DR. JONATHAN J KHODADADIAN (NPI# 1275814618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275814618 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN J KHODADADIAN |
| Credential | MD |
| Practice Address |
150 E Sunrise Hwy 208 Lindenhurst NY 11757-2539 |
| Practice Telephone | 6312257200 |
| Practice Fax Number | 6319309451 |
| Mailing Telephone | 6312257200 |
| Mailing Fax Number | 6319309451 |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2012-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207UN0902X |
Nuclear Medicine Specialization: Nuclear Imaging & Therapy |
265565 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
150 E SUNRISE HWY 208 |
| City | LINDENHURST |
| State | NY |
| Zip Code | 11757-2539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588660591 | Alan R Melton | Radiology | 150 E Sunrise Hwy, 208, Lindenhurst, NY 11757-2598 | 2005-06-23 |
| 1649619636 | David Matthew Balot | Family Medicine | 150 E Sunrise Hwy, Suite 101, Lindenhurst, NY 11757 | 2013-06-23 |
| 1437406352 | Zpr Physicians, LLP | Anesthesiology | 150 E Sunrise Hwy, Lindenhurst, NY 11757-2539 | 2012-08-09 |
| 1205105194 | Alison Choa Md Pllc | Anesthesiology | 150 E Sunrise Hwy, Ste L22, Lindenhurst, NY 11757-2502 | 2011-12-21 |
| 1407169436 | Howard Scott Boriskin | Radiology | 150 E Sunrise Hwy, 208, Lindenhurst, NY 11757-2598 | 2010-07-19 |
| 1053622423 | Rebecca T. Obedian | Radiology | 150 E Sunrise Hwy, Suite 208, Lindenhurst, NY 11757-2598 | 2010-06-30 |
| 1598082570 | Guy Bassis | Radiology | 150 E Sunrise Hwy, 208, Lindenhurst, NY 11757-2598 | 2010-04-29 |
| 1386961993 | Marc Katzman | Radiology | 150 E Sunrise Hwy, 208, Lindenhurst, NY 11757-2598 | 2010-04-23 |
| 1043533458 | Joel Scott Goldstein | Pharmacist | 150 E Sunrise Hwy, Suite 100, Lindenhurst, NY 11757-2598 | 2010-03-12 |
| 1720317662 | Top Tier Medical Breast Specialist PC | Surgery | 150 E Sunrise Hwy, 208, Lindenhurst, NY 11757-2598 | 2009-12-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912540758 | Alfred Michael Quiocho | Massage Therapist | Li Premier Physical and Aquatic Therapy, 155 W Sunrise Highway, Lindenhurst, NY 11757 | 2019-10-24 |
| 1407352081 | Bridget Mary Daly | Counselor | 154 N 4th St, Lindenhurst, NY 11757 | 2018-04-03 |
| 1518478494 | Care Choice LLC | Durable Medical Equipment & Medical Supplies | 654d North Wellwood Ave, Suite 317, Lindenhurst, NY 11757 | 2017-10-18 |
| 1700313574 | Priti Patel Physician P.C. | Internal Medicine | 791 North Wellwood Ave, Lindenhurst, NY 11757 | 2017-05-11 |
| 1619401452 | Erika Hawthorne | Specialist | 538 Broadhollow Road West Suite 202, Melville, NY 11757 | 2017-04-19 |
| 1801333778 | Jessica Eberhardt | Speech-Language Pathologist | 345 Pecan Street, Lindenhurst, NY 11757 | 2017-01-30 |
| 1376994749 | Mayerlin Delossantos | Behavioral Analyst | 81 Paine St., Lindenhurst, NY 11757 | 2016-06-28 |
| 1700231842 | Heather Simonson | Social Worker | 131 South Smith Street, Lindenhurst, NY 11757 | 2016-04-26 |
| 1689039513 | Long Island Pediatric Homecare | Home Health | 389 Thirty Third Street, Lindenhurst, NY 11757 | 2015-12-18 |
| 1689055691 | Jennifer Grogan | Specialist | 352 Charles St, Lindenhurst, NY 11757 | 2015-06-16 |
| Find all providers in zip 11757 | ||||
| Taxonomy Code | 207UN0902X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Imaging & Therapy |
| A nuclear medicine physician who specializes in nuclear imaging and therapy. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760906143 | Ebenezer Vander Pallen | Nuclear Medicine | 1366 Victory Blvd # B, Staten Island, NY 10301-3907 | 2017-07-27 |
| 1588104079 | Simkeon Andrew Kang | Nuclear Medicine | 7 Pateman Cir, Menands, NY 12204-1338 | 2017-03-02 |
| 1932593746 | Ghulam Mustafa | Nuclear Medicine | Buffalo General Medical Center. 100 High St, Department of Nuclear Medicine, Buffalo, NY 14203-1126 | 2015-03-19 |
| 1053674671 | Silvina Paola Dutruel | Nuclear Medicine | 525 E 68th St Fl 2, New York, NY 10065-4870 | 2012-06-19 |
| 1912135997 | Sanjit O Tewari | Nuclear Medicine | 9 Friendly Rd, Hicksville, NY 11801-6311 | 2009-06-29 |
| 1548440837 | Sleiman Naddaf | Nuclear Medicine | 565 80th St Apt 3r, Brooklyn, NY 11209-4027 | 2007-11-05 |
| 1548341696 | Xiaojin Lin | Nuclear Medicine | James J. Peters V.a. Medical Ctr, 130 West Kingsbridge Rd, Bronx, NY 10468 | 2006-10-17 |
| 1003902982 | Carlos Javier Homs | Nuclear Medicine | Woodhull Medical and Mental Health Ctr., 760 Broadway, Brooklyn, NY 11206 | 2006-10-05 |
| 1902856784 | Eric J Leichter | Nuclear Medicine | 420 E 58th St, Apt.23a, New York, NY 10022-2345 | 2006-05-11 |
| 1538152517 | Rudolph M Sada, Md | Nuclear Medicine | 521 East Ave, Lockport, NY 14094-3201 | 2005-08-25 |
| Find all providers with the same taxonomy | ||||
| City | LINDENHURST |
| Zip Code | 11757 |
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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.