DR. MARIVIC SANTIAGO (NPI# 1801847462) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801847462 |
| Entity Type | Individual |
| Full Name | DR. MARIVIC SANTIAGO |
| Credential | M.D. |
| Practice Address |
140 E Ridgewood Avenue Suite 480n Paramus NJ 07652 |
| Practice Telephone | 2014478151 |
| Practice Fax Number | 2014478526 |
| Mailing Telephone | 2014478151 |
| Mailing Fax Number | 2014478526 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2019-09-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
25MA06765100 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
140 E RIDGEWOOD AVENUE SUITE 480N |
| City | PARAMUS |
| State | NJ |
| Zip Code | 07652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568409787 | Lisa M Nalven | Pediatrics | 140 E Ridgewood Avenue, Suite 480n, Paramus, NJ 07652 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750997789 | Eunice Ramos | Nurse Practitioner | 300-a Forest Avenue, Paramus, NJ 07652 | 2020-09-15 |
| 1740801679 | Daniel Khodorkovsky | Dentist | 1615 Paramus Park, Paramus, NJ 07652 | 2020-05-01 |
| 1548806177 | Shira R Goldstein | Social Worker | 10 Valley Health Plaza, Paramus, NJ 07652 | 2019-11-19 |
| 1225598634 | Life Opportunities Unlimited A Non-profit Corp. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 157 Windsor Rd, Paramus, NJ 07652 | 2019-03-21 |
| 1639635766 | Inna Revutsky | Acupuncturist | Applied Kinesiology Center of Nj, 1 Sears Drive Suite 203, Paramus, NJ 07652 | 2019-02-13 |
| 1154899532 | Aleksandra Bozovic | Nurse Practitioner | 970 Linwood Avenue, Suite 102, Paramus, NJ 07652 | 2018-11-05 |
| 1689156044 | Christopher John Kailath | Behavioral Analyst | 10 Forest Ave Suite 214, Paramus, NJ 07652 | 2018-09-02 |
| 1841786696 | Molly Katherine Lenny | Optometrist | 501 Route 17 South, Paramus, NJ 07652 | 2018-07-05 |
| 1508356155 | Physical Therapy Now Holdings Nj LLC | Clinic/Center | 695 Route 17 South, Paramus, NJ 07652 | 2018-05-18 |
| 1821514373 | Simona Dlabal | Nurse Practitioner | 69 Prospect St, Paramus, NJ 07652 | 2017-08-16 |
| Find all providers in zip 07652 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568409787 | Lisa M Nalven | Pediatrics | 140 E Ridgewood Avenue, Suite 480n, Paramus, NJ 07652 | 2006-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427367440 | Maureen Hoey | Pediatrics | 104 Cranford Ave, Cranford, NJ 07016-2408 | 2010-09-27 |
| 1548427420 | Manuel Jimenez | Pediatrics | 89 French St Rm 1349, New Brunswick, NJ 08901-1935 | 2008-05-19 |
| 1265589600 | Margaret Kelly Downey | Pediatrics | 110 Hazel Ct, Norwood, NJ 07648-1817 | 2007-01-05 |
| 1982798237 | Dorothy W. Bryan | Pediatrics | 953 Garfield Avenue, Jersey City, NJ 07304 | 2006-10-03 |
| 1952493967 | Batul S Ladak | Pediatrics | 50 Market Street, Second Floor, Saddle Brook, NJ 07663 | 2006-09-28 |
| 1235233248 | Ffrancine M Siegel-stein | Pediatrics | 263 Arch Rd, Englewood, NJ 07631-4402 | 2006-09-11 |
| 1871561266 | Kathleen Selvaggi-fadden | Pediatrics | 435 South St Ste 250, Morristown, NJ 07960-6477 | 2006-03-10 |
| 1295371441 | Hunterdon Medical Center | Pediatrics | 190 Route 31, Flemington, NJ 08822-5773 | 2019-11-22 |
| 1932762002 | Clarity Psychiatric Care | Pediatrics | 31 Kings Hwy E, Haddonfield, NJ 08033-2001 | 2019-04-15 |
| 1750891990 | Phoenix Behavioral Health LLC | Pediatrics | 1014 Whitehead Road Ext, Ewing, NJ 08638-2406 | 2017-10-02 |
| 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.