COMPREHENSIVE HEALTH CARE OF NEW JERSEY,LLC (NPI# 1962712471) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962712471 |
Entity Type | Organization |
Organization Name | COMPREHENSIVE HEALTH CARE OF NEW JERSEY,LLC |
Practice Address |
22-18 Broadway Fair Lawn NJ 07410-3016 |
Practice Telephone | 2014755050 |
Practice Fax Number | 2014758145 |
Mailing Telephone | 2014755050 |
Mailing Fax Number | 2014758145 |
Enumeration Date | 2010-10-18 |
Last Update Date | 2011-03-24 |
Authorized Official Name | DR. MOHESH BIKKINA (PRESIDENT) |
Authorized Official Telephone | 2014755050 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
22-18 BROADWAY |
City | FAIR LAWN |
State | NJ |
Zip Code | 07410-3016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023052289 | Nancy P Gallagher | Nurse Practitioner | 22-18 Broadway, Suite 102, Fair Lawn, NJ 07410-3016 | 2006-06-16 |
1063996650 | Meredith Claire Lubas | Nurse Practitioner | 22-18 Broadway, Fair Lawn, NJ 07410-3016 | 2018-09-19 |
1962941609 | Kirten Sanjay Parekh | Podiatrist | 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 | 2017-02-14 |
1821417528 | Suzette Rizkalla | Internal Medicine | 22-18 Broadway, Fair Lawn, NJ 07410-3016 | 2014-04-09 |
1164768461 | Andi Qipo | Internal Medicine | 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 | 2012-12-14 |
1104170851 | Catherine Carlton | Nurse Practitioner | 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 | 2012-11-02 |
1013262161 | Comprehensive Sleep Management, LLC | Clinic/Center | 22-18 Broadway, Suite 103, Fair Lawn, NJ 07410-3016 | 2012-07-16 |
1427329648 | Ami Patel | Pharmacist | 22-18 Broadway, Retail Store #5, Fair Lawn, NJ 07410-3016 | 2012-01-19 |
1639488422 | Drug Stores One LLC | Pharmacy | 22-18 Broadway, Suite # 5, Fair Lawn, NJ 07410-3016 | 2010-09-28 |
1457501363 | Satish Reddy Tiyyagura | Internal Medicine | 22-18 Broadway, Suite 201, Fair Lawn, NJ 07410-3016 | 2008-09-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
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Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1679112981 | Passion Care Center of Monmouth | Clinic/Center | 42 Markwood Dr, Howell, NJ 07731-2349 | 2020-01-03 |
1063057024 | Hackensack Meridian Nutrition | Clinic/Center | 27 S Cooks Bridge Rd Ste 1-03, Jackson, NJ 08527-2460 | 2019-11-14 |
1053960211 | Dua Medical Nj, P.C. | Clinic/Center | 162 Elmora Avenue, Suite 304, Elizabeth, NJ 07202-1148 | 2019-09-10 |
1407409360 | Mordecai & Caravello Wellness, LLC | Clinic/Center | 1401 Marlton Pike E Ste 14, Cherry Hill, NJ 08034-2207 | 2019-07-19 |
1942767066 | Carerivet Medical Services LLC | Clinic/Center | 26 University Place Blvd, 1st Floor, Jersey City, NJ 07305 | 2019-02-25 |
1275097255 | Health Check of Nj LLC | Clinic/Center | 160 Lanza Ave Ste 8, Garfield, NJ 07026-3551 | 2019-01-24 |
1164996591 | Comprehensive Medical Associates of New Jersey P C | Clinic/Center | 1000 Harbor Blvd, Weehawken, NJ 07086-6761 | 2019-01-18 |
1578036968 | Acupuncture Eden & Wellness Center | Clinic/Center | 221 Sherman Ave Ste A, Berkeley Heights, NJ 07922-1173 | 2019-01-08 |
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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.