SANITAS MEDICAL CENTER OF NEW JERSEY PC (NPI# 1962914903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962914903 |
| Entity Type | Organization |
| Organization Name | SANITAS MEDICAL CENTER OF NEW JERSEY PC |
| Other Organization Name | SANITAS MEDICAL CENTER |
| Practice Address |
1 Clara Maass Dr Belleville NJ 07109-3550 |
| Mailing Address |
8400 Nw 33rd St Ste 201 Doral FL 33122-1937 |
| Practice Telephone | 3059217621 |
| Practice Fax Number | 3059217355 |
| Mailing Telephone | 3059217621 |
| Mailing Fax Number | 3059217355 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-10-31 |
| Authorized Official Name | JUAN DIEGO ESTRADA (DIRECTOR) |
| Authorized Official Telephone | 3059217621 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | SANITAS MEDICAL CENTER OF NEW JERSEY PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Sanitas Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427522564 | Sanitas Medical Center of New Jersey PC | Family Medicine | 240 Williamson St Ste 300&302, Elizabeth, NJ 07202-3674 | 2019-01-11 |
| 1407368442 | Sanitas Medical Center of New Jersey PC | Family Medicine | 350 Montgomery St, Jersey City, NJ 07302-4041 | 2017-10-31 |
| 1043722986 | Sanitas Medical Center of New Jersey PC | Clinic/Center | 3196 Kennedy Blvd, Union City, NJ 07087-2436 | 2017-11-01 |
| 1497267330 | Sanitas Medical Center of New Jersey PC | Clinic/Center | 3196 Kennedy Blvd, Union City, NJ 07087-2436 | 2017-11-01 |
| 1336651371 | Sanitas Medical Center of New Jersey PC | Family Medicine | 3196 Kennedy Blvd, Union City, NJ 07087-2436 | 2017-10-31 |
| 1740792779 | Sanitas Medical Center of New Jersey PC | Family Medicine | 3196 Kennedy Blvd, Union City, NJ 07087-2436 | 2017-10-31 |
| Street Address |
1 CLARA MAASS DR |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-3550 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811989924 | Mustafa A Abdul-hadi | Internal Medicine | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2005-08-16 |
| 1467067736 | Amanda Krieger | Dietitian, Registered | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-09-13 |
| 1598376501 | Ademola Adesola Ogunruku | Registered Nurse | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-08-12 |
| 1821618711 | Jamilton B Carlon | Respiratory Therapist, Certified | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-04-20 |
| 1649800814 | Kelsey Ann Vella | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2020-01-16 |
| 1922649318 | Wendy Cheung | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-10-07 |
| 1952952020 | Kathleen Villarino | Dietitian, Registered | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-09-20 |
| 1083261309 | Tatyana Aponte | Dietitian, Registered | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-08-21 |
| 1891348462 | Rose Parker | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-07-22 |
| 1629621818 | Gina P Derito | Physician Assistant | 1 Clara Maass Dr, Belleville, NJ 07109-3550 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591173 | Dimi Dawn Resch | Family Medicine | 373 Roanoke Dr, Belleville, IL 62221-5723 | 2019-11-05 |
| 1013559749 | Christine Evansco | Family Medicine | 105 S 35th St, Belleville, IL 62226-6314 | 2019-10-15 |
| 1851800288 | Republic County Family Clinic, P.a. | Family Medicine | 2337 G St Ste 2, Belleville, KS 66935-2462 | 2017-09-28 |
| 1154854008 | Kurtis William Klecan | Family Medicine | 2337 G St Ste 100, Belleville, KS 66935-2462 | 2017-04-07 |
| 1144753096 | Ace Medical Services LLC | Family Medicine | 929 Ridgecrest Dr, Belleville, IL 62220-3163 | 2017-04-07 |
| 1558743138 | Patrick Nakashima-moran | Family Medicine | 2900 Frank Scott Pkwy W Ste 904, Belleville, IL 62223 | 2015-06-19 |
| 1871993139 | Wayne Bresee Cox II | Family Medicine | 10 Celeste Ct, Belleville, IL 62223-1907 | 2014-08-23 |
| 1811252547 | Jianming Alexander Lau | Family Medicine | 201 3rd St 200, Belleville, MI 48111-2605 | 2012-07-09 |
| 1548531320 | Donald H Buser | Family Medicine | 116 S Fairway Dr, Belleville, IL 62223-2228 | 2012-01-25 |
| 1275824096 | Pc Associates LLC | Family Medicine | 2129 W. Main St., Belleville, IL 62223 | 2011-04-27 |
| Find all providers in BELLEVILLE | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
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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.