DR. KATHERINA CANALES

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 ID (NPI) 1740393412
Entity Type 1 - Individual
Full Name DR. KATHERINA CANALES
Credential M.D.
Practice Address 550 Mount Prospect Ave
Newark
NJ 07104-1530
Mailing Address 240 Williamson St Ste 402
Elizabeth
NJ 07202-3673
Practice Telephone 9734824697
Mailing Telephone 9083548900
Mailing Fax Number 9083540007
Enumeration Date 08/16/2006
Last Update Date 05/03/2012
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
MA079586 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 0086746 05

Office Location

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

Providers with the same location

NPI Name Address
1104818129 JOSE R GOMEZ 550 Mount Prospect Ave, Newark, NJ 07104-1530
1528050531 JULIA F PONS 550 Mount Prospect Ave, Newark, NJ 07104-1530

Competitor

Search similar physicians

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.