KATHREEN THARWAT TADROUS (NPI# 1043501265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043501265 |
| Entity Type | Individual |
| Full Name | KATHREEN THARWAT TADROUS |
| Other Name | KATHREEN THARWAT GEORGOS |
| Credential | M.D. |
| Practice Address |
655 E. Jersey Sreet Trinitas Regional Medical Center Elizabeth NJ 07206 |
| Practice Telephone | 9089943105 |
| Mailing Telephone | 9089947455 |
| Enumeration Date | 2011-04-21 |
| Last Update Date | 2016-10-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MA09791900 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
655 E. JERSEY SREET TRINITAS REGIONAL MEDICAL CENTER |
| City | ELIZABETH |
| State | NJ |
| Zip Code | 07206 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235791310 | Mars Premier Care LLC | Day Training, Developmentally Disabled Services | 210 Monsignor Kemezis Place, Elizabeth, NJ 07206 | 2019-06-28 |
| 1588151898 | Kathleen Michelle Dewyke | Psychiatry & Neurology | 654 East Jersey St, Residency Program, Elizabeth, NJ 07206 | 2018-04-23 |
| 1558683987 | Susan Nestler Wohlgemuth | Counselor | 654 East Jersey St., Trinitas Hospital, Elizabeth, NJ 07206 | 2010-02-26 |
| 1053540807 | Krista Shea Hasenfus | Social Worker | 655 East Jersey Street, Elizabeth, NJ 07206 | 2009-07-14 |
| 1396940193 | Danielle Pompey | Social Worker | 655 East Jersey Stereet, Dept. Behavioral Health & Psychiatry, Elizabeth, NJ 07206 | 2007-06-20 |
| 1114138757 | Trinitas Regional Medical Center | Psychiatric Unit | 655 Livingston Avenue, Trinitas Hiv Clinc, Elizabeth, NJ 07206 | 2007-05-25 |
| 1376661264 | Patricia F. Traynham | Registered Nurse | New Point Campus, 655 East Jersey Avenue, Elizabeth, NJ 07206 | 2007-03-27 |
| 1629165204 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E Jersey Street, Youth Case Management, Elizabeth, NJ 07206 | 2006-10-06 |
| 1184719312 | Trinitas Regional Medical Center | General Acute Care Hospital | 655 E. Jersey Street, Residential Services, Elizabeth, NJ 07206 | 2006-10-04 |
| 1861584427 | Rambhai C Patel Md,pa | Internal Medicine | 224 E Jersey Street, Elizabeth, NJ 07206 | 2006-09-29 |
| Find all providers in zip 07206 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710045323 | Amy Borg Glickman | Psychiatry & Neurology | 655 E Jersey St, 1st Floor Therapeutic Nursery, Elizabeth, NJ 07206 | 2006-12-05 |
| 1982790432 | Josiane Cobert | Psychiatry & Neurology | 655 E Jersey St, Trinitas South 3 Npc, Elizabeth, NJ 07206-1259 | 2006-10-04 |
| 1871687392 | Jaya Lakshmi Gavini | Psychiatry & Neurology | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2006-10-02 |
| 1669563300 | Luke Chang | Psychiatry & Neurology | 655 E Jersey St, Elizabeth, NJ 07206-1259 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059079 | Rr & C Associates | Psychiatry & Neurology | 705 Birchfield Dr, Mount Laurel, NJ 08054-4013 | 2019-12-09 |
| 1154888162 | St. Luke's Counseling Medical Center L.L.C. | Psychiatry & Neurology | 59 Seeley Ave, Kearny, NJ 07032-3120 | 2019-02-26 |
| 1194297614 | Childpsych Services, LLC | Psychiatry & Neurology | 940 Cedar Bridge Ave Fl 2, Brick, NJ 08723-4170 | 2018-12-21 |
| 1003279308 | Medisol, LLC | Psychiatry & Neurology | 226 Fisher Ave, Piscataway, NJ 08854-4833 | 2016-04-04 |
| 1043637465 | Jason Dean | Psychiatry & Neurology | 400 Frank W Burr Blvd # 6, Teaneck, NJ 07666-6839 | 2014-03-24 |
| 1184963837 | Prospect Psychiatric Services Limited Liability Company | Psychiatry & Neurology | 344 Prospect Ave Apt 1a, Hackensack, NJ 07601-2602 | 2013-01-31 |
| 1174870034 | Naomi Ambalu | Psychiatry & Neurology | 266 King George Rd Ste G, Warren, NJ 07059-5187 | 2012-08-10 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1144512674 | Magalie Saint-lot Jacques | Psychiatry & Neurology | 31 Bridgewater Ct, Jackson, NJ 08527-4030 | 2011-05-03 |
| 1760792402 | Deepti-sagar Varma | Psychiatry & Neurology | 210 Bellevue Avenue, Upper Montclair, NJ 07043 | 2010-10-15 |
| Find all providers with the same taxonomy | ||||
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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.