KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION (NPI# 1326432238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326432238 |
| Entity Type | Organization |
| Organization Name | KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION |
| Practice Address |
3250 Weschester Avenue Suite Ll4 Bronx NY 10461-4548 |
| Practice Telephone | 7186846465 |
| Practice Fax Number | 7186846467 |
| Mailing Telephone | 7186846465 |
| Mailing Fax Number | 7186846467 |
| Enumeration Date | 2015-03-28 |
| Last Update Date | 2019-10-11 |
| Authorized Official Name | DR. PURIFICACION CRISTOBAL (MANAGING AGENT) |
| Authorized Official Telephone | 7186846465 |
| Authorized Official Credential | DNP, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 05459852 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 47-528 Kamehameha Hwy Ste A, Kaneohe, HI 967444772 | 8087260050 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KAMEHAMEHA HEALTH AND WELLNESS NONPROFIT CORPORATION | 1917 Algaroba St Ste 202a, Honolulu, HI 96826-2610 |
| Street Address |
3250 WESCHESTER AVENUE SUITE LL4 |
| City | BRONX |
| State | NY |
| Zip Code | 10461-4548 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 2084P0802X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Addiction Psychiatry |
| Addiction Psychiatry is a subspecialty of psychiatry that focuses on evaluation and treatment of individuals with alcohol, drug, or other substance-related disorders, and of individuals with dual diagnosis of substance-related and other psychiatric disorders. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518229400 | Leila Mariam Vaezazizi | Psychiatry & Neurology | 260 E 161st St # C-33, Bronx, NY 10451-3512 | 2012-06-15 |
| 1447529474 | New York Center of Addiction LLC | Psychiatry & Neurology | 506 Willis Avenue, 7th Floor, Bronx, NY 10455 | 2011-12-20 |
| 1487852125 | Purificacion Cristobal | Psychiatry & Neurology | 3250 Westchester Avenue, Suite Ll4, Bronx, NY 10461-4500 | 2007-07-03 |
| 1073656476 | Ferdinand Beleno Banez | Psychiatry & Neurology | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2007-02-15 |
| 1003908005 | Rajesh Manharbhai Patel | Psychiatry & Neurology | 1276 Fulton Ave, Bronx, NY 10456-3402 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477196236 | Midtown Applied Medicine,pc | Psychiatry & Neurology | 244 5th Avenu, Ste 2095, Ste 2095, New York, NY 10001 | 2019-10-24 |
| 1285276378 | Nesconset Medical Associates Pllc | Psychiatry & Neurology | 195 Southern Blvd Ste 104, Nesconset, NY 11767-1738 | 2019-10-10 |
| 1629534474 | Priyadarshan Bajpayi, M.d. PC | Psychiatry & Neurology | 5550 Merrick Rd Ste 200, Massapequa, NY 11758-6238 | 2019-02-18 |
| 1912417106 | Miguel Calimano Md PC | Psychiatry & Neurology | 88 Terry Rd # 7, Smithtown, NY 11787-3811 | 2017-10-03 |
| 1750691457 | Apollo Neale Palomares | Psychiatry & Neurology | 78 Lafayette Ave Ste 100, Suffern, NY 10901-5551 | 2010-10-14 |
| 1144534975 | Abha Gupta | Psychiatry & Neurology | 197 Bowery, New York, NY 10002-2867 | 2010-08-04 |
| 1427379932 | Bay Shore Medical Services, P.C. | Psychiatry & Neurology | 56 W Main St # A, Bay Shore, NY 11706-8327 | 2010-06-18 |
| 1659507820 | Barbara E O'connell | Psychiatry & Neurology | 3002 Theall Rd, Rye, NY 10580-1467 | 2009-06-02 |
| 1124263868 | Frederick John Rivera Larmor | Psychiatry & Neurology | 725 Veteran's Memorial Hwy, Bldg.151 North County Clinic, Hauppage, NY 11788 | 2008-12-10 |
| 1780832238 | Venkataraman Radhakrishnan | Psychiatry & Neurology | 117 Seward Ave, Suite 12 /16 Building 92, Middletown, NY 10940 | 2008-09-08 |
| Find all providers with the same taxonomy | ||||
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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.