DR. LEONARDO JOSEPH DIVAGNO (NPI# 1851392435) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851392435 |
| Entity Type | Individual |
| Full Name | DR. LEONARDO JOSEPH DIVAGNO |
| Credential | MD |
| Practice Address |
216 Route 17 North Ste 201 Rochelle Park NJ 07662 |
| Mailing Address |
216 Route 17 North Ste 201 Rochelle Park NJ 07662-3333 |
| Practice Telephone | 2018453535 |
| Practice Fax Number | 2018454040 |
| Mailing Telephone | 2018453535 |
| Mailing Fax Number | 2018454040 |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2018-11-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MA69173 | NJ | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MA69173 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OXFORD | P2656071 | 01 | |
| GHI | 2917787 | 01 | |
| NJ | 8750009 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 218 Route 17 North, Suite 310, Rochelle, NJ 07662 | 2018453535 | 2018454040 |
| Street Address |
216 ROUTE 17 NORTH STE 201 |
| City | ROCHELLE PARK |
| State | NJ |
| Zip Code | 07662 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669602975 | Omar S Hasan | Internal Medicine | 216 Route 17 North Ste 201, Rochelle Park, NJ 07662-3333 | 2009-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871152959 | In-session Psychotherapy Services, LLC | Marriage & Family Therapist | 151 W. Passaic Street, Office #30, Rochelle Park, NJ 07662 | 2019-06-11 |
| 1518409929 | Sensorywellness, LLC | Occupational Therapist | 336 West Passaic St, Rochelle Park, NJ 07662 | 2016-11-16 |
| 1083030076 | The Lasik Vision Institute LLC | Clinic/Center | 336 West Passaic Street, Suite 202, Rochelle Park, NJ 07662 | 2014-03-14 |
| 1023386869 | Criselda Pineda | Physical Therapist | 94 West Oldis Street, Rochelle Park, NJ 07662 | 2011-12-08 |
| 1205138500 | Jaehoon Chung | Internal Medicine | 216 Rout 17 North, Suite 201, Rochelle Park, NJ 07662 | 2010-11-19 |
| 1639355720 | Bergen Care Home Health, LLC | Home Health | 365 W. Passaic Street, Suite 115, Rochelle Park, NJ 07662 | 2008-01-18 |
| 1700977535 | Humberto Luis Martinez | Psychiatry & Neurology | 175 Rochelle Avenue, Unit 323, Rochelle Park, NJ 07662 | 2006-09-27 |
| 1982702700 | New Jersey Cvs Pharmacy LLC | Pharmacy | 150 Rochelle Ave, Rochelle Park, NJ 07662 | 2006-09-20 |
| 1437169745 | Thomas John Mazejy | Dentist | 5 W Passaic St, Rochelle Park, NJ 07662 | 2006-08-09 |
| 1093713521 | Select Specialty Hospital - Northeast New Jersey Inc | Long Term Care Hospital | 96 Parkway, Rochelle, NJ 07662 | 2005-07-08 |
| Find all providers in zip 07662 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119014 | Hamilton Heart & Vascular Care LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 200, Hamilton, NJ 08619-1269 | 2018-10-09 |
| 1578812848 | Michael Alan Stein | Internal Medicine | 110 Lazarus Dr, Ledgewood, NJ 07852-2345 | 2012-09-02 |
| 1528386380 | Daniel Robert Amoruso | Internal Medicine | 8 Tempe Wick Rd Ste 300, Mendham, NJ 07945 | 2010-05-04 |
| 1417188905 | Humc Cardiovascular Partners, PC | Internal Medicine | 400 Frank W. Burr Boulevard, Suite 22, Teaneck, NJ 07666-6700 | 2009-07-31 |
| 1477727030 | Ramin Shayegan Hastings | Internal Medicine | 777 Terrace Ave Ste 311, Hasbrouck Heights, NJ 07604-3112 | 2008-04-15 |
| 1710168232 | Holy Name Cardiology Associates, PC | Internal Medicine | 954 Teaneck Road, Teaneck, NJ 07666-4245 | 2007-11-27 |
| 1093883597 | Varinder Singh | Internal Medicine | 215 Bridge St, Bldg.e, Metuchen, NJ 08840-2291 | 2006-12-01 |
| 1073612990 | Isaac Tawfik | Internal Medicine | 479 Rt 520, Marlboro, NJ 07746 | 2006-09-21 |
| 1215034640 | Jonathan E. Goldstein Md | Internal Medicine | 268 Dr Martin Luter King, Newark, NJ 07102 | 2006-09-20 |
| 1942235577 | James R Clifford Md PC | Internal Medicine | 255 West Spring Valley Ave, Maywood, NJ 07607 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
| City | ROCHELLE PARK |
| Zip Code | 07662 |
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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.