DEJAN NIKOLIC (NPI# 1992079750) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992079750 |
| Entity Type | Individual |
| Full Name | DEJAN NIKOLIC |
| Credential | M.D. |
| Practice Address |
1 Cooper Plz Camden NJ 08103 |
| Mailing Address |
1 Federal St Ste Sw200 Camden NJ 08103-1155 |
| Practice Telephone | 8563564924 |
| Mailing Telephone | 8563564924 |
| Enumeration Date | 2012-02-26 |
| Last Update Date | 2018-09-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZC0006X |
Pathology Specialization: Clinical Pathology |
25MA10114500 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1 COOPER PLZ |
| City | CAMDEN |
| State | NJ |
| Zip Code | 08103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245230911 | Daniel Kwa | Acupuncturist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2005-07-26 |
| 1053910927 | Shane Aldon Cooper | Nurse Practitioner | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-10-22 |
| 1396351722 | Christopher Alexander Rivera-pintado | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-09-21 |
| 1285252361 | Dhaval Dharmendra Rana | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-06 |
| 1891312195 | Vincent Verchio | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1861019036 | Calvin Ro | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1770100943 | Andrea Villa | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-02 |
| 1376160739 | Kristen Knapp | Student in an Organized Health Care Education/Training Program | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-07-01 |
| 1447874417 | Cassie Seto | Nurse Anesthetist, Certified Registered | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-04 |
| 1215551437 | Cooper Care Alliance, PC | Specialist | 1 Cooper Plz, Camden, NJ 08103-1461 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912516063 | Toni Marie Primas | Registered Nurse | Sheridan Pavilion, Three Cooper Plaza Suite 220, Camden, NJ 08103 | 2020-07-24 |
| 1376028548 | Services To Overcome Drug Abuse Among Teenagers, Inc. | Clinic/Center | 805-815 Federal Street, Camden, NJ 08103 | 2018-10-03 |
| 1942795802 | Kyle Richard Marden | Student in an Organized Health Care Education/Training Program | 401 Haddon Avenue, 2nd Floor Room 266, Camden, NJ 08103 | 2018-06-24 |
| 1588157473 | Julio Antonio Rodriguez Jr. | Student in an Organized Health Care Education/Training Program | Cooper University Hospital, 3 Cooper Plaza Suite 408, Camden, NJ 08103 | 2018-06-14 |
| 1386149748 | Shuchi Gupta | Nurse Practitioner | 519 West Street, Camden, NJ 08103 | 2018-03-28 |
| 1326541491 | Bolanle Idowu-akangbe | Nurse Practitioner | 519-525 West Street, Camden, NJ 08103 | 2018-03-14 |
| 1740709500 | New Beginnings Behavioral Health | Clinic/Center | 1300 Princess Avenue, Camden, NJ 08103 | 2017-09-13 |
| 1760905012 | Loraine Morris | Counselor | 1479 Kaighn Ave, Camden, NJ 08103 | 2017-07-19 |
| 1386164333 | Matthew Share | Genetic Counselor, MS | Two Cooper Plaza, 400 Haddon Avenue, Md Anderson Cancer Center, Camden, NJ 08103 | 2017-06-21 |
| 1568902070 | Cooper University Hospital | General Acute Care Hospital | 1 Cooper Plaza, Dorrance 222, Camden, NJ 08103 | 2017-03-02 |
| Find all providers in zip 08103 | ||||
| Taxonomy Code | 207ZC0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic "clinical pathology only" route. Board Certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881838407 | Ashleigh Allen | Pathology | 1 Cooper Plz, P063, Camden, NJ 08103-1461 | 2009-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437302015 | Lillian Paredes | Pathology | 838 Hennigar Place, Oradell, NJ 07649 | 2008-10-28 |
| 1073025839 | Ron Gambardella | Pathology | 35 E Blancke St, Linden, NJ 07036-3180 | 2017-11-01 |
| 1891949855 | Premier Urology Group, LLC | Pathology | 10 Parsonage Rd, Suite 118, Edison, NJ 08837-2429 | 2008-11-04 |
| 1700069309 | Evalynne Velez Braun | Pathology | 6 Spring Valley Rd, Park Ridge, NJ 07656-1821 | 2007-12-06 |
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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.