DR. JAI RADHAKRISHNAN (NPI# 1275605446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1275605446 |
Entity Type | Individual |
Full Name | DR. JAI RADHAKRISHNAN |
Credential | M.D. |
Practice Address |
622 W 168th St New York NY 10032-3720 |
Mailing Address |
630 W 168th St Box 4 New York NY 10032-3725 |
Practice Telephone | 2123053273 |
Enumeration Date | 2006-11-14 |
Last Update Date | 2015-04-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
197476 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01532750 | 05 |
Street Address |
622 W 168TH ST |
City | NEW YORK |
State | NY |
Zip Code | 10032-3720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982608493 | Eastside Orthotics and Prosthetics, Inc. | Durable Medical Equipment & Medical Supplies | 622 W 168th St, Vc333, New York, NY 10032 | 2005-06-13 |
1790386399 | Carl Elliston | Radiology | 622 W 168th St, Department of Radiation Oncology, New York, NY 10032 | 2020-11-02 |
1275140758 | Alyssa Hope Diaz | Nurse Practitioner | 622 W 168th St, New York, NY 10032-3720 | 2020-09-28 |
1295341873 | Ann Mchugh | Obstetrics & Gynecology | 622 W 168th St, New York, NY 10032-3720 | 2020-09-19 |
1821604778 | Kellie Kolessar | Physician Assistant | 622 W 168th St, New York, NY 10032-3720 | 2020-09-16 |
1912525833 | Fanny Ok | Physician Assistant | 622 W 168th St, New York, NY 10032-3720 | 2020-07-07 |
1982221644 | Ashley D Gandhi | Physician Assistant | 622 W 168th St, New York, NY 10032-3720 | 2020-06-29 |
1891311080 | Demond Harrison | Respiratory Therapist, Registered | 622 W 168th St, New York, NY 10032-3720 | 2020-06-23 |
1073136115 | Dennis Man | Pharmacist | 622 W 168th St, New York, NY 10032-3720 | 2020-05-23 |
1205457801 | Adam Sands | Student in an Organized Health Care Education/Training Program | 622 W 168th St, New York, NY 10032-3720 | 2020-05-05 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
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Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
1619339785 | Manhattan Nephrology and Critical Care Pllc | Internal Medicine | 116 E 124th St, New York, NY 10035-1933 | 2016-03-28 |
1679947162 | Valmond Medical Pllc | Internal Medicine | 206 E. 76th St. Suite M2, New York, NY 10021 | 2015-11-20 |
1821489600 | Alan D Lavine | Internal Medicine | 80 Riverside Blvd Apt 16b, New York, NY 10069-0315 | 2015-02-14 |
1245633825 | Celeste Sharon Chang | Internal Medicine | 139 Centre St Ste 703, New York, NY 10013-4557 | 2014-09-26 |
1316368061 | Lili Chan | Internal Medicine | 1249 5th Avene, New York, NY 10029 | 2013-12-25 |
1417204736 | Excella Medicine PC | Internal Medicine | 4915 Broadway Suite 1g, New York, NY 10034-3122 | 2012-08-06 |
1265716906 | Simone Sanna Cherchi | Internal Medicine | 622 W 168th St Ph 4-124, New York, NY 10032-3720 | 2011-09-29 |
1245559442 | Jennifer S Scherer | Internal Medicine | 462 1st Ave # Bcd676, Nyu Langone Medical Center, New York, NY 10016-9196 | 2010-05-27 |
1427218684 | Muthukumar Thangamani | Internal Medicine | 525 E 68 Street, Division of Nephrology Box 3, New York, NY 10021 | 2008-06-11 |
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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.