JEWEL KHAWAJA (NPI# 1164870952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164870952 |
| Entity Type | Individual |
| Full Name | JEWEL KHAWAJA |
| Credential | CASAC |
| Practice Address |
706 Executive Blvd Suite D Valley Cottage NY 10989-2038 |
| Practice Telephone | 8453623904 |
| Mailing Telephone | 8453623904 |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 26596 | NY | Other Service Providers |
| Street Address |
706 EXECUTIVE BLVD SUITE D |
| City | VALLEY COTTAGE |
| State | NY |
| Zip Code | 10989-2038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154533347 | John Kandera | Psychiatry & Neurology | 706 Executive Blvd, Valley Cottage, NY 10989-2038 | 2007-05-03 |
| 1891392155 | Martina Mary O'reilly | Registered Nurse | 706 Executive Blvd, Valley Cottage, NY 10989-2038 | 2020-10-08 |
| 1255946703 | Michele L Eiswerth | Registered Nurse | 706 Executive Blvd, Valley Cottage, NY 10989-2038 | 2020-09-11 |
| 1225693401 | Christey Curran | Registered Nurse | 706 Executive Blvd, Valley Cottage, NY 10989-2038 | 2019-05-03 |
| 1477117869 | Alesia Jacks | Registered Nurse | 706 Executive Blvd, Valley Cottage, NY 10989-2038 | 2019-05-01 |
| 1780144154 | Tiffanie Parker-lewin | Registered Nurse | 706 Executive Blvd, Valley Cottage, NY 10989-2038 | 2019-03-22 |
| 1619453792 | Graceann Dominguez | Registered Nurse | 706 Executive Blvd, Valley Cottage, NY 10989-2038 | 2018-07-12 |
| 1669929253 | Melissa Eisert | Licensed Practical Nurse | 706 Executive Blvd, Suite D, Valley Cottage, NY 10956 | 2016-09-01 |
| 1699123638 | Jahan Ortiz | Case Manager/Care Coordinator | 706 Executive Blvd, Suite D, Valley Cottage, NY 10989-2038 | 2016-06-01 |
| 1295162147 | Elite Social Adult Day Care LLC | Clinic/Center | 706 Executive Blvd, Valley Cottage, NY 10989-2038 | 2013-10-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982237392 | Aviva Weldon | Social Worker | 991 Sierra Vista Lane, Valley Cottage, NY 10989 | 2020-02-14 |
| 1497201792 | Nighat Afzal | Social Worker | 140 Rout 303, Suit F, Valley Cottage, NY 10989 | 2016-08-28 |
| 1316396484 | Noreen Shimkus | Physical Therapist | 412 Storms Rd, Valley Cottage, NY 10989 | 2016-06-08 |
| 1134585680 | Lissette Rivas | Licensed Practical Nurse | 405 Sierra Vista Lane, Valley Cottage, NY 10989 | 2016-01-13 |
| 1902219124 | Ralph Jacques Alphonse | Licensed Practical Nurse | 533kings Hwy, Valley Cottage, NY 10989 | 2014-06-05 |
| 1750723516 | Noel Teresa Delgado | Licensed Practical Nurse | 137 New York Route 303, Box 13, Valley Cottage, NY 10989 | 2013-07-22 |
| 1497078943 | Tulasi Malla | Pharmacist | 33 Route 303, Valley Cottage, NY 10989 | 2010-03-11 |
| 1083881643 | Sonia C Reines | Social Worker | 336 Old Mill Rd, Valley Cottage, NY 10989 | 2008-05-13 |
| 1952582520 | Siobhan P Lamasney | Nurse Practitioner | 695 Sierra Vista Lane, Valley Cottage, NY 10989 | 2007-11-23 |
| 1841412194 | Cheryl Cohen | Occupational Therapist | 313 Sierra Vista Lane, Valley Cottage, NY 10989 | 2007-05-03 |
| Find all providers in zip 10989 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538612411 | Rosa Mena | Case Manager/Care Coordinator | 140 Route 303 Ste E, Valley Cottage, NY 10989-5907 | 2016-07-27 |
| 1790282861 | Karen Catrina Eastling | Case Manager/Care Coordinator | 140 Route 303, Valley Cottage, NY 10989-5906 | 2018-04-06 |
| 1861994857 | Lizette Donato | Case Manager/Care Coordinator | 140 Route 303, Valley Cottage, NY 10989 | 2018-03-06 |
| 1346740560 | Crystal Cepeda | Case Manager/Care Coordinator | 140 Route 303, Valley Cottage, NY 10989 | 2018-02-14 |
| 1215437447 | Christina Pamphile | Case Manager/Care Coordinator | 140 Route 303, Valley Cottage, NY 10989 | 2018-02-14 |
| 1386162022 | Erica Martinez | Case Manager/Care Coordinator | 140 Route 303, Valley Cottage, NY 10989-5906 | 2017-09-01 |
| 1497208367 | Shelley Greenslade | Case Manager/Care Coordinator | 140 Route 303, Valley Cottage, NY 10989-5906 | 2016-07-27 |
| 1801349782 | Imani Thompson | Case Manager/Care Coordinator | 140 Route 303, Valley Cottage, NY 10989-5906 | 2016-07-27 |
| 1710430699 | Brooke Kallenberg | Case Manager/Care Coordinator | 140 Route 303, Valley Cottage, NY 10989-5906 | 2016-07-27 |
| 1699123638 | Jahan Ortiz | Case Manager/Care Coordinator | 706 Executive Blvd, Suite D, Valley Cottage, NY 10989-2038 | 2016-06-01 |
| Find all providers in VALLEY COTTAGE | ||||
| City | VALLEY COTTAGE |
| Zip Code | 10989 |
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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.