JOHN EDOGA (NPI# 1962759126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962759126 |
| Entity Type | Individual |
| Full Name | JOHN EDOGA |
| Credential | M.D. |
| Practice Address |
177 Madison Ave Morristown NJ 07960-6000 |
| Practice Telephone | 9736560777 |
| Practice Fax Number | 9736560717 |
| Mailing Telephone | 9736560777 |
| Mailing Fax Number | 9736560717 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | MA03081900 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
MA03081900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
177 MADISON AVE |
| City | MORRISTOWN |
| State | NJ |
| Zip Code | 07960-6000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
| 1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
| 1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
| 1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
| 1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
| 1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
| 1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
| 1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
| 1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
| 1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
| Find all providers in zip 07960 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 |
|---|---|---|---|---|
| 1801447784 | Heritage Wound Care LLC | Surgery | 163 Madison Ave Ste 220, Morristown, NJ 07960-7325 | 2019-09-23 |
| 1629418975 | Brian D. Wernick | Surgery | 131 Madison Ave Fl 2, Morristown, NJ 07960-7360 | 2013-07-01 |
| 1639178932 | Shahin Assadnia | Surgery | 1125 W 1st North St, Ste. B, Morristown, TN 37814-4562 | 2005-07-19 |
| 1821366295 | Vascular Research Institute, Inc. | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2011-12-13 |
| 1801006838 | Omer Junaid Riaz | Surgery | 131 Madison Ave, 2nd Fl, Morristown, NJ 07960-7360 | 2007-05-22 |
| 1508879719 | East Tennessee Vascular Center, Pllc | Surgery | 1125 W 1st North St, Ste. B, Morristown, TN 37814-4562 | 2006-08-15 |
| 1689690786 | Michael Resnikoff | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2006-07-14 |
| 1528084621 | Thomas Y Lee | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2006-07-14 |
| 1255357257 | Amit V Patel | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2006-07-14 |
| 1700811353 | Kevin V James | Surgery | 131 Madison Ave, 2nd Floor, Morristown, NJ 07960-7360 | 2006-07-12 |
| Find all providers in MORRISTOWN | ||||
| City | MORRISTOWN |
| Zip Code | 07960 |
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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.