PATRICK CLANCY MD, PA (NPI# 1861530065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861530065 |
Entity Type | Organization |
Organization Name | PATRICK CLANCY MD, PA |
Practice Address |
44 Godwin Ave Suite 101 Midland Park NJ 07432-1969 |
Practice Telephone | 2014475454 |
Practice Fax Number | 2014478922 |
Mailing Telephone | 2014475454 |
Mailing Fax Number | 2014478922 |
Enumeration Date | 2007-02-01 |
Last Update Date | 2008-03-06 |
Authorized Official Name | PATRICK T CLANCY (OWNER) |
Authorized Official Telephone | 2014475454 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 25MA04814800 | NJ | Suppliers |
Street Address |
44 GODWIN AVE SUITE 101 |
City | MIDLAND PARK |
State | NJ |
Zip Code | 07432-1969 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619977667 | Steven Jacoby | Internal Medicine | 44 Godwin Ave, Ste 201, Midland Park, NJ 07432-1969 | 2005-07-29 |
1154872331 | Veenstra Family Dental | Dentist | 44 Godwin Ave, Suite 200, Midland Park, NJ 07432-1969 | 2016-10-22 |
1548406986 | Martin L. Smithline Md Pa | Clinic/Center | 44 Godwin Ave, Midland Park, NJ 07432-1969 | 2009-01-06 |
1487804159 | Judith Lang Knutsen | Audiologist | 44 Godwin Ave, Midland Park, NJ 07432-1969 | 2008-09-30 |
1952551509 | Dina Dabaj | Internal Medicine | 44 Godwin Ave, Suite 102, Midland Park, NJ 07432-1969 | 2008-09-19 |
1083863948 | Angela Dragotto | Technician/Technologist | 44 Godwin Ave, Midland Park, NJ 07432-1969 | 2008-09-16 |
1043466535 | Rupesh M Vakil | Internal Medicine | 44 Godwin Ave, Suite 201, Midland Park, NJ 07432-1969 | 2008-08-15 |
1669663399 | Van Grouw Orthopaedic Associates, Pa | Specialist | 44 Godwin Ave, Suite 200, Midland Park, NJ 07432-1969 | 2007-08-07 |
1023152980 | Bergen Hypertension & Renal Assoc | Internal Medicine | 44 Godwin Ave, Suite 301, Midland Park, NJ 07432-1969 | 2007-02-16 |
1528110715 | Midland Park Family Medicine | Family Medicine | 44 Godwin Ave, Ste 102, Midland Park, NJ 07432-1969 | 2007-01-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255897112 | Abilities Network LLC | Psychologist | 700 Godwin Avenue, Suite 120, Midland Park, NJ 07432 | 2019-02-15 |
1508264177 | Doctors Office of New Jersey, LLC | Clinic/Center | 85 Godwin Avenue, Midland Park, NJ 07432 | 2014-12-15 |
1992075469 | Vivian Dwyer | Counselor | 81 Park Ave., Misland Park, NJ 07432 | 2011-12-30 |
1417116542 | James Leon Hill | Veterinarian | 577 Godwin Ave, Midland Park, NJ 07432 | 2008-06-04 |
1831397520 | Eric D. Veenstra | Dentist | 44 Godwin Ave. Suite 200, Midland Park, NJ 07432 | 2007-07-05 |
1871797480 | Cynthia L. Picht | Counselor | 317 Godwin Ave Floor 3, Midland Park, NJ 07432 | 2007-06-14 |
1710029384 | Francis Vincent Natale | Chiropractor | 139 Godwin Ave, Midland Park, NJ 07432 | 2007-02-12 |
1992875967 | Thomas S Chobanian | Social Worker | 666 Godwin Ave, Suite 100, Midland Park, NJ 07432 | 2006-11-08 |
1013009596 | New Jersey Cvs Pharmacy LLC | Pharmacy | 85 Godwin Ave Midland Park Sc, Midland Park, NJ 07432 | 2006-09-29 |
1629173240 | Rahat Salamat | Internal Medicine | 44 Godwin Avenue, Suite 201, Midland Park, NJ 07432 | 2006-09-14 |
Find all providers in zip 07432 |
Taxonomy Code | 332H00000X |
Grouping | Suppliers |
Classification | Eyewear Supplier (Equipment, not the service) |
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336231968 | Keith Seidenberg, Md LLC | Eyewear Supplier (Equipment, not the service) | 600 Godwin Ave, Midland Park, NJ 07432-1468 | 2006-09-29 |
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1629676861 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 321 Martin Truex Jr Blvd, Manahawkin, NJ 08050-2834 | 2020-10-10 |
1508463886 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1007 Highway Route 9n, Old Bridge, NJ 08857 | 2020-10-08 |
1518574847 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Marketplace Blvd, Hamilton, NJ 08691-2100 | 2020-09-30 |
1407463169 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 200 Wrangleboro Rd, Mays Landing, NJ 08330 | 2020-09-28 |
1174130918 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 110 Route 23 N, Riverdale, NJ 07457 | 2020-09-25 |
1265049134 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 30 S State Rt 17, Paramus, NJ 07652-2645 | 2020-09-25 |
1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
1437765989 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 300 Route 17 (northbound), E. Rutherford, NJ 07073 | 2020-09-21 |
1932715521 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 1904 Route 35, Oakhurst, NJ 07755-2715 | 2020-09-18 |
Find all providers with the same taxonomy |
City | MIDLAND PARK |
Zip Code | 07432 |
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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.