DR. JOLLY RADHAKRISHNAN (NPI# 1164523023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164523023 |
| Entity Type | Individual |
| Full Name | DR. JOLLY RADHAKRISHNAN |
| Credential | MD |
| Practice Address |
1111 Amsterdam Avenue New York NY 10025-1716 |
| Mailing Address |
44 Morningside Dr Apt 52 New York NY 10025-1719 |
| Practice Telephone | 7189601411 |
| Practice Fax Number | 7185185124 |
| Mailing Telephone | 2126662371 |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-12-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 198130 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01605536 | 05 |
| Street Address |
1111 AMSTERDAM AVENUE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740216670 | Madhuri Kirpekar | Radiology | 1111 Amsterdam Avenue, New York, NY 10025 | 2006-06-23 |
| 1780188201 | Olga Esther Paniagua | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Avenue, Dept. of Anesthesiology, New York, NY 10025-1716 | 2018-03-20 |
| 1639602055 | David Jeffery Smith | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Avenue, New York, NY 10025 | 2017-04-04 |
| 1124497912 | Icahn School of Medicine At Mount Sinai | Surgery | 1111 Amsterdam Avenue, New York, NY 10002 | 2015-09-22 |
| 1871962738 | Icahn School of Medicine At Mount Sinai | Pediatrics | 1111 Amsterdam Avenue, New York, NY 10025 | 2015-09-22 |
| 1477958007 | St Lukes-roosevelt Hospital Center | Dermatology | 1111 Amsterdam Avenue, New York, NY 10025 | 2014-10-24 |
| 1740549229 | Scott Warhit | Psychiatry & Neurology | 1111 Amsterdam Avenue, Department of Psychiatry, New York, NY 10025 | 2012-05-03 |
| 1649570151 | Rishi Malhan | Internal Medicine | 1111 Amsterdam Avenue, New York, NY 10025-1251 | 2010-10-31 |
| 1508001405 | St. Lukes Roosevelt Hospital Center | Psychiatric Unit | 1111 Amsterdam Avenue, New York, NY 10025-1716 | 2008-12-05 |
| 1629225479 | Christopher Michael Reverte | Emergency Medicine | 1111 Amsterdam Avenue, New York, NY 10025 | 2008-08-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487203378 | Private Medical New York, PC | Pediatrics | 110 E 60th St # 808, New York, NY 10022-1688 | 2019-09-04 |
| 1205482452 | Manhattan Valley Pediatrics | Pediatrics | 2637 Broadway, New York, NY 10025-5022 | 2019-08-14 |
| 1891349122 | Amal Khidir | Pediatrics | 445 E 69th St Rm 432, New York, NY 10021-5602 | 2019-07-25 |
| 1154888766 | Amy Leung | Pediatrics | 139 Centre St Ste 314, New York, NY 10013-4554 | 2019-03-01 |
| 1699288795 | Amaranth Pediatric Health, PC | Pediatrics | 210 Canal St Rm 305, New York, NY 10013-4186 | 2017-11-10 |
| 1356862817 | Saroj Choudhary | Pediatrics | 234 E 149th St, Bronx, New York, NY 10451 | 2017-07-05 |
| 1457889487 | Dineeta Kubhar | Pediatrics | 462 1st Ave # Nbv, New York, NY 10016-9196 | 2017-06-03 |
| 1619320835 | Winston Yuen | Pediatrics | 286 South St Apt 14a, New York, NY 10002-8081 | 2016-07-22 |
| 1558714584 | Moonlight Pediatrics of Nyc, P.C. | Pediatrics | 111 W 25th St, New York, NY 10001-7243 | 2016-07-14 |
| 1992153787 | Charlyn Marie Laserna | Pediatrics | 1000 10th Ave Ste 11g, New York, NY 10019-1147 | 2016-06-02 |
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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.