DR. JOEL PANTHAPPATTU (NPI# 1124408489) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124408489 |
| Entity Type | Individual |
| Full Name | DR. JOEL PANTHAPPATTU |
| Credential | M.D. |
| Practice Address |
279 Main St Ste 102 New Paltz NY 12561-1624 |
| Mailing Address |
396 Broadway Kingston NY 12401-4626 |
| Practice Telephone | 8452552930 |
| Practice Fax Number | 8452553089 |
| Mailing Telephone | 8458027600 |
| Mailing Fax Number | 8453380307 |
| Enumeration Date | 2015-06-02 |
| Last Update Date | 2019-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 296056 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS MEDICAL LICENSE | 296056 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 213 Broadway, Port Ewen, NY 124667769 | 8453312355 |
| Street Address |
279 MAIN ST STE 102 |
| City | NEW PALTZ |
| State | NY |
| Zip Code | 12561-1624 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699911354 | Donna M. Gibbons | Registered Nurse | 279 Main St Ste 102, New Paltz, NY 12561-1624 | 2008-12-31 |
| 1912429119 | Chelsea Ariel Lopez | Social Worker | 279 Main St Ste 102, New Paltz, NY 12561-1624 | 2017-07-10 |
| 1740676857 | Lisa Schaffer | Nurse Practitioner | 279 Main St Ste 102, New Paltz, NY 12561-1624 | 2015-04-15 |
| 1578808358 | Rebecca Sturges | Registered Nurse | 279 Main St Ste 102, New Paltz, NY 12561 | 2012-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831715978 | Kevin Melrick Medenilla Serrano | Physical Medicine & Rehabilitation | New Paltz Center for Rehabilitation and Nursing, 1 Jansen Road, New Paltz, NY 12561 | 2020-06-24 |
| 1720546211 | Jessica Joy | Counselor | 124 Main St Ste 8, New Paltz, NY 12561 | 2019-03-04 |
| 1720558315 | Maritday Rodriguez | Lactation Consultant, Non-RN | 41 Main St #1238, New Paltz, NY 12561 | 2018-11-27 |
| 1700373636 | Infinity Mental Health Counseling | Counselor | 7 Innis Street, New Paltz, NY 12561 | 2018-04-17 |
| 1851819494 | Meredith Johson | Counselor | 52 S. Manheim Blvd., New Paltz, NY 12561 | 2017-09-04 |
| 1396126645 | Suny New Paltz Student Health Service | Clinic/Center | I Hawk Drive, New Paltz, NY 12561 | 2015-06-12 |
| 1942579800 | Bruce R Mardiney | Social Worker | 175 Route 32 North, New Paltz, NY 12561 | 2011-12-22 |
| 1285938639 | Lara Savelson | Speech-Language Pathologist | 31 Sunset Ridge, New Paltz, NY 12561 | 2010-12-28 |
| 1194035832 | Sarah M Dietz | Occupational Therapist | 472 Springtown Rd., Apt A, New Paltz, NY 12561 | 2010-10-15 |
| 1235368762 | Woodland Pond, Inc | Skilled Nursing Facility | 100 Woodland Pond Circle, New Paltz, NY 12561 | 2009-07-06 |
| Find all providers in zip 12561 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992879951 | Barry Edward Goldman | Family Medicine | 66 Forest Glen Rd, New Paltz, NY 12561-2611 | 2006-11-20 |
| 1407935802 | Margaret Daley Carpenter | Family Medicine | 1156 Old Ford Rd, New Paltz, NY 12561-2654 | 2006-11-04 |
| 1629172705 | Richard John Ordway Jr. | Family Medicine | 1 Hawk Dr, Student Health Service, Suny New Paltz, New Paltz, NY 12561-2447 | 2006-09-11 |
| 1740203884 | Mary Ellen Dyer | Family Medicine | 1-3 Henry W Dubois Dr, Suite 1, New Paltz, NY 12561-1420 | 2006-07-26 |
| 1033132139 | Allison R Lucchesi | Family Medicine | 26 North Front Street, New Paltz, NY 12561 | 2006-07-26 |
| 1144289943 | Katherine W Clark | Family Medicine | 1 Paradies Ln, New Paltz, NY 12561-4031 | 2006-03-21 |
| 1619405933 | Kunal Gupta | Family Medicine | 279 Main St, New Paltz, NY 12561-1623 | 2017-05-31 |
| 1487187175 | Health Quest Medical Practice, PC | Family Medicine | 66 Forest Glen Rd, New Paltz, NY 12561-2611 | 2017-04-10 |
| 1861801862 | Mary Dyer Md Pllc | Family Medicine | 1-3 Henry W Dubois Dr, New Paltz, NY 12561-1420 | 2014-08-05 |
| 1518256817 | Susruth Pinnamaneni | Family Medicine | 279 Main St, New Paltz, NY 12561-1623 | 2011-04-07 |
| Find all providers in NEW PALTZ | ||||
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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.