Medical Group of Englewood, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA0 68121 Issued in NJ

Legal business name

MEDICAL GROUP OF ENGLEWOOD, INC

Practice address

140 Grand Ave
Englewood, NJ 07631-6581

Phone

(201) 569-9010

Fax

(201) 569-9063

NPI assigned

Sep 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Eli S Djebiyan, M.D.NPI 1841215969

Title

Owner

Phone

(201) 569-9010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eli S Djebiyan, MD

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1841215969

  NJ, Specialist

  Medicare reassignment NPD Authorized official
• Susan Barnable, FNP-C

  • Family Nurse Practitioner
  • Northvale, NJ
  • NPI 1881177475

  NJ

  Medicare reassignment NPD
• Warren Glick, APN

  • Adult Health Nurse Practitioner
  • Englewood, NJ
  • NPI 1780912139

  NJ

  Medicare reassignment NPD
• Denise Lynam

  • Psychiatric/Mental Health Nurse Practitioner
  • Fairfield, NJ
  • NPI 1962166231

  NJ, Single Specialty

  Medicare reassignment NPD
• Pattyann Romanik, NP-C

  • Adult Health Nurse Practitioner
  • Teaneck, NJ
  • NPI 1881963114

  NJ

  Medicare reassignment NPD
• Karen A Voorhees, APN

  • Adult Health Nurse Practitioner
  • Englewood, NJ
  • NPI 1639428857

  NJ

  Medicare reassignment NPD
• Jose Sabogal, MD

  • Internal Medicine Physician
  • Englewood, NJ
  • NPI 1467424325
  NPD (past)

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1447445762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316581",
            "telephone_number": "201-569-9010",
            "fax_number": "201-569-9063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 GRAND AVE",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076316581",
            "telephone_number": "201-569-9010",
            "fax_number": "201-569-9063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP OF ENGLEWOOD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-10",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "DJEBIYAN",
        "authorized_official_first_name": "ELI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-569-9010",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NJ",
            "license": "MA0 68121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mdstyle
• Medical Associates of Englewood, PC
• Medical Associates of Englewood, PC
• Medical Associates of Englewood, PC
• Medical Associates of Englewood, PC
• Medical Partners, LLC
• Megan Piesman, PHD LLC
• Gustavo Bernardo Mejia, MA, LPC, LCADC
• Vladimir Melamed, M.D.
• Kevin D Melendy, LCSW

• All providers in Englewood, NJ
• Specialist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.