MAUREEN GANG (NPI# 1912990680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912990680 |
| Entity Type | Individual |
| Full Name | MAUREEN GANG |
| Credential | M.D. |
| Practice Address |
150 Bergen St # Streetc Newark NJ 07103 |
| Mailing Address |
30 Bergen St Rm 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739725128 |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
138476 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0604526 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 550 1st Ave, New York, NY 100166402 | 2122637084 |
| Street Address |
150 BERGEN ST # STREETC |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457614141 | Pratik A Shukla | Internal Medicine | 150 Bergen St # Streetc, Newark, NJ 07103 | 2012-06-19 |
| 1780903278 | Basit Khan Achakzai | Radiology | 150 Bergen St # Streetc, Newark, NJ 07103 | 2010-05-24 |
| 1881644359 | Mahmoud Dakhel | Nuclear Medicine | 150 Bergen St # Streetc, Newark, NJ 07103 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003278664 | Sepehr Sedigh Haghighat | Emergency Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-2200 | 2016-03-23 |
| 1831432426 | Jeremy Berberian | Emergency Medicine | 4755 Ogletown Stanton Rd, Newark, DE 19718-2360 | 2013-04-01 |
| 1386879443 | Michael J. Vonbose | Emergency Medicine | 111 Central Ave, Newark, NJ 07102-1909 | 2009-05-19 |
| 1134305667 | Latisse Monique Mays-stovall | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2008-01-15 |
| 1073563987 | Ronald J. Ellis | Emergency Medicine | 2600 Glasgow Avenue, Suite 100, Newark, DE 19702 | 2006-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649820788 | Sandra Rose Green | Emergency Medicine | 200 Spring Valley Ave, Hackensack, NJ 07601-2944 | 2019-09-19 |
| 1841708914 | Paraflightems | Emergency Medicine | 100 Gudz Rd, Lakewood, NJ 08701-2320 | 2018-01-11 |
| 1790028413 | Albert Shu He | Emergency Medicine | 20 Livingston Ave Unit 705, New Brunswick, NJ 08901-1995 | 2013-04-01 |
| 1851524862 | Andrew Berens | Emergency Medicine | 157 Sagamore Rd, Millburn, NJ 07041-2147 | 2009-08-25 |
| 1538310099 | Walter Patrick De Palma | Emergency Medicine | 2123 Shore Rd, Linwood, NJ 08221-2125 | 2008-10-02 |
| 1518115336 | Meenu Grover | Emergency Medicine | 21 Surrey Ln, Mahwah, NJ 07430-2502 | 2008-09-04 |
| 1477711927 | Ming-hong Wu | Emergency Medicine | 5 Moller St, Tenafly, NJ 07670-2019 | 2008-05-30 |
| 1396960464 | Charlotte Ann Alspach | Emergency Medicine | 2355 Ocean Dr, Avalon, NJ 08202-2070 | 2007-04-16 |
| 1730303371 | Janet Ann Neglia | Emergency Medicine | 5 Roe Ln, Howell, NJ 07731-9067 | 2007-04-13 |
| 1568555357 | Julie S Whitney | Emergency Medicine | 325 Marlton Pike E, Cherry Hill, NJ 08034-2408 | 2006-10-02 |
| Find all providers with the same taxonomy | ||||
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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.