NIREN JASUTKAR (NPI# 1134447493) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134447493 |
| Entity Type | Individual |
| Full Name | NIREN JASUTKAR |
| Credential | M.D. |
| Practice Address |
1 Maywood Ave Maywood NJ 07607-1001 |
| Mailing Address |
219 N Broad St Fl 5 Division of Gastroenterology Philadelphia PA 19107-1507 |
| Practice Telephone | 5512577005 |
| Mailing Telephone | 2157626072 |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2019-04-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | LP01844 | RI | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
25MA09962100 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 219 N Broad St Fl 5, Division of Gastroenterology, Philadelphia, PA 191071507 | 2157626072 |
| Street Address |
1 MAYWOOD AVE |
| City | MAYWOOD |
| State | NJ |
| Zip Code | 07607-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606810 | Keith R. Dixon | Internal Medicine | 1 Maywood Ave, Maywood, NJ 07607-1001 | 2005-08-11 |
| 1902379977 | Riverside Pediatric Group, PC | Durable Medical Equipment & Medical Supplies | 1 Maywood Ave, Maywood, NJ 07607-1001 | 2019-01-02 |
| 1538491352 | Mandakini Dantuluri | Pharmacist | 1 Maywood Ave, Maywood, NJ 07607-1001 | 2010-02-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174057756 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 216 Cumming Avenue, Maywood, NJ 07607 | 2017-04-20 |
| 1689075475 | Fitness & Wellness of Hackensack | Dietitian, Registered | 137 Route 17 North, Maywood, NJ 07607 | 2014-09-11 |
| 1700285707 | Yun-hyeang Stella Jang | Social Worker | 87 Route 17, Suite 1-118, Maywood, NJ 07607 | 2014-08-15 |
| 1447659354 | Bonnie Lyn Freirich | Social Worker | 87 Route 17 North, Maywood, NJ 07607 | 2014-08-15 |
| 1720344351 | Nurse Practitioner Professional Services Inc | Nurse Practitioner | 100 West Magnolia Avenue, Maywood Center for Health & Rehabilitation, Maywood, NJ 07607 | 2012-04-09 |
| 1689960676 | Douglas Jay Saphier | Psychiatry & Neurology | 87 Rte 17 N, Maywood, NJ 07607 | 2011-06-28 |
| 1275764581 | Nayana Parekh | Internal Medicine | 113 W Essex St Ste 204, Maywood, NJ 07607 | 2009-08-04 |
| 1205078946 | Total Physical Therapy, LLC. | Physical Therapist | 25 E. Spring Valley Ave, Suite 190, Maywood, NJ 07607 | 2009-03-26 |
| 1619141918 | Vincent C Okabekwa | Psychiatry & Neurology | 87 Route 17 N, Maywood, NJ 07607 | 2008-04-17 |
| 1710045588 | Harold Hugh Gardy | Dentist | 61 W Pleasant Drive, Maywood, NJ 07607 | 2006-12-05 |
| Find all providers in zip 07607 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801080460 | Lena Brice Palmer | Internal Medicine | 2160 S. 1st Avenue, Building 54, Room 167, Maywood, IL 60153 | 2007-08-28 |
| 1831619527 | Ikponmwosa Enofe | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2017-06-22 |
| 1043744717 | Ingrid Beyruth Schwartz | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2017-04-19 |
| 1407387061 | Marcel Ghanim | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2017-03-24 |
| 1942651096 | Thomas Jan Konturek | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2016-06-29 |
| 1710372321 | Arshish Dua | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153 | 2015-03-31 |
| 1013250695 | Steven Hendler | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153 | 2013-04-01 |
| 1013273150 | Zuie Wakade | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153-3328 | 2012-04-03 |
| 1184918294 | Lalitha Meenambal Sitaraman | Internal Medicine | 2160 S 1st Ave, Maywood, IL 60153 | 2011-06-06 |
| 1336438456 | Susanne Shokoohi | Internal Medicine | 2160 S 1st Ave, Building 54 Room 167, Maywood, IL 60153 | 2011-03-29 |
| Find all providers in MAYWOOD | ||||
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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.