REJUVEINATE LLC (NPI# 1952962169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952962169 |
| Entity Type | Organization |
| Organization Name | REJUVEINATE LLC |
| Practice Address |
1 N Washington Ave Bergenfield NJ 07621-2125 |
| Mailing Address |
28 Heights Rd Clifton NJ 07012-1215 |
| Practice Telephone | 4434148201 |
| Mailing Telephone | 4434148201 |
| Enumeration Date | 2019-06-27 |
| Last Update Date | 2019-06-27 |
| Authorized Official Name | ABRAHAM R LEHMAN (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Telephone | 7182225999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
1 N WASHINGTON AVE |
| City | BERGENFIELD |
| State | NJ |
| Zip Code | 07621-2125 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134636483 | Abraham R Lehman Md, LLC | Anesthesiology | 1 N Washington Ave, Bergenfield, NJ 07621-2125 | 2018-01-09 |
| 1265948517 | Stellar Anesthesia Associates LLC | Anesthesiology | 1 N Washington Ave, Bergenfield, NJ 07621-2125 | 2017-12-22 |
| 1144753674 | Jennifer Valdez | Nurse Practitioner | 1 N Washington Ave, Bergenfield, NJ 07621-2125 | 2017-04-11 |
| 1992109334 | Bergenfield Surgical Center LLC | Clinic/Center | 1 N Washington Ave, Suite A, Bergenfield, NJ 07621-2125 | 2014-10-14 |
| 1619234077 | Alain Michael Bauza | Ophthalmology | 1 N Washington Ave, Bergenfield, NJ 07621 | 2012-04-23 |
| 1548544604 | Pmr Medical PC | Specialist | 1 N Washington Ave, Bergenfield, NJ 07621-2125 | 2011-10-06 |
| 1720277981 | Laser Eye Institute of New Jersey, LLC | Specialist | 1 N Washington Ave, Bergenfield, NJ 07621-2125 | 2007-10-23 |
| 1326262338 | Main Eye Glass Center, Inc. | Eyewear Supplier (Equipment, not the service) | 1 N Washington Ave, Bergenfield, NJ 07621-2125 | 2007-04-12 |
| 1235234055 | New Jersey Eye Center, P.a. | Clinic/Center | 1 N Washington Ave, Bergenfield, NJ 07621-2125 | 2006-09-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669952115 | Sublime Therapy | Massage Therapist | 80 N Washington Ave, Unite L4, Bergenfield, NJ 07621 | 2018-08-15 |
| 1619487824 | Perseverance A Okai Adjetey | Registered Nurse | 23 Lake Street, Bergenfield, NJ 07621 | 2017-10-03 |
| 1285144469 | Stacie Lynn Morvay | Nurse Practitioner | 129 Liberty Rd Apt B, Bergenfield, NJ 07621 | 2017-10-02 |
| 1295254308 | Keren Nussbaum | Speech-Language Pathologist | 60 Glenwood Drive S, Bergenfield, NJ 07621 | 2017-09-11 |
| 1538608450 | Lcn Medical Group | Internal Medicine | 136 N. Washington Ave. Suite 201, Bergenfield, NJ 07621 | 2017-02-13 |
| 1154782969 | Martine Meleance | Counselor | 386 West Main St, Berganfield, NJ 07621 | 2016-03-08 |
| 1609257591 | Maria C. Stone, Lcsw, LLC | Social Worker | 29 Legion Drive, Bergenfield, NJ 07621 | 2015-06-16 |
| 1003219536 | Ismile Dental Associates | Dentist | 22 N Washington Ave., Bergenfield, NJ 07621 | 2014-09-29 |
| 1710399415 | Maria Rena Penecilla | Registered Nurse | 74 Madison Ave, Bergenfield, NJ 07621 | 2014-05-29 |
| 1619394954 | Russell L Sadang | Physical Therapist | 103 Carnation St, Bergenfield, NJ 07621 | 2014-03-25 |
| Find all providers in zip 07621 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631215 | K&h Medical-nj LLC | Radiology | 100 Wood Ave S Ste 110, Iselin, NJ 08830-2716 | 2020-05-21 |
| 1528625613 | Mvc Clinical Practice - Nj PC | Radiology | 83 Hanover Rd Ste 260, Florham Park, NJ 07932-1520 | 2019-05-23 |
| 1255899704 | Pulse Vascular, LLC | Radiology | 1051 W Sherman Ave Unit 4, Vineland, NJ 08360-6931 | 2019-03-04 |
| 1881159572 | Onsite Vascular Group Corporation | Radiology | Grosso Office Park, 50 Us Highway 9 North, Suite 102, Morganville, NJ 07751 | 2019-02-06 |
| 1578072385 | Allied Healthcare Diagnostics | Radiology | 560 60th Street, Suite A, West New York, NJ 07093 | 2017-09-25 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1790127736 | Judith Karen Weinstein | Radiology | 713 Haddon Ave, Collingswood, NJ 08108-3711 | 2013-07-18 |
| 1962716480 | Benjamin Lingshaw Yam | Radiology | 38 Oak St Ste 5a, Ridgewood, NJ 07450-3875 | 2010-07-27 |
| 1629226428 | New Jersey Interventional Associates, LLC | Radiology | 1050 Galloping Hill Rd Ste 102, Union, NJ 07083-7980 | 2008-09-04 |
| 1932201613 | Jay H. Schwartz | Radiology | 1750 Zion Rd Ste 106, Northfield, NJ 08225-1844 | 2006-09-02 |
| Find all providers with the same taxonomy | ||||
| City | BERGENFIELD |
| Zip Code | 07621 |
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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.