ALLI SURGICAL ASSOCIATES,LLC (NPI# 1952661381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952661381 |
| Entity Type | Organization |
| Organization Name | ALLI SURGICAL ASSOCIATES,LLC |
| Practice Address |
557 Broad St Suite # 22 Bloomfield NJ 07003-2885 |
| Mailing Address |
21 Bakley Ter West Orange NJ 07052-2169 |
| Practice Telephone | 9734299844 |
| Practice Fax Number | 9734299858 |
| Mailing Telephone | 9734299844 |
| Mailing Fax Number | 9734299858 |
| Enumeration Date | 2012-05-18 |
| Last Update Date | 2012-05-18 |
| Authorized Official Name | DR. PADMAVATHY ALLI (PRESIDENT) |
| Authorized Official Telephone | 9734299844 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | MB063954 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 7045301 | 05 |
| Street Address |
557 BROAD ST SUITE # 22 |
| City | BLOOMFIELD |
| State | NJ |
| Zip Code | 07003-2885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972807816 | Anthony T. Suriano | Dentist | 557 Broad St, Bloomfield, NJ 07003-2885 | 2011-01-07 |
| 1629200506 | Michael William Freda | Dentist | 557 Broad St, Bloomfield, NJ 07003-2885 | 2009-08-11 |
| 1093912651 | Nadine Marie Aktan | Nurse Practitioner | 557 Broad St, Bloomfield, NJ 07003-2885 | 2007-06-28 |
| 1861609786 | Freda & Suriano Orthodontics | Dentist | 557 Broad St, Bloomfield, NJ 07003-2885 | 2007-05-17 |
| 1619191038 | Elizabeth Janette Vandyk | Nurse Practitioner | 557 Broad St, Bloomfield, NJ 07003-2885 | 2007-04-13 |
| 1114062957 | Michele Weisberger | Dietitian, Registered | 557 Broad St, Bloomfield, NJ 07003-2885 | 2007-02-20 |
| 1316000540 | Parul S. Amin | Internal Medicine | 557 Broad St, Rm 22, Bloomfield, NJ 07003-2885 | 2006-12-19 |
| 1891869483 | Padmavathy Alli | Surgery | 557 Broad St, Suite 22, Bloomfield, NJ 07003-2885 | 2006-11-17 |
| 1023114899 | Immedicenter Bloomfield | Family Medicine | 557 Broad St, Bloomfield, NJ 07003-2885 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560501 | Delores Heart,llc | Respite Care | Delores Heart, 17 Dodd St. Ste A5, Bloomfield, NJ 07003 | 2020-05-21 |
| 1235798505 | Tina Rivera | Physical Therapy Assistant | A Team Approach, Pt 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2019-06-11 |
| 1144709239 | Jennifer Stuart | Social Worker | 27 Park Place, Apt. 13, Bloomfield, NJ 07003 | 2018-08-09 |
| 1992212179 | Kristina Camille P Manapat | Student in an Organized Health Care Education/Training Program | 1690 Broad St., Bloomfield, NJ 07003 | 2018-01-09 |
| 1760993224 | Vivian Arroyo | Counselor | 76 Baldwin Pl, Bloomfield, NJ 07003 | 2017-10-23 |
| 1942719653 | Savita Singh | Dentist | 40 Conger Street, 1402b, Bloomfield, NJ 07003 | 2017-09-26 |
| 1942729926 | Moya Mathison | Counselor | 27 West St # 5a, Bloomfield, NJ 07003 | 2017-09-11 |
| 1801319512 | Janice Rainford | Counselor | 267 Broughton Ave # 2, Bloomfield, NJ 07003 | 2017-07-25 |
| 1154841468 | Nhat Minh Nguyen | Nurse Practitioner | 3 Donald St, Apt. D, Bloomfield, NJ 07003 | 2017-06-27 |
| 1578091872 | Janice M. Steel | Physical Therapy Assistant | 265 Broad Street, Suite 4, Bloomfield, NJ 07003 | 2017-05-31 |
| Find all providers in zip 07003 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740559053 | Dariouche Mohammadi | Surgery | 1311 Porters Lane, Bloomfield, MI 48302 | 2011-12-16 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| 1417069931 | Lavinia Paige Moeller | Surgery | 323 Belleville Avenue, Bloomfield, NJ 07003 | 2006-08-31 |
| 1558327312 | Jake Stephen Settles | Surgery | 509 N. Madison, Davis County Hospital, Bloomfield, IA 52537-1271 | 2006-04-21 |
| 1316220429 | Andrew C Raissis | Surgery | 6 Northwestern Dr Ste 305, Bloomfield, CT 06002 | 2011-09-25 |
| 1891970588 | Lori L. Fritts, Md, LLC | Surgery | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2008-01-01 |
| 1528183571 | Reyes & Narvaez Md. Pa | Surgery | 135 Bloomfield Ave, Suite B, Bloomfield, NJ 07003-5902 | 2007-03-20 |
| 1295867737 | Lori L. Fritts | Surgery | 3 Northwestern Dr, Bloomfield, CT 06002-3465 | 2007-03-11 |
| 1124175070 | Robert T Lewis | Surgery | 6 Northwestern Dr, Suite 305, Bloomfield, CT 06002-3463 | 2007-01-04 |
| 1891869483 | Padmavathy Alli | Surgery | 557 Broad St, Suite 22, Bloomfield, NJ 07003-2885 | 2006-11-17 |
| Find all providers in BLOOMFIELD | ||||
| City | BLOOMFIELD |
| Zip Code | 07003 |
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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.