EDWARD B SELF JR. (NPI# 1891731790) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891731790 |
| Entity Type | Individual |
| Full Name | EDWARD B SELF JR. |
| Credential | M.D. |
| Practice Address |
385 S Maple Ave Ste 101 Ridgewood NJ 07452-1543 |
| Practice Telephone | 2014471188 |
| Practice Fax Number | 2014478935 |
| Mailing Telephone | 2014471188 |
| Mailing Fax Number | 2014478935 |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2008-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MA33233 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
385 S MAPLE AVE STE 101 |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07452-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730126020 | Ronald James Rapuano | Dentist | 385 S Maple Ave, Suite 207, Ridgewood, NJ 07452-1543 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326566134 | Silverio Joseph Bumanlag | Physical Therapist | 251 Rock Road, Suite 2c, Glen Rock, NJ 07452 | 2017-08-31 |
| 1073030953 | Erin Leigh Leonard | Pediatrics | 37 Emerson Road, Glen Rock, NJ 07452 | 2017-08-23 |
| 1306389457 | Rock Physical Therapy & Sports Rehabilitation Inc | Clinic/Center | 251 Rock Rd Ste 2e, Glen Rock, NJ 07452 | 2016-11-22 |
| 1003215336 | Amanda Rose Peraino | Specialist | 17 Stonefield Road, Glen Rock, NJ 07452 | 2014-08-22 |
| 1083030225 | Kristopher D Paik | Dentist | Ridgewood Oral Surgery & Implant Center, 385 S. Maple Ave Ste 207, Glen Rock, NJ 07452 | 2014-03-12 |
| 1497016158 | Patricia A. Woods | Counselor | 849 Lincoln Avenue, Glen Rock, NJ 07452 | 2012-05-30 |
| 1114284239 | Eileen Kringle Mc Auley | Physical Therapist | 522 Broad Street, Glen Rock, NJ 07452 | 2012-04-13 |
| 1467748301 | Sujal P Patel | Orthopaedic Surgery | 85 Harristown Rd Ste 103, Glen Rock, NJ 07452 | 2011-06-20 |
| 1649426479 | Adam Avitabile | Physician Assistant | 208 Harristown Rd # Ll-2, Glen Rock, NJ 07452 | 2008-08-12 |
| 1427219914 | John Koerner | Orthopaedic Surgery | 266 Harristown Road, Suite 100, Glen Rock, NJ 07452 | 2008-06-18 |
| Find all providers in zip 07452 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501521 | Genfit Medical LLC | Orthopaedic Surgery | 143 E Ridgewood Ave Ste 765, Ridgewood, NJ 07450-3815 | 2020-09-01 |
| 1801417423 | Genfit Health | Orthopaedic Surgery | 143 E Ridgewood Ave Ste 784, Ridgewood, NJ 07450-3815 | 2020-05-05 |
| 1962656579 | Avrum Joffe | Orthopaedic Surgery | 106 Prospect St Ste 3, Ridgewood, NJ 07450-4433 | 2008-11-10 |
| 1477530285 | Steven L Goodman | Orthopaedic Surgery | 6655 Fresh Pond Rd, Ridgewood, NY 11385 | 2005-12-22 |
| 1245233634 | Arnold Criscitiello | Orthopaedic Surgery | 85 S Maple Ave, Ridgewood, NJ 07450 | 2005-05-31 |
| 1023414323 | L Paul Brief Md PC | Orthopaedic Surgery | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2014-11-13 |
| 1497916845 | Umer Dasti | Orthopaedic Surgery | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2008-06-18 |
| 1851559033 | Kevin Meehan Roenbeck | Orthopaedic Surgery | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2008-05-24 |
| 1548444508 | Louis Francis Amorosa Jr. | Orthopaedic Surgery | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2007-12-26 |
| 1104982974 | Charles Richard Carozza | Orthopaedic Surgery | 127 Union Street, Suite 107, Ridgewood, NJ 07450 | 2006-12-28 |
| Find all providers in RIDGEWOOD | ||||
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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.