ONE OAK MEDICAL GROUP, LLC (NPI# 1831735166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831735166 |
| Entity Type | Organization |
| Organization Name | ONE OAK MEDICAL GROUP, LLC |
| Practice Address |
905 Allwood Rd Clifton NJ 07012-1945 |
| Mailing Address |
905 Allwood Road Clifton NJ 07012 |
| Practice Telephone | 9738707777 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2020-09-17 |
| Authorized Official Name | FAISAL MAHMOOD (OWNER OF PRACTICE) |
| Authorized Official Telephone | 9738700777 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Other Name | Type Code |
|---|---|
| One Oak Medical Group, LLC | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003429036 | One Oak Medical Group, LLC | Orthopaedic Surgery | 1200 Green St, Iselin, NJ 08830-2014 | 2020-08-28 |
| 1366055303 | One Oak Medical Group, LLC | Obstetrics & Gynecology | 109 Valley Rd, Montclair, NJ 07042-2322 | 2020-08-28 |
| 1780220764 | One Oak Medical Group, LLC | Specialist | 2 Sears Dr, Paramus, NJ 07652 | 2019-11-25 |
| 1669997359 | One Oak Medical Group, LLC | Orthopaedic Surgery | 342 Hamburg Tpke Ste 202, Wayne, NJ 07470-2166 | 2017-08-03 |
| Street Address |
905 ALLWOOD RD |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07012-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841293024 | Elizabeth Coll | Nurse Practitioner | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1945 | 2005-05-23 |
| 1346881836 | Carmen Kotry | Physician Assistant | 905 Allwood Rd, Clifton, NJ 07012-1945 | 2019-10-05 |
| 1427281351 | The Clifton Center for Oral Surgery and Jaw Reconstruction LLC | Clinic/Center | 905 Allwood Rd, Suite 202, Clifton, NJ 07012-1945 | 2009-08-26 |
| 1801031620 | Timothy M White | Physician Assistant | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2008-12-08 |
| 1467632364 | Ivan Chen | Physical Medicine & Rehabilitation | 905 Allwood Rd, Ste 200, Clifton, NJ 07012-1945 | 2007-11-07 |
| 1518037068 | General and Vascular Surgical Associates of North Jersey, P.a. | Surgery | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2006-11-09 |
| 1871681163 | Joseph Benjamin Baratta | Surgery | 905 Allwood Rd, Suite 204, Clifton, NJ 07012-1933 | 2006-10-11 |
| 1497704373 | Anil Agarwal | Internal Medicine | 905 Allwood Rd, Suite 101, Clifton, NJ 07012-1933 | 2006-05-09 |
| 1023075991 | Meenoo Agarwal | Anesthesiology | 905 Allwood Rd, Suite 101, Clifton, NJ 07012-1945 | 2006-04-26 |
| 1063407674 | Neurology Group of North Jersey Pa | Psychiatry & Neurology | 905 Allwood Rd, Suite 105, Clifton, NJ 07012-1946 | 2005-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528428307 | Sofia Konvitz | Behavioral Analyst | 743 Passaic Ave, Suite 109, Clifton, NJ 07012 | 2016-03-07 |
| 1881065118 | Renita Farkas I | Registered Nurse | 777 Bloomfield Avenue, Clifton, NJ 07012 | 2015-10-13 |
| 1619374402 | Lorraine Brenner | Dentist | 1053 Bloomfield Ave Ste 14, Clifton, NJ 07012 | 2014-11-23 |
| 1861897878 | Melissa Langewisch | General Acute Care Hospital | 3 Englewood Road, Clifton, NJ 07012 | 2014-11-03 |
| 1043637192 | Fadwa Sumrein | Internal Medicine | 2 Brighton Rd Ste 400, Clifton, NJ 07012 | 2014-03-26 |
| 1386067841 | Rita Mary Grazulis | Dentist | 91 Nugent Drive, Clifton, NJ 07012 | 2014-02-03 |
| 1366721573 | John P Castronova | Dentist | 79 Ave U, Brooklyn, NJ 07012 | 2011-08-05 |
| 1477849164 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 550 Allwood Rd, Clifton, NJ 07012 | 2011-06-22 |
| 1487805784 | Dron Gauchan | Internal Medicine | 74a Richfield Ct, Clifton, NJ 07012 | 2008-10-05 |
| 1497930283 | Coreen Christie | Counselor | 777 Bloomfiled Ave, Suite B, Clifton, NJ 07012 | 2007-12-31 |
| Find all providers in zip 07012 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962943811 | Siu Man Woo | Specialist | 605 Grove St Apt E16, Clifton, NJ 07013-3868 | 2017-03-11 |
| 1730539958 | Zehal Suliman | Specialist | 15 Richland Ct, Apt D, Clifton, NJ 07012-6376 | 2016-06-18 |
| 1114387396 | Lori Scudillo | Specialist | 26 Cottage Ln, Clifton, NJ 07012-2104 | 2016-03-01 |
| 1063880011 | Minimally Invasive and Regenerative Spine Institute | Specialist | 1054 Clifton Ave, Clifton, NJ 07013-3638 | 2015-09-08 |
| 1871961029 | Chana Mittel | Specialist | 541 Passaic Ave, Clifton, NJ 07014-1211 | 2015-09-04 |
| 1639591357 | Comprehensive Medical Therapeutics, P.C. | Specialist | 1360 Clifton Ave # 275, Clifton, NJ 07012-1343 | 2014-01-15 |
| 1336570266 | Eliezer Krohn | Specialist | 354 South Pkwy, Clifton, NJ 07014-1225 | 2013-12-03 |
| 1326395401 | Melody Bobe | Specialist | 58 Mahar Ave, Clifton, NJ 07011-1309 | 2012-08-08 |
| 1184986002 | Yanela Rodriguez | Specialist | 259 Luddington Avenue, Clifton, NJ 07011 | 2012-06-15 |
| 1902042286 | Joni Felicia Jefferson | Specialist | 852 Route 3 Ste 200, Clifton, NJ 07012-2344 | 2008-12-17 |
| Find all providers in CLIFTON | ||||
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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.