Dr. Katherina Canales
Internal Medicine (Geriatric Medicine)

Address: 550 Mount Prospect Ave, Newark, NJ 07104-1530
Phone: 9734824697

Dr. Katherina Canales (NPI# 1740393412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1740393412
Entity Type Individual
Full Name Dr. Katherina Canales
Credential M.D.
Gender Female
Practice Address 550 Mount Prospect Ave
Newark
NJ 07104-1530
Practice Telephone 9734824697
Mailing Address 850 Bear Tavern Rd Ste 309
Ewing
NJ 08628-1018
Mailing Telephone 6096568844
Mailing Fax Number 6096568845
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2006-08-16
Last Update Date 2018-02-22

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RG0300X Internal Medicine · Geriatric Medicine Allopathic & Osteopathic Physicians MA079586 NJ

Other Provider Identifier

State Identifier Issuer Type Code
NJ 0086746 MEDICAID

Physician Overview

NPI 1740393412
PAC ID by PECOS 2062434681
Professional Enrollment ID I20051227000040
Full Name Katherina Canales
Organization Legal Name CAPITAL HEALTH MEDICAL GROUP
Phone Number 6093034244
Gender F
Credential MD
Graduation Year 2001
Primary Specialty GERIATRIC MEDICINE
Group Practice PAC ID 7618264532
Number of Group Practice Members 145
Accepts Medicare Assignment Y
Report Quality Measures Y
Use Electronic Health Records Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
310044 CAPITAL HEALTH MEDICAL CENTER - HOPEWELL

Office Location

Street Address 550 MOUNT PROSPECT AVE
City NEWARK
State NJ
Zip Code 07104-1530

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104818129 Jose R Gomez Internal Medicine 550 Mount Prospect Ave, Newark, NJ 07104-1530 2005-08-16
1528050531 Julia F Pons Pediatrics 550 Mount Prospect Ave, Newark, NJ 07104-1530 2005-08-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1386149011 Community Options Enterprises, Inc. Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 504-506 Mount Prospect Ave, Newark, NJ 07104 2018-03-26
1710406293 Bmrr Corporation Durable Medical Equipment & Medical Supplies 664 Mt Prospect Ave, Newark, NJ 07104 2017-09-15
1508390287 The Devereux Foundation Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 387 Ridge Street, Newark, NJ 07104 2017-04-19
1104280890 North Essex Pediatrics Inc Clinic/Center 644 Mt Prospect Ave, Suite1, Newak, NJ 07104 2016-04-08
1306257076 Sonia Martinez Technician/Technologist 677 Mount Prospect Avenue, Newark, NJ 07104 2014-05-15
1891022612 Sofia Berkovich Internal Medicine 717-727 Broadway, Newark, NJ 07104 2009-11-16
1538302138 Bellazmin Natalie Taylor Physician Assistant 354 Doremus Avenue, Newark, NJ 07104 2009-04-13
1740483502 Clear Vision Optical, Inc. Eyewear Supplier 677 Mt Prospect Avenue, Newark, NJ 07104 2007-06-08
1083815146 Rafael A Hernandez Pharmacist 794 Mt. Prospect Ave., Newark, NJ 07104 2007-05-29
1093934465 Donald Dean-rusk Guerrier Optometrist 677 Mt. Prospect Ave, Newark, NJ 07104 2007-04-24
Find all providers in zip 07104

Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902009459 Alexander Kolessa Internal Medicine 188 Jefferson St, Suite# 111, Newark, NJ 07105-1622 2007-06-11
1609909431 Hockessin Comprehensive Care Internal Medicine 71 Hidden Valley Dr, Newark, DE 19711-7463 2007-03-13
1114451234 Claudia Lynch Internal Medicine 972 Broad St, Newark, NJ 07102-2533 2017-04-14
1649290073 Licking Memorial Professional Corp. Internal Medicine 120 Mcmillen Dr, Newark, OH 43055-1809 2006-07-20
1346208923 Nbimc Department of Geriatrics Internal Medicine 201 Lyons Ave, Newark, NJ 07112-2027 2006-05-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1366983033 Liberty Med Associates LLC Internal Medicine 999 Palmer Ave Ste 1, Holmdel, NJ 07733 2017-03-15
1013369461 Pankaj Gupta Internal Medicine 31 Southfield Rd, Edison, NJ 08820-3141 2016-07-11
1780091736 Sukhwinder K. Hundle M.d., P.a. Internal Medicine 721 N Beers St Ste 1a, Holmdel, NJ 07733-1500 2014-07-22
1649602897 David M Lackner Internal Medicine 2107 Aqueduct Ln, Cherry Hill, NJ 08002-1932 2013-07-30
1760759740 Ashvini Health Services Internal Medicine 2271 State Highway 33 Ste 110, Hamilton, NJ 08690-1749 2011-11-19
1518241934 Hygiea Healthcare,llc Internal Medicine 100 Plainsboro Rd, Plainsboro, NJ 08536-1914 2011-10-04
1578857066 Raymond Cogen Internal Medicine 72 Grange Ave, Fair Haven, NJ 07704-3004 2011-06-02
1871804534 Medical and Geratric Associate PC Internal Medicine 2239 Center Ave, Fort Lee, NJ 07024-6123 2010-06-28
1598086969 Jeycare, LLC Internal Medicine 43 Rainford Rd, Edison, NJ 08820-2930 2010-06-19
1477884724 Avi Y Factor Internal Medicine 17 Tennyson Pl, Passaic, NJ 07055-4513 2010-01-27
Find all providers with the same taxonomy

Competitor

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City NEWARK
Zip Code 07104

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Dataset Information

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.

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