IZ MEDICAL LLC (NPI# 1790308583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790308583 |
| Entity Type | Organization |
| Organization Name | IZ MEDICAL LLC |
| Practice Address |
250 Moonachie Rd Moonachie NJ 07074-1378 |
| Practice Telephone | 2015966262 |
| Practice Fax Number | 2015966299 |
| Mailing Telephone | 2015966262 |
| Mailing Fax Number | 2015966299 |
| Enumeration Date | 2020-05-27 |
| Last Update Date | 2020-05-27 |
| Authorized Official Name | IYAD BAKER (CEO) |
| Authorized Official Telephone | 8622023087 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | 25MA09011900 | 01 |
| Street Address |
250 MOONACHIE RD |
| City | MOONACHIE |
| State | NJ |
| Zip Code | 07074-1378 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124553557 | Auroura Health & Aesthetics LLC | Skilled Nursing Facility | 35 Ramella Ave, Moonachie, NJ 07074 | 2017-04-24 |
| 1881986586 | Reham Hanna | Licensed Practical Nurse | 35 Union St, Moonachie, NJ 07074 | 2011-05-12 |
| 1548271182 | Baron 11 of Moonachie Inc | Durable Medical Equipment & Medical Supplies | 91 Moonachie Rd, Moonachie, NJ 07074-1016 | 2006-08-10 |
| 1881932135 | Ilumed LLC | Pharmacy | 91 Moonachie Rd, Moonachie, NJ 07074-1016 | 2013-01-22 |
| 1811270309 | Rudolf Trivigno Jr. | Pharmacist | 91 Moonachie Rd, Moonachie, NJ 07074-1016 | 2011-09-21 |
| 1992045405 | Jay Shree Krishna Moonachie LLC | Clinic/Center | 311 E Park St, Moonachie, NJ 07074-1138 | 2013-02-20 |
| 1447785373 | Palak Panchal | Physical Therapy Assistant | 57 Jackson Pl, Moonachie, NJ 07074-1212 | 2017-04-28 |
| 1255568861 | Christopher Montes | Psychiatry & Neurology | 202 Moonachie Rd, Moonachie, NJ 07074-1301 | 2009-06-22 |
| 1437411295 | Roseanne Sarkar | Acupuncturist | 349 Maple St, Moonachie, NJ 07074-1306 | 2012-06-07 |
| 1114268299 | Speech Within Reach, LLC | Speech-Language Pathologist | 314 Maple St, Moonachie, NJ 07074-1306 | 2013-03-14 |
| Find all providers in zip 07074 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234609 | Universal Management Group Inc. | Family Medicine | 611 Albert Pl, Ridgewood, NJ 07450-5308 | 2020-10-26 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1023615168 | Well Health Medical Practice | Family Medicine | 676 Amboy Ave Ste 4, Woodbridge, NJ 07095-3144 | 2020-10-01 |
| 1538776380 | Reusik | Family Medicine | 302 Brookmead Dr, Cherry Hill, NJ 08034-2729 | 2020-09-25 |
| 1265048359 | Seungyeon Lee | Family Medicine | 4609 Quail Ridge Dr, Plainsboro, NJ 08536-4232 | 2020-09-23 |
| 1558976670 | Nyc Regenerative Medicine Inc. | Family Medicine | 315 Route 34 Ste 103, Colts Neck, NJ 07722-2444 | 2020-09-15 |
| 1831700715 | Tree of Life Integrative Family Medicine | Family Medicine | 1200 Little Gloucester Rd Apt 1315, Clementon, NJ 08021-5874 | 2020-08-13 |
| 1972127629 | Alysha Marengo | Family Medicine | 326 Pine St, Pompton Lakes, NJ 07442-1617 | 2020-05-28 |
| 1629691241 | Wayne R Schneider,m.d.,llc | Family Medicine | 56 Tuckahoe Rd, Marmora, NJ 08223-1206 | 2020-05-19 |
| 1730718578 | Djalika Sanogo-goines | Family Medicine | 87 Toledo Ln, Willingboro, NJ 08046-3744 | 2020-04-03 |
| 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.