DR. NITIN RAJKUMAR MARIWALLA (NPI# 1033378161) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033378161 |
| Entity Type | Individual |
| Full Name | DR. NITIN RAJKUMAR MARIWALLA |
| Credential | MD, MPH, MS |
| Practice Address |
1175 Montauk Hwy Ste 3 West Islip NY 11795 |
| Mailing Address |
1175 Montauk Hwy Ste 3 West Islip NY 11795-4939 |
| Practice Telephone | 6315009400 |
| Practice Fax Number | 6315009444 |
| Mailing Telephone | 6315009400 |
| Mailing Fax Number | 6315009444 |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2018-09-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | 287808 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 390200000X | Student, Health Care |
| Street Address |
1175 MONTAUK HWY STE 3 |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309037 | Rajkumar G Mariwalla | Internal Medicine | 1175 Montauk Hwy, Suite #3, West Islip, NY 11795-4939 | 2006-01-02 |
| 1669014197 | Amit Sharma Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-10-16 |
| 1811548142 | Eric Fanaee Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-09-27 |
| 1609423821 | Kelly Heraghty | Nurse Practitioner | 1175 Montauk Hwy, West Islip, NY 11795-4939 | 2019-08-22 |
| 1669943510 | Carolann Sutherland | Physician Assistant | 1175 Montauk Hwy, West Islip, NY 11795-4939 | 2018-12-17 |
| 1841717618 | George Kakoulides Md PC | Neurological Surgery | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2017-08-23 |
| 1457741035 | Rajesh Mariwalla, Md PC | Pediatrics | 1175 Montauk Hwy, Suite 4, West Islip, NY 11795-4939 | 2015-02-03 |
| 1346656105 | Long Island Neurosurgical & Pain Specialists, Pllc | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2014-07-01 |
| 1972914596 | Nassau-suffolk Medical Services, P.C. | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2014-05-16 |
| 1922399757 | Eujenia Momchilova Darakchieva | Physician Assistant | 1175 Montauk Hwy, Suite 3, West Islip, NY 11795-4939 | 2011-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261093 | Salvatore Insinga D O P C | Neurological Surgery | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2020-10-07 |
| 1699383901 | Joshua Ryan Md PC | Neurological Surgery | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2020-07-22 |
| 1689140378 | Salvatore M Zavarella Do PC | Neurological Surgery | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2018-10-19 |
| 1396234316 | Spinecare Long Island Pllc | Neurological Surgery | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2018-05-04 |
| 1841717618 | George Kakoulides Md PC | Neurological Surgery | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2017-08-23 |
| 1174953129 | Salvatore Zavarella | Neurological Surgery | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2013-11-12 |
| 1750673208 | Joshua Everette Ryan | Neurological Surgery | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2011-05-03 |
| 1922319474 | Patrick Reid, Md, PC | Neurological Surgery | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2010-06-30 |
| 1588808273 | Kimon Bekelis | Neurological Surgery | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2009-04-24 |
| 1013193382 | Brian Jeffrey Mchugh | Neurological Surgery | 1175 Montauk Hwy Ste 6, West Islip, NY 11795-4939 | 2008-01-16 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
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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.