RAVIKUMAR B BRAHMBHATT (NPI# 1073816351) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073816351 |
| Entity Type | Individual |
| Full Name | RAVIKUMAR B BRAHMBHATT |
| Credential | MD |
| Practice Address |
355 Grand St, 3 East Dept of Surgery Jersey City NJ 07302-4321 |
| Mailing Address |
40 Clive Hills Rd Dept of Surgery Edison NJ 08820-3653 |
| Practice Telephone | 2019152450 |
| Practice Fax Number | 2019151282 |
| Mailing Telephone | 9082179441 |
| Mailing Fax Number | 9082179441 |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2016-06-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2086S0102X |
Surgery Specialization: Surgical Critical Care |
25MA08758600 | NJ | Allopathic & Osteopathic Physicians |
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
25MA08758600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | CDS( CONTROLLED DANGEROUS SUBSTANCE) | D09771800 | 01 |
| Street Address |
355 GRAND ST, 3 EAST DEPT OF SURGERY |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07302-4321 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1497218044 | Wolf Performance Consulting LLC | Clinic/Center | 150 Bay Street 2nd Floor - Commercial Entrance, Located Inside of 150 Bay Crossfit, Jersey City, NJ 07302 | 2019-04-10 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1144724873 | Banan Mohammad | Chiropractor | 190 Christopher Columbus Dr # 5c, Jersey City, NJ 07302 | 2018-03-19 |
| 1477062347 | Kingsley Ogigi Oyem | Nurse Practitioner | Rwjbarnabas Health, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2017-09-23 |
| Find all providers in zip 07302 | ||||
| Taxonomy Code | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265452221 | Bruno Molino | Surgery | Jersey City Medical Center, Dept. of Surgery, 355 Grand Street, Jersey City, NJ 07302 | 2006-07-20 |
| 1689606956 | Liberty Surgical Associates | Surgery | 377 Jersey Avenue, Suite 220, Jersey City, NJ 07302-4396 | 2006-07-07 |
| 1437385085 | Victor Vinh Ha | Surgery | 355 Grand St, Jersey City, NJ 07302-4321 | 2009-06-09 |
| 1417988809 | Susan Kaiser | Surgery | 377 Jersey Ave, Suite 220, Jersey City, NJ 07302-4393 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609137348 | Christopher Alan Butts | Surgery | 125 Paterson St Ste 6300, New Brunswick, NJ 08901 | 2012-05-30 |
| 1376572198 | Richard Edward Constable | Surgery | 655 Amboy Ave Ste C, Woodbridge, NJ 07095-3159 | 2006-07-02 |
| 1396799565 | Vincent Lavaughn Moss | Surgery | 98 James St 202, Edison, NJ 08820-3902 | 2006-05-20 |
| 1356730873 | Nikolas Sebastian Kappy | Surgery | 750 Brunswick Ave, Trenton, NJ 08638-4143 | 2015-01-21 |
| 1609215029 | Amanda Liane Teichman | Surgery | 125 Paterson St, New Brunswick, NJ 08901-1962 | 2013-06-19 |
| 1477825891 | Tanya Egodage | Surgery | 1 Cooper Plz, Camden, NJ 08103-1461 | 2012-01-31 |
| 1083907224 | Capital Health Surgical Group | Surgery | 40 Fuld St, Suite 303, Trenton, NJ 08638-5247 | 2011-05-20 |
| 1679884431 | Anna Goldenberg | Surgery | 1 Cooper Plz, Camden, NJ 08103-1461 | 2010-06-27 |
| 1831422260 | Seung Hoon Shin | Surgery | 1945 State Route 33, Neptune, NJ 07753-4859 | 2009-09-17 |
| 1447412622 | John J. Locurto, Md,facs Limited Liability Company | Surgery | 5 Summit Ave, Suite 105, Hackensack, NJ 07601-8503 | 2008-06-27 |
| Find all providers with the same taxonomy | ||||
| City | JERSEY CITY |
| Zip Code | 07302 |
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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.