MR. NERLIGE BASAVARAJU (NPI# 1205827680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205827680 |
| Entity Type | Individual |
| Full Name | MR. NERLIGE BASAVARAJU |
| Credential | M.D. |
| Practice Address |
45 Main St Suite 408 Brooklyn NY 11201-1000 |
| Practice Telephone | 8666624560 |
| Practice Fax Number | 3473280333 |
| Mailing Telephone | 8666624560 |
| Mailing Fax Number | 3473280333 |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2014-06-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
117319 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02229674 | 05 |
| Street Address |
45 MAIN ST SUITE 408 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11201-1000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699916734 | Triesha S. Gayle | Nurse Practitioner | 45 Main St, Ste. 408, Brooklyn, NY 11201-1000 | 2009-03-19 |
| 1306015714 | Manisha K. Bulsara | Physician Assistant | 45 Main St, Suite 175, Brooklyn, NY 11201-1000 | 2008-02-29 |
| 1568630788 | Rakhmin Bobby Drits | Physician Assistant | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2008-02-11 |
| 1841326816 | Servicesregional Physician North Carolina, P.c | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2007-02-26 |
| 1972675353 | Donald L Ross | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2006-11-14 |
| 1679644264 | Ross Friedman | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2006-11-13 |
| 1336164235 | Sheryl Ann Pearl | Family Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2006-07-12 |
| 1205804051 | Mohammed M Khan | Family Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2006-03-09 |
| 1396736864 | Regional Physician Services, Nj, PC | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2005-11-02 |
| 1508857343 | Regional Physician Services, PC | Internal Medicine | 45 Main St, Suite 408, Brooklyn, NY 11201-1000 | 2005-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992322267 | Sohrab Singh | Student in an Organized Health Care Education/Training Program | House Staff/gme Office, 121 Dekalb Avenue, The Brooklyn Hospital Center, Brooklyn, NY 11201 | 2020-07-02 |
| 1841812880 | Tara Elizabeth Buentello | Social Worker | C/o The Brooklyn Hospital Center Boy 197, 121 Dekalb Ave, Brooklyn, NY 11201 | 2020-05-13 |
| 1760017842 | New York University | Dentist | 445 Albee Square West, Floors 4a/5a, Brooklyn, NY 11201 | 2020-03-09 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1962040246 | Community Health Project Inc. | Clinic/Center | 40 Flatbush Avenue Extension, Brooklyn, NY 11201 | 2019-12-17 |
| 1558908731 | Ghalab Ali Alhashidi | Pharmacist | 250 Pacific St Apt#26, Brooklyn, NY 11201 | 2019-12-05 |
| 1396394524 | Avis A Sanderson | Specialist | 1 Pierre Point Plaza, Brooklyn, NY 11201 | 2019-09-10 |
| 1316501380 | Alice Weijia Huang | Social Worker | 200 Cadman Plz W Fl 12, Brooklyn, NY 11201 | 2019-04-25 |
| 1093274474 | Wts Medical Staffing, LLC | Home Health | 195 Montague St 14th Fl, Brooklyn, NY 11201 | 2019-03-15 |
| 1366927048 | Anna House | Social Worker | 210 Joralemon Street, Third Floor, Brooklyn, NY 11201 | 2018-09-28 |
| Find all providers in zip 11201 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1487027496 | Shujing Lin | Internal Medicine | 6309 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2015-11-12 |
| 1871922575 | Sherif El-salawy Medical. P.c | Internal Medicine | 1491 Broadway, 3rd Floor, Brooklyn, NY 11221-4237 | 2013-11-04 |
| 1740527985 | Kingsway Medical, PC | Internal Medicine | 2907 Kings Hwy, Brooklyn, NY 11229-1805 | 2013-01-08 |
| 1578708210 | Shavon Dillon | Internal Medicine | 450 Clarkson Ave, Msc 68, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2008-12-10 |
| 1073778916 | Eaw Medical Care Pllc | Internal Medicine | 612 Schenectady Ave, Brooklyn, NY 11203-1821 | 2008-07-21 |
| 1982889648 | Parkville Medical PC | Internal Medicine | 445 Park Avenue, Brooklyn, NY 11205-2735 | 2007-12-31 |
| 1972799161 | Bella Zimilevich | Internal Medicine | 6301 Mill Ln, Brooklyn, NY 11234-5512 | 2007-09-20 |
| 1861687592 | P.dhillon Md PC | Internal Medicine | 34 Plaza Street East, Suite 102, Brooklyn, NY 11238 | 2007-09-06 |
| 1831301332 | Charles Chanan Kanner | Internal Medicine | 3015- West 29th Street, Brooklyn, NY 11224 | 2007-05-04 |
| 1346468139 | Traditional and Alternative Medicine PC | Internal Medicine | 2 W End Ave, Brooklyn, NY 11235-4848 | 2007-04-24 |
| Find all providers in BROOKLYN | ||||
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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.