DR. IVAN DARIO BARAQUE (NPI# 1811059967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811059967 |
| Entity Type | Individual |
| Full Name | DR. IVAN DARIO BARAQUE |
| Credential | MD |
| Practice Address |
606 Broadway Paterson NJ 07514-1916 |
| Practice Telephone | 9735234000 |
| Practice Fax Number | 9736893081 |
| Mailing Telephone | 9735234000 |
| Mailing Fax Number | 9736893081 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2011-12-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 25MA08711300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 161270 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
606 BROADWAY |
| City | PATERSON |
| State | NJ |
| Zip Code | 07514-1916 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700420213 | Jannelle Laguesma Martinez | Nurse Practitioner | 606 Broadway, Paterson, NJ 07514-1916 | 2019-10-29 |
| 1144704693 | Stephanie Wanda Checo Nolasco | Nurse Practitioner | 606 Broadway, Paterson, NJ 07514-1916 | 2018-09-20 |
| 1689154437 | Idalissie Altagracia Peguero | Nurse Practitioner | 606 Broadway, Paterson, NJ 07514-1916 | 2018-08-20 |
| 1063864957 | Norma Lesta | Nurse Practitioner | 606 Broadway, Paterson, NJ 07514-1916 | 2016-07-05 |
| 1093184392 | Wanda Hedian | Nurse Practitioner | 606 Broadway, Paterson, NJ 07514-1916 | 2015-09-17 |
| 1700296530 | Diana Becerra | Nurse Practitioner | 606 Broadway, Paterson, NJ 07514-1916 | 2014-05-01 |
| 1558702266 | Nj Diagnostic Testing LLC | Specialist | 606 Broadway, Paterson, NJ 07514-1916 | 2013-07-10 |
| 1528262961 | Gammal A Hassanien | Internal Medicine | 606 Broadway, Paterson, NJ 07514-1916 | 2007-06-11 |
| 1992916647 | Jose R. Sanchez-pena | Internal Medicine | 606 Broadway, Paterson, NJ 07514-1916 | 2007-05-24 |
| 1821174079 | Passaic County Integrated | Internal Medicine | 606 Broadway, Paterson, NJ 07514-1916 | 2006-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396996724 | Durable Medical Supply Inc. | Durable Medical Equipment & Medical Supplies | 750 Broadway 1st Floor Suite F, Paterson, NJ 07514 | 2008-10-03 |
| 1649387762 | Gurmit S Chilana | Obstetrics & Gynecology | 695 Broadway, Paterson, NJ 07514 | 2006-08-24 |
| 1396859385 | Mahesh M Mehta | General Practice | 426 10th Ave, Paterson, NJ 07514 | 2006-08-18 |
| 1780649608 | Ashoke Agarwal | Internal Medicine | 715 Broadway, Ste 1, Paterson, NJ 07514 | 2006-04-20 |
| 1750342762 | David Leonard Fink | Surgery | 707 Broadway, Paterson, NJ 07514 | 2006-03-29 |
| 1720049091 | Qing Lin | Pathology | 680 Martin Luther King Jr Way, Patterson, NJ 07514 | 2006-03-28 |
| 1720049166 | Pathology Services, LLC | Specialist | 680 Martin Luther King Jr. Way, Patterson, NJ 07514 | 2006-03-28 |
| 1013524065 | Nj Vein Clinics | Clinic/Center | 583 Broadway, Paterson, NJ 07514 | 2020-09-24 |
| 1134645450 | Esther Faye Feinstein | Physician Assistant | 660 Broadway, Paterson, NJ 07514 | 2017-08-17 |
| 1134591795 | Smile Cares Family Dentistry | Dentist | 715 Broadway, Suite #201, Patterson, NJ 07514 | 2015-10-22 |
| Find all providers in zip 07514 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1114311214 | Riley Medical Corporation | Internal Medicine | 543 14th Ave, Paterson, NJ 07504-2205 | 2015-03-26 |
| 1396906913 | Nader Ahmad Mahmood | Internal Medicine | 1040 Main St Fl 3, Paterson, NJ 07503 | 2008-06-17 |
| 1528198124 | Hector Luis Castillo | Internal Medicine | 1000 Madison Ave., Paterson, NJ 07501-3566 | 2007-03-06 |
| 1740315225 | East 29th St Medical Associates, P.C. | Internal Medicine | 542 E 29th Street, Paterson, NJ 07504-1814 | 2007-02-23 |
| 1184765513 | Nalini Shah | Internal Medicine | 415 21st Ave, Paterson, NJ 07513-1612 | 2007-02-09 |
| 1316032014 | Ramon Antonio Sandoval | Internal Medicine | 416 Park Ave, Paterson, NJ 07504-1930 | 2006-10-04 |
| 1558453225 | Luis F Luna | Internal Medicine | 32 Hine St Ste 103, Paterson, NJ 07503 | 2006-09-29 |
| 1093749467 | Dinesh H Shah | Internal Medicine | 350 21st Ave, Paterson, NJ 07501-3641 | 2006-07-10 |
| 1669400248 | Ferraro Medical Associates, Pa | Internal Medicine | 414 Broadway, Paterson, NJ 07501-2105 | 2006-06-30 |
| Find all providers in PATERSON | ||||
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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.