DR. JOHN GILLICK (NPI# 1821499344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821499344 |
| Entity Type | Individual |
| Full Name | DR. JOHN GILLICK |
| Credential | M.D. |
| Practice Address |
90 Bergen St Ste 8100 Newark NJ 07103-2425 |
| Mailing Address |
90 Bergen Street Suite 8100 Newark NJ 07103 |
| Practice Telephone | 9739722323 |
| Mailing Telephone | (973) 972-2323 |
| Mailing Fax Number | 9739722333 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207T00000X | Neurological Surgery | 283356 | NY | Allopathic & Osteopathic Physicians |
| Y | 207T00000X | Neurological Surgery | 25MA10152100 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 234 E 149th St, Bronx, NY 104515504 | 7185795274 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033137401 | John Joseph Gillick | Psychologist | 375 Linwood Ave, Buffalo, NY 14209-1607 | 2006-07-17 |
| 1609845700 | John Schiller Gillick | Anesthesiology | 1947 Cable St, San Diego, CA 92107-2807 | 2006-03-14 |
| Street Address |
90 BERGEN ST STE 8100 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316068927 | Chirag D Gandhi | Neurological Surgery | 90 Bergen St Ste 8100, Neurological Institute of New Jersey, Newark, NJ 07103-2425 | 2007-04-02 |
| 1396365821 | Evgenii Belykh | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-24 |
| 1194353300 | Sydney Rae Zaransky | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1225667355 | Roman Povolotskiy | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1346878550 | Travis Ramiro Quinoa | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1982232047 | Paul Thomas Cowan | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1518595685 | Jordan Thompson | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2020-04-01 |
| 1033765383 | University Neurosurgery Associates (om) | Neurological Surgery | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2019-08-13 |
| 1760988901 | Timothy Wong | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2018-04-05 |
| 1194220517 | Mayand Praful Vakil | Student in an Organized Health Care Education/Training Program | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2018-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316068927 | Chirag D Gandhi | Neurological Surgery | 90 Bergen St Ste 8100, Neurological Institute of New Jersey, Newark, NJ 07103-2425 | 2007-04-02 |
| 1386741577 | Bikash Bose | Neurological Surgery | C 79 Omega Drive, Newark, DE 19713 | 2006-09-20 |
| 1033765383 | University Neurosurgery Associates (om) | Neurological Surgery | 90 Bergen St Ste 8100, Newark, NJ 07103-2425 | 2019-08-13 |
| 1285990804 | Irene Sy Say | Neurological Surgery | 90 Bergen Street, Doctor's Office Center, Newark, NJ 07101-1709 | 2012-04-09 |
| 1386938843 | James C Barrese | Neurological Surgery | 90 Bergen St, 8100, Newark, NJ 07103-2425 | 2011-06-01 |
| 1386965523 | Pankaj K Agarwalla | Neurological Surgery | 90 Bergen St # 8100, Newark, NJ 07103 | 2010-06-22 |
| 1417111360 | Antonios Mammis | Neurological Surgery | 90 Bergen St, Suite 8100, Newark, NJ 07103-2425 | 2008-07-10 |
| 1235392945 | Leif-erik Sheldon Bohman | Neurological Surgery | 774 Christiana Rd, Suite 202, Newark, DE 19713-4236 | 2008-07-03 |
| 1770744872 | Rachid Assina | Neurological Surgery | 90 Bergen St, Suite 8100, Newark, NJ 07103-2425 | 2008-06-20 |
| 1720288244 | Amit Singla | Neurological Surgery | 90 Bergen St # 8100, Newark, NJ 07103 | 2007-07-23 |
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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.