IDA JELTOVA (NPI# 1922298421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922298421 |
| Entity Type | Individual |
| Full Name | IDA JELTOVA |
| Other Name | IDA MAKAROVSKY |
| Credential | PH.D. |
| Practice Address |
88 W Ridgewood Ave Ridgewood NJ 07450-3199 |
| Practice Telephone | 2017570600 |
| Practice Fax Number | 2017570600 |
| Mailing Telephone | 2017570600 |
| Mailing Fax Number | 2012366310 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
017255 | NY | Behavioral Health & Social Service Providers |
| Y | 103TS0200X |
Psychologist Specialization: School |
017255 | NY | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 150 Executive Park, Bg Center, Nanuet, NY 109545261 | 2017570600 | 2012366310 |
| 50 Piermont Ave, Nyack, NY 109603841 | 2017570600 |
| Street Address |
88 W RIDGEWOOD AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-3199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730196312 | Paul Andrew Barabas | Dentist | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 | 2006-08-03 |
| 1083271001 | Suzanne Goodwin | Psychoanalyst | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 | 2019-05-24 |
| 1528541208 | Osteopathic Wellness of New Jersey, LLC | Clinic/Center | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 | 2018-09-10 |
| 1235497744 | Richard Gaines, Ph.d., LLC | Psychologist | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 | 2012-05-03 |
| 1689945198 | Joshua Austein | Dentist | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 | 2012-01-16 |
| 1760707939 | Patricia Anne Piotrowski | Social Worker | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 | 2010-03-31 |
| 1700026085 | Daniel Charles Barabas | Dentist | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 | 2009-02-26 |
| 1467691709 | Yumie Nishida Burden | Neuromusculoskeletal Medicine & OMM | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 | 2009-02-10 |
| 1578739322 | Sharon V Marigliani | Psychologist | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 | 2008-05-01 |
| 1306016761 | Jeffrey S Hugues | Social Worker | 88 W Ridgewood Ave, Ridgewood, NJ 07450-3199 | 2008-03-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841802949 | Bianca De Jesus Diaz | Psychologist | 130 Hardenburgh Ave, Demarest, NJ 07627-2159 | 2020-08-19 |
| 1225648645 | Jennifer T. Mascolo | Psychologist | 18 Kings Hwy Ste 109, Middletown, NJ 07748-2509 | 2020-08-01 |
| 1912527425 | Corrine R. Mccarthy | Psychologist | 89 French St Rm 2225, New Brunswick, NJ 08901-1935 | 2020-04-24 |
| 1437782596 | Allison Paige Hawkins | Psychologist | 127 2nd St, Keyport, NJ 07735-1809 | 2020-02-18 |
| 1831729904 | Idler Educational Testing Services LLC | Psychologist | 109 Mimosa Dr, Sewell, NJ 08080-2804 | 2020-01-17 |
| 1588208193 | Daniel Cherry | Psychologist | 658 Valley Rd Apt 1e, Montclair, NJ 07043-1450 | 2019-11-06 |
| 1649812066 | Ana A Del Rosario | Psychologist | 7 Ambler Rd, Cherry Hill, NJ 08002-1303 | 2019-10-17 |
| 1558828590 | Michael Mosher | Psychologist | 72 Unger Ave, Stanhope, NJ 07874-2209 | 2019-02-26 |
| 1255819793 | Jamel Gibbs | Psychologist | 300 Durham Ave, Metuchen, NJ 08840-1712 | 2018-08-06 |
| 1235651019 | Ava Caroline Lorenzo | Psychologist | 115 Provincetown Ct, Flemington, NJ 08822-2023 | 2017-07-12 |
| 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.