ST MICHAEL INFECTIOUS DISEASE ASSOCIATES (NPI# 1811942766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811942766 |
| Entity Type | Organization |
| Organization Name | ST MICHAEL INFECTIOUS DISEASE ASSOCIATES |
| Practice Address |
265 Dr Martin Luther King Jr Blvd Newark NJ 07102-2012 |
| Mailing Address |
Po Box 36 Roseland NJ 07068-0036 |
| Practice Telephone | 9738772586 |
| Mailing Telephone | 2015129494 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2009-05-27 |
| Authorized Official Name | DR. STEPHEN SMITH (OWNER) |
| Authorized Official Telephone | 9738772586 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
MA060236 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 8420301 | 05 |
| Street Address |
265 DR MARTIN LUTHER KING JR BLVD |
| City | NEWARK |
| State | NJ |
| Zip Code | 07102-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487253779 | Integrity, Inc | Clinic/Center | 1091-1093 Broad Street, Newark, NJ 07102 | 2020-10-19 |
| 1881292720 | Oluwaseun Ademulegun | Pharmacist | 1084 Broad Street, Newark, Newark, NJ 07102 | 2020-10-13 |
| 1679042295 | Henry Paul Grayner | Specialist/Technologist | 100 Lock St, Newark, NJ 07102 | 2018-11-14 |
| 1548736838 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 101 Lincoln Park, 2nd Floor, Newark, NJ 07102 | 2018-10-15 |
| 1962981407 | Crystal Kay-baune Mccown | Social Worker | 130 Orange St, Newark, NJ 07102 | 2018-08-07 |
| 1053808865 | Nubi Consultants Corp. Dba Aplus Home Care | Physical Therapist | 11 Franklin Street, 11 Franklin Street, Newark, NJ 07102 | 2018-04-17 |
| 1396249264 | Integrity, Inc | Substance Abuse Rehabilitation Facility | 49 Lincoln Park, Newark, NJ 07102 | 2018-03-23 |
| 1568960896 | Saint James Health Inc | Clinic/Center | 36 Halsey Street, Newark, NJ 07102 | 2018-02-01 |
| 1992216527 | Metropolitan Center for Human Services | Psychologist | 520 Dr. Martin Luther King, Jr. Boulevard, Newark, NJ 07102 | 2017-10-23 |
| 1467974949 | Ahmad Mohammad Tawfiq Damati | Student in an Organized Health Care Education/Training Program | 123 University Ave, Newark, Nj 07102, Newark, NJ 07102 | 2017-07-17 |
| Find all providers in zip 07102 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| 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 |
|---|---|---|---|---|
| 1295006948 | Byungwoo Choi | Internal Medicine | 537 Stanton Christiana Rd Ste 201, Newark, DE 19713-2148 | 2012-01-25 |
| 1174802557 | Gilda Bontempo | Internal Medicine | 185 S Orange Ave Msb I-689, Newark, NJ 07103-2757 | 2011-08-16 |
| 1942456272 | Melinda Sheron Brown | Internal Medicine | St James Health Center, 228 Lafayette Street, Newark, NJ 07105 | 2008-08-18 |
| 1902967508 | Alfred E Bacon IIi | Internal Medicine | 78 Omega Dr, Bldg C, Newark, DE 19713-2064 | 2006-12-13 |
| 1912068529 | Stephanie A Lee | Internal Medicine | 78 Omega Dr Bldg C, Newark, DE 19713-2064 | 2006-12-13 |
| 1922497635 | Tilly Varughese | Internal Medicine | 185 S Orange Ave, Newark, NJ 07103-2757 | 2015-01-19 |
| 1417379983 | Maria Elaine Szabela | Internal Medicine | 111 Central Ave, Newark, NJ 07102-1909 | 2014-01-17 |
| 1841634623 | Tanzila Salim | Internal Medicine | 140 Bergen St # D, Newark, NJ 07103-2425 | 2013-04-23 |
| 1487914834 | Kristen Leigh Facciolo | Internal Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-05-19 |
| 1598023152 | Raymund Vincent Sebastian Sison | Internal Medicine | 111 Central Ave, Department of Medical Education, Newark, NJ 07102-1909 | 2012-05-01 |
| Find all providers in NEWARK | ||||
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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.