CRITICAL CARE MEDICAL MANAGEMENT ASSOCIATES PLLC (NPI# 1194090878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194090878 |
| Entity Type | Organization |
| Organization Name | CRITICAL CARE MEDICAL MANAGEMENT ASSOCIATES PLLC |
| Practice Address |
701 N Broadway Sleepy Hollow NY 10591-1020 |
| Mailing Address |
224 W 18th St Apt 8a New York NY 10011-4558 |
| Practice Telephone | 9143663000 |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | DR. JAYASHREE K RAIKHELKAR (FOUNDING PARTNER) |
| Authorized Official Telephone | 9175831010 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
701 N BROADWAY |
| City | SLEEPY HOLLOW |
| State | NY |
| Zip Code | 10591-1020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447250287 | Mary Elizabeth Damore | Pediatrics | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2005-07-22 |
| 1326660887 | Yvonne Liang | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1096 | 2020-05-07 |
| 1518588920 | Melina Cherian Pooppallil | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-04-27 |
| 1972130409 | Peter Rasmussen | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-25 |
| 1851928220 | Amir Michael Razani | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-25 |
| 1124655758 | Jing Xiao | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-24 |
| 1801423793 | Justen Luis Molina | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-23 |
| 1700412640 | Aditi Gupta | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-22 |
| 1477189405 | Rachel Graham | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-22 |
| 1346876604 | Arlyn Eucaris Fraim | Student in an Organized Health Care Education/Training Program | 701 N Broadway, Sleepy Hollow, NY 10591-1020 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451661 | Viviana Martinez | Counselor | 81 Fairview Avenue, Second Floor, Tarrytown, NY 10591 | 2020-09-14 |
| 1730718834 | Johnny Truong | Student in an Organized Health Care Education/Training Program | Phelps Family Medicine Residency Program, 701 North Broadway, Sleepy Hollow, NY 10591 | 2020-04-02 |
| 1336707314 | Jeffrey Edward Dwulet | Student in an Organized Health Care Education/Training Program | Phelps Memorial Hospital, 701 North Broadway, Sleepy Hollow, NY 10591 | 2019-06-04 |
| 1881188738 | Broadway Cosmetic Dentistry, P.C. | Dentist | 128 South Broadway, Tarrytown, NY 10591 | 2018-06-14 |
| 1356883870 | Kathryn Kearns | Early Intervention Provider Agency | 12 Francis Street, Sleepy Hollow, NY 10591 | 2016-11-15 |
| 1467802058 | Bv Tarrytown Operator LLC | Alzheimer Center (Dementia Center) | 581 Old White Plains Road, Tarrytown, NY 10591 | 2016-06-15 |
| 1316309347 | Harbor Dental | Public Health or Welfare | 55 River Street, Mei Zhang, Dds, Sleepy Hollow, NY 10591 | 2016-03-29 |
| 1770948317 | Hyra Kamecaj Zucker | Counselor | 55 Stephen Drive, Tarrytown, NY 10591 | 2015-12-28 |
| 1396137428 | Jerry Diaz | Health Educator | 173 1/2 Cortlandt St, Sleepy Hollow, NY 10591 | 2015-02-26 |
| 1740670397 | Heather Katz | Internal Medicine | 777 N Broadway Ste 102, Sleepy Hollow, NY 10591 | 2015-02-03 |
| Find all providers in zip 10591 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598001083 | Norman Albert Ernst Jr. | Anesthesiology | 210 Meadbrook Rd, Garden City, NY 11530-1211 | 2013-01-02 |
| 1245525252 | Emily Chanan | Anesthesiology | 525 East 68th St, New York, NY 10025 | 2011-06-17 |
| 1932335395 | Issa Kallie Toure | Anesthesiology | 981 Union Ave Apt 5d, Bronx, NY 10459 | 2009-05-29 |
| 1548496904 | Kunal Panda | Anesthesiology | 601 Elmwood Ave Dept Of, Rochester, NY 14642-2604 | 2009-05-29 |
| 1467578211 | Erfan Hussain | Anesthesiology | Nsuh-dept of Med & Cricical Care Med, 300 Community Drive, Manhasset, NY 11030 | 2007-03-22 |
| 1922012277 | Hesaraghatta Buddappa Keshava | Anesthesiology | 1185 County Highway 122, Gloversville, NY 12078-6131 | 2006-07-29 |
| 1255373205 | Arvin H Chin | Anesthesiology | 29 Harrison St, New York, NY 10013-2705 | 2006-06-12 |
| 1083677678 | Robert M Constantine | Anesthesiology | 301 Prospect Avenue, Syracuse, NY 13203 | 2006-04-06 |
| 1841829819 | Ccmma Tx Pllc | Anesthesiology | 224 W 18th St Apt 8a, New York, NY 10011-4558 | 2020-04-02 |
| 1760025738 | Jessica Victoria Miller | Anesthesiology | 100 High St, Buffalo, NY 14203-1154 | 2019-10-23 |
| Find all providers with the same taxonomy | ||||
| City | SLEEPY HOLLOW |
| Zip Code | 10591 |
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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.