ZUBIN MICKEY BAMBOAT (NPI# 1891821567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891821567 |
| Entity Type | Individual |
| Full Name | ZUBIN MICKEY BAMBOAT |
| Credential | MD |
| Practice Address |
140 Park Ave Florham Park NJ 07932-1049 |
| Mailing Address |
20 Prospect Ave Suite 603 Hackensack NJ 07601-1997 |
| Practice Telephone | 9734049980 |
| Practice Fax Number | 8553079476 |
| Mailing Telephone | 2013421010 |
| Mailing Fax Number | 2013421030 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
25MA09324700 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
140 PARK AVE |
| City | FLORHAM PARK |
| State | NJ |
| Zip Code | 07932-1049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710536222 | John Tyler Indrikovic | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2019-09-06 |
| 1194387944 | Summit Medical Group Pa | Clinic/Center | 140 Park Ave, Florham Park, NJ 07932-1049 | 2019-07-02 |
| 1962998427 | Will Stanaback | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2018-07-09 |
| 1730697921 | Yoonie Kim | Nurse Practitioner | 140 Park Ave, Florham Park, NJ 07932-1049 | 2018-01-22 |
| 1356868939 | Amy Dougan | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2017-08-24 |
| 1962958959 | Jennifer C. Sasso | Physical Therapist | 140 Park Ave, Florham Park, NJ 07932-1049 | 2016-08-30 |
| 1437513603 | Charles Becker | Family Medicine | 140 Park Ave, Florham Park, NJ 07932-1049 | 2016-04-13 |
| 1528434388 | Karan Pal | Physician Assistant | 140 Park Ave, Florham Park, NJ 07932-1049 | 2015-08-17 |
| 1477938348 | Jessica Moore | Physical Therapist | 140 Park Ave, Florham Park, NJ 07940 | 2015-07-21 |
| 1356722268 | Mary Carrillo | Registered Nurse | 140 Park Ave, Florham Park, NJ 07932-1049 | 2015-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700487162 | Tender Care | Community/Behavioral Health | 2 Independence Way, Apt. 102, Florham Park, NJ 07932 | 2020-11-03 |
| 1780174524 | Ghada Cieri | Registered Nurse | 30 B Vreeland Road, Suite 200, Florham Park, NJ 07932 | 2018-05-17 |
| 1386192706 | Bai Li Medical Health Center | Point of Service | 171 Ridgedale Ave., Ste. 1f, Florham Park, NJ 07932 | 2016-09-14 |
| 1942756580 | Elizabeth Savino | Social Worker | 10 Hanover Road, Florham Park, NJ 07932 | 2016-09-01 |
| 1790182426 | John A Carollo Dmd Pa | Clinic/Center | 131 Columbia Turnpike, Suite 2a, Florham Park, NJ 07932 | 2014-11-24 |
| 1306265673 | Rachel Myra Fitz | Anesthesiology | 30b Vreeland Rd Ste 200, Florham Park, NJ 07932 | 2014-04-15 |
| 1922442615 | Allison Ann Sopko | Pediatrics | 195 Columbia Tpke Ste 105, Florham Park, NJ 07932 | 2013-04-24 |
| 1770869315 | Nexpc1 LLC | Internal Medicine | 128 Columbia Turnpike, Suite 101, Florham Park, NJ 07932 | 2011-10-27 |
| 1528356391 | Daniel Timothy Streeter | Physical Therapist | 30 Vreeland Rd., Building A Suite #110, Florham Park, NJ 07932 | 2011-07-14 |
| 1558672964 | Anna Marie Seavey | Dietitian, Registered | 83 Hanover Road, Suite 190, Florham Park, NJ 07932 | 2010-06-30 |
| Find all providers in zip 07932 | ||||
| Taxonomy Code | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356667158 | Joseph Jongbum Kim | Surgery | 150 Park Ave, Florham Park, NJ 07932 | 2010-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124336623 | Sang M Lee, Md Pa | Surgery | 65 Mountain Blvd Ext., Suite 206, Warren, NJ 07059-2633 | 2010-09-17 |
| 1902125701 | Atuhani Seth Burnett | Surgery | 150 Bergen Street, Suite E-401, Newark, NJ 07101 | 2010-05-19 |
| 1376785360 | Vadim P Koshenkov | Surgery | 195 Little Albany St Ste 3001, New Brunswick, NJ 08901-1914 | 2009-04-06 |
| 1699927566 | Thomas Lee Jang | Surgery | 195 Little Albany Street, Rutgers Cancer Institute of New Jersey, New Brunswick, NJ 08903 | 2008-10-22 |
| 1265690549 | Richard Stockton Weeder | Surgery | 45 Green Ave, Lawrenceville, NJ 08648-1623 | 2008-05-23 |
| 1275708067 | John Alkhas | Surgery | 38 Sawgrass St, Jackson, NJ 08527-4023 | 2008-04-23 |
| 1700086360 | Ames Lawrence Filippone Jr. | Surgery | 22 Hilltop Cir, Morristown, NJ 07960-6328 | 2007-07-23 |
| 1396758983 | Sang M Lee | Surgery | 65 Mountain Blvd. Ext., Suite 206, Warren, NJ 07059-2633 | 2006-08-14 |
| 1962421339 | Martin S Karpeh | Surgery | 20 Prospect Ave Suite 406, Hackensack Umc, Hackensack, NJ 07601 | 2006-07-18 |
| 1083665053 | Thangamani Seenivasan | Surgery | 30 Rehill Avenue, Suite 3400, Somerville, NJ 08876-2500 | 2006-05-15 |
| Find all providers with the same taxonomy | ||||
| City | FLORHAM PARK |
| Zip Code | 07932 |
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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.