EKTA K PERERA


Address: 622 W 168th St Ph 8, New York, NY 10032-3720
Phone: 2123051544

EKTA K PERERA (NPI# 1083025902) 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) 1083025902
Entity Type Individual
Full Name EKTA K PERERA
Other Name EKTA KAKKAR
Credential MD
Practice Address 622 W 168th St Ph 8
New York
NY 10032-3720
Mailing Address 630 W 168th St # 4
New York
NY 10032-3725
Practice Telephone 2123051544
Practice Fax Number 2123421882
Mailing Telephone 2123051544
Mailing Fax Number 2123421882
Enumeration Date 2014-05-13
Last Update Date 2020-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207K00000X Allergy & Immunology TL0007425 CO Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine 305901 NY Allopathic & Osteopathic Physicians
N 207R00000X Internal Medicine BP10049461 TX Allopathic & Osteopathic Physicians
Y 207RA0201X Internal Medicine
Specialization: Allergy & Immunology
305901 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Baylor Plz, Houston, TX 770303411 7137985588
1400 Jackson St # K624, Denver, CO 80206 3032702913

Office Location

Street Address 622 W 168TH ST PH 8
City NEW YORK
State NY
Zip Code 10032-3720

Providers in the same location

NPI Name Taxonomy Address Enumeration
1770065245 Lauren Dittmeier Loturco Nurse Practitioner 622 W 168th St Ph 8, New York, NY 10032-3720 2018-08-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658301 Julia Sophia White Registered Nurse 622 W 168th St, New York, Ny, New York, NY 10032 2020-10-29
1326653411 Simbarashe S Mudiwa Massage Therapist 615 W 165th St, Apt 1b, New York, NY 10032 2020-09-15
1063021335 Margaret E O'neil Physical Therapist 180 Fort Washington St, Harkness 1-164, New York, NY 10032 2020-07-23
1780207480 Bing Mei Teh Student in an Organized Health Care Education/Training Program 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 2020-05-28
1295354116 Kavin Fatehchand Student in an Organized Health Care Education/Training Program 630 West 168th Street, New York, Ny 10032, New York, NY 10032 2020-04-10
1417584020 Laura Faye Willard Student in an Organized Health Care Education/Training Program 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 2020-03-24
1356976641 Thomas Joseph Cahill Student in an Organized Health Care Education/Training Program Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 2020-03-06
1346874765 Paulo Roberto De Paula Selber Orthopaedic Surgery Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 2020-02-25
1720611312 Rachel Dawn Vanderlaan Thoracic Surgery (Cardiothoracic Vascular Surgery) Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 2020-02-21
1881225928 Daniel Molina Garcia Social Worker 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 2020-01-28
Find all providers in zip 10032

Taxonomy Information

Taxonomy Code 207RA0201X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Allergy & Immunology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306176730 Bernard Benjamin Levine Internal Medicine 210 Riverside Dr, 9f, New York, NY 10025-6802 2010-01-07
1538227905 Arthur Englard Internal Medicine 2 West 67th Street, New York, NY 10023 2006-12-05
1013568435 Park Avenue Medical Office, Pllc Internal Medicine 642 Park Ave, New York, NY 10065-6105 2019-09-26
1114311792 Nicole Ramsey Internal Medicine 1 Gustave L Levy Pl, New York, NY 10029-6504 2015-03-23
1053467886 Elizabeth Jacobson Internal Medicine 425 E 61st St, 11th Floor, New York, NY 10065-8722 2007-01-26
1720144009 Barton Inkeles Internal Medicine 903 Lexington Ave, New York, NY 10021-5902 2006-12-29
1659399483 Beth E Corn Internal Medicine 5 East 98th Street, Mount Sinai Medical Center, New York, NY 10029 2006-07-18
1134147937 Paula J Busse Internal Medicine 5 East 98th Street, New York, NY 10029 2006-07-18
1619906427 Charlotte Cunningham-rundles Internal Medicine 5 E 98th St, New York, NY 10029-6501 2006-07-02
1346297496 Midtown Internal Medicine Pllc Internal Medicine 133 E 58th St, Suite 301, New York, NY 10022-1236 2006-05-27
Find all providers in NEW YORK

Competitor

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City NEW YORK
Zip Code 10032

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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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