REENA PUSHPANGADAN


Address: 310 Cross St, Philadelphia, PA 19147-6509
Phone: 2157674188

REENA PUSHPANGADAN (NPI# 1043670102) 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) 1043670102
Entity Type Individual
Full Name REENA PUSHPANGADAN
Other Name MISS REENA PUSHPANGADAN
Credential R.N., J.D.
Practice Address 310 Cross St
Philadelphia
PA 19147-6509
Practice Telephone 2157674188
Mailing Telephone 2157674188
Enumeration Date 2016-03-02
Last Update Date 2016-03-02
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WC0200X Registered Nurse
Specialization: Critical Care Medicine
RN-505559L PA Nursing Service Providers

Office Location

Street Address 310 CROSS ST
City PHILADELPHIA
State PA
Zip Code 19147-6509

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1487120218 Christopher Michael Rosado Behavioral Analyst 1218-20 South 8th St, 1, Philadelphia, PA 19147 2018-10-19
1891271722 Candice Millard Dietitian, Registered 419 S 8th St Apt 1b, Philadelphia, PA 19147 2018-07-13
1669998217 Julianne Leonarda Wiebalk Counselor 814 South 4th Street, 1st Floor, Philadelphia, PA 19147 2017-08-16
1396269247 Sara Parente Social Worker 1217 Fitzwater St., Unit A, Philadelphia, PA 19147 2017-08-02
1609398445 Nikele Riek Social Worker 1348 Bainbridge Street, Philadelphia, PA 19147 2017-07-13
1023556875 Bralow Medical Group General Practice 834 South St., Philadelphia, PA 19147 2017-02-01
1194196105 Ann Courto Dietitian, Registered 1140 Cross Street, Philadelphia, PA 19147 2015-10-16
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Taxonomy Information

Taxonomy Code 163WC0200X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Critical Care Medicine

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093343857 Elisha L Lowe Registered Nurse 3900 City Ave Apt M208, Philadelphia, PA 19131-2959 2020-03-29
1811552896 Kristine Nissley Registered Nurse Einstein Urology Associates, 1200 West Tabor Road, 3rd Floor, Philadelphia, PA 19141 2019-05-06
1568969467 Victoria Shemaria Registered Nurse 3814 Lauriston St, Philadelphia, PA 19128-5106 2018-04-09
1023515061 Lorisa Green Registered Nurse 7203 Sommers Rd, Philadelphia, PA 19138-1307 2018-04-06
1588014518 Christopher Thomas Mcandrew Registered Nurse 3400 Spruce St Ste F, Philadelphia, PA 19104-4224 2016-06-21
1962763433 Linda Carol King Registered Nurse 3916 Gateway Dr, C1, Philadelphia, PA 19145-5974 2012-05-31
1407138712 Michael Mack Registered Nurse 5416 N Lawrence St, Philadelphia, PA 19120-2804 2011-09-13
1467784280 Traci Lynne Johnson Registered Nurse 2345 Saint Albans St, Philadelphia, PA 19146-1716 2010-02-03
1518110543 Kevin Robert Driscoll Registered Nurse 418 Curie Blvd, Philadelphia, PA 19104-4217 2008-11-04
1184244287 Maria Tomasetti Registered Nurse 5501 Old York Rd, Philadelphia, PA 19141-3018 2020-04-20
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Competitor

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City PHILADELPHIA
Zip Code 19147

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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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