DR. THEOPHANIS A PAVLOU (NPI# 1871552026) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871552026 |
| Entity Type | Individual |
| Full Name | DR. THEOPHANIS A PAVLOU |
| Credential | MD |
| Practice Address |
200 Grand Ave Suite 102 Englewood NJ 07631-4363 |
| Practice Telephone | 2018713636 |
| Practice Fax Number | 2018712286 |
| Mailing Telephone | 2018713636 |
| Mailing Fax Number | 2018712286 |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2011-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
MA59211 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6341705 | 05 |
| Street Address |
200 GRAND AVE SUITE 102 |
| City | ENGLEWOOD |
| State | NJ |
| Zip Code | 07631-4363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073513602 | Robin Motz | Internal Medicine | 200 Grand Ave, Englewood, NJ 07631-4371 | 2005-07-26 |
| 1144484866 | Holy Name Pulmonary Associates, PC | Internal Medicine | 200 Grand Ave, Suite 102, Englewood, NJ 07631-4363 | 2008-07-11 |
| 1003008434 | Patricia K Joseph Md PC | Surgery | 200 Grand Ave, Suite 202, Englewood, NJ 07631 | 2007-08-09 |
| 1992904866 | Dr. Ronald E. Strobel, M.d., P.C. | Internal Medicine | 200 Grand Ave, Suite 202, Englewood, NJ 07631-4363 | 2007-07-12 |
| 1851597454 | Ralph R Hallac Md | Internal Medicine | 200 Grand Ave, Englewood, NJ 07631-4371 | 2007-06-21 |
| 1750419958 | Suraj Kumar Saggar | Internal Medicine | 200 Grand Ave, Suite 102, Englewood, NJ 07631-4371 | 2007-03-01 |
| 1043362940 | North Jersey Infectious Disease Group LLC | Internal Medicine | 200 Grand Ave, Suite 102, Englewood, NJ 07631-4371 | 2007-01-18 |
| 1083761506 | Pulmonary Associates of Northern New Jersey P A | Internal Medicine | 200 Grand Ave, Suite 102, Englewood, NJ 07631-4363 | 2007-01-05 |
| 1447347471 | Eduardo A Liriano | Surgery | 200 Grand Ave, Suite 204, Englewood, NJ 07631 | 2006-10-10 |
| 1821198805 | Mihran A Seferian | Internal Medicine | 200 Grand Ave, Suite 102, Englewood, NJ 07631-4371 | 2006-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447868922 | Sharmela Brijmohan | Student in an Organized Health Care Education/Training Program | 350 Engle Street Englewood Nj Department of Medicine, Englewood, NJ 07631 | 2020-07-21 |
| 1902422553 | Ross Tyrone Jensen Lavine | Student in an Organized Health Care Education/Training Program | 350 Engle Street, Department of Medicine, Englewood, NJ 07631 | 2020-06-19 |
| 1881235497 | Cbt and Psychodynamic Therapy Associates LLC | Social Worker | 245 Walnut Street, Englewood, NJ 07631 | 2019-10-04 |
| 1346895950 | Eb Care At Englewood, LLC | Assisted Living Facility | 412 South Van Brunt Street, Englewood, NJ 07631 | 2019-08-09 |
| 1730695727 | Maytal Elart | Spec/Tech, Cardiovascular | 151 E Palisades Ave, 16e, Englewood, NJ 07631 | 2017-12-28 |
| 1396259255 | Elizabeth Thottumalil Thomas | Counselor | 93 West Palisade Ave, Englewood, NJ 07631 | 2017-11-29 |
| 1992214381 | Englewood Orthopedics Group PC | Orthopaedic Surgery | 55 Smith St Unit 5653, Englewood, NJ 07631 | 2017-09-28 |
| 1639691579 | Jee Hoon Jang | Student in an Organized Health Care Education/Training Program | 350 Engle St., Englewood, NJ 07631 | 2017-07-12 |
| 1427570332 | Dan Ran Castillo | Student in an Organized Health Care Education/Training Program | 350 Engel Street, Engelwood, NJ 07631 | 2017-07-12 |
| 1275061392 | Thomas J Drexler | Counselor | 93 W. Palisades Ave, Englewood, NJ 07631 | 2017-06-02 |
| Find all providers in zip 07631 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1275681314 | Martin J. Fliegelman | Internal Medicine | 5340 S Kenton Ct, Englewood, CO 80111-3829 | 2007-01-08 |
| 1174590558 | Paul S Han | Internal Medicine | 200 Grand Avenue, Suite 102, Englewood, NJ 07631-4363 | 2006-03-03 |
| 1821060880 | Monroe S Karetzky | Internal Medicine | 200 Engle Street, Suite 10, Englewood, NJ 07631 | 2006-02-03 |
| 1861811309 | Andrea Isaacs Md PC | Internal Medicine | 177 N Dean St, Suite 203, Englewood, NJ 07631-2533 | 2014-04-14 |
| 1073879896 | Richard Edward May Jr. | Internal Medicine | 200 Grand Ave Ste 102, Englewood, NJ 07631-4363 | 2012-04-05 |
| 1467743286 | Killol Patel | Internal Medicine | 180 Engle St, Englewood, NJ 07631-2507 | 2011-04-27 |
| 1669623237 | Michael Eric Perry Md PC | Internal Medicine | 601 E Hampden Ave, Ste 430, Englewood, CO 80113-3781 | 2008-10-01 |
| 1144484866 | Holy Name Pulmonary Associates, PC | Internal Medicine | 200 Grand Ave, Suite 102, Englewood, NJ 07631-4363 | 2008-07-11 |
| 1639338205 | Harris Brandon Tesher | Internal Medicine | 200 Grand Avenue, Suite 102, Englewood, NJ 07631-4363 | 2008-06-08 |
| 1083761506 | Pulmonary Associates of Northern New Jersey P A | Internal Medicine | 200 Grand Ave, Suite 102, Englewood, NJ 07631-4363 | 2007-01-05 |
| Find all providers in ENGLEWOOD | ||||
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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.