psychologist | 38 Roseland Avenue, Roseland, NJ 07068 | 2007-01-22 |
| 1750453833 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 45 Eisenhower Pkwy, Roseland, NJ 07068 | 2006-11-14 |
| 1821184417 | Jami Marie Messina | Psychologist | 157 Eagle Roack Avenue, Roseland, NJ 07068 | 2006-10-04 |
| 1578663514 | Florinda R Mangahas | General Practice | 73 Monroe Ave, Roseland, NJ 07068 | 2006-09-22 |
| 1770687071 | Anthony Origlieri | Ophthalmology | 180 Harrison Ave, Roseland, NJ 07068 | 2006-09-08 |
| 1033179403 | John Vicchio | Physical Therapist | 10 Eisenhower Parkway, Roseland, NJ 07068 | 2006-03-28 |
| 1023427325 | Toni Barrett | Social Worker | 101 Eisenhower Parkway, Suite 3c, Roseland, NJ 07068 | 2014-08-12 |
| Find all providers in zip 07068 | ||||
| Taxonomy Code | 2086S0122X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Plastic and Reconstructive Surgery |
| A surgeon who specializes in plastic and reconstructive surgery. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356805402 | Sr Plastic Surgery PC | Surgery | 2 Cornwall Dr, Unit B2, East Brunswick, NJ 08816 | 2019-01-23 |
| 1639655871 | Center for Plastic Cosmetic and Hand Surgery PC | Surgery | 127 Church Rd Ste 100, Marlton, NJ 08053-9402 | 2018-07-11 |
| 1265745111 | Jain Joseph | Surgery | 1 Diamond Hill Rd Fl 1, Berkeley Heights, NJ 07922 | 2010-07-21 |
| 1669631362 | Atlantic Plastic and Hand Surgery, Pa | Surgery | 2 Route 27, Suite 508, Edison, NJ 08820-3961 | 2008-06-06 |
| 1588877823 | Metamorphosis Plastic Surgery | Surgery | 42 Brook Drive South, New Vernon, NJ 07976 | 2007-05-07 |
| 1790824589 | Michael Rosen Md PC | Surgery | 1114 Hooper Ave, Toms River, NJ 08753-8325 | 2007-02-06 |
| 1447319777 | Paul H Rosenberg | Surgery | 1567 Palisade Ave 3rd Floor, Fort Lee, NJ 07024-6923 | 2006-12-06 |
| 1982783890 | John Mesa | Surgery | 200 S Orange Ave Ste 255, Livingston, NJ 07039 | 2006-11-02 |
| 1538264676 | Jamsheed Khodadad Najmi | Surgery | 8 Woodstock Ln, Annandale, NJ 08801-3425 | 2006-09-13 |
| 1790893998 | Paul Joseph Vallone | Surgery | 369 West Blackwell St, Dover, NJ 07801-2545 | 2006-08-28 |
| Find all providers with the same taxonomy | ||||
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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.