SUDHAKAR METTU (NPI# 1366451924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366451924 |
| Entity Type | Individual |
| Full Name | SUDHAKAR METTU |
| Credential | MD |
| Practice Address |
1010 N Broadway Yonkers NY 10701-1303 |
| Practice Telephone | 9149683535 |
| Practice Fax Number | 9149683566 |
| Mailing Telephone | 9149683535 |
| Mailing Fax Number | 9149683566 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 150851-1 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00729740 | 05 |
| Street Address |
1010 N BROADWAY |
| City | YONKERS |
| State | NY |
| Zip Code | 10701-1303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265477137 | Riverside Medical Group Pllc | Clinic/Center | 1010 N Broadway, Yonkers, NY 10701-1303 | 2006-06-17 |
| 1750693842 | Paul Ginelli | Internal Medicine | 1010 N Broadway, Yonkers, NY 10701-1330 | 2010-07-06 |
| 1023334927 | Mount Sinai School of Medicine of New York University | Internal Medicine | 1010 N Broadway, Yonkers, NY 10701-1303 | 2010-04-16 |
| 1215269238 | Sara Michiko Tanaka Carroll | Internal Medicine | 1010 N Broadway, Yonkers, NY 10701-1330 | 2010-02-01 |
| 1740442656 | Zeenat Naqvi | Internal Medicine | 1010 N Broadway, Yonkers, NY 10701-1330 | 2008-07-01 |
| 1669642252 | Steven Albert Francescone | Internal Medicine | 1010 N Broadway, Yonkers, NY 10701-1330 | 2008-03-10 |
| 1023202918 | Atul M Limaye | Internal Medicine | 1010 N Broadway, Yonkers, NY 10701-1303 | 2007-09-04 |
| 1740480268 | Judith Zwer | Clinical Nurse Specialist | 1010 N Broadway, Yonkers, NY 10701-1303 | 2007-07-23 |
| 1790904548 | Alon Gitig | Internal Medicine | 1010 N Broadway, Yonkers, NY 10701-1330 | 2007-04-24 |
| 1609927995 | Glory Mathew | Nurse Practitioner | 1010 N Broadway, Yonkers, NY 10701-1330 | 2007-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
| 1306471412 | Mchealth Nemt LLC | Non-emergency Medical Transport (VAN) | 10 Locust Hill Avenue, Suite 2, Yonkers, NY 10701 | 2020-03-09 |
| 1073150314 | Daniel Owusu-ansah | Registered Nurse | 615 Warburton Ave, Apt 4e, Yonkers, NY 10701 | 2019-12-05 |
| 1447738067 | Britney Hudson | Counselor | 58 Hudson St, Yonkers, NY 10701 | 2018-08-06 |
| 1104320704 | Jonathan Alfred Manley | Specialist | 1 Odell Plaza - Fred S. Keller School, Suite #263, Yonkers, NY 10701 | 2018-03-20 |
| 1841718905 | Tanesha Lyttle | Licensed Practical Nurse | 50 Hewphorne Ave., Yonkers, NY 10701 | 2017-09-08 |
| 1598297715 | Lauren Ramm | Surgery | 967 North Broadway, Medical Education Department, Yonkers, NY 10701 | 2017-03-28 |
| 1063953115 | Gina Bianca Butrico | Early Intervention Provider Agency | 300 Corporate Blvd. South, Yonkers, NY 10701 | 2017-03-09 |
| 1225574551 | Syed Islam | Assistant Behavior Analyst | 6 B Greene Pl., Yonkers, NY 10701 | 2017-01-10 |
| 1306296470 | Rebecca Hill | Physician Assistant | 984 N Broadway Ste 509, Yonkers, NY 10701 | 2016-06-20 |
| Find all providers in zip 10701 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326663113 | Michelle Babian | Specialist | 1020 Warburton Ave, Yonkers, NY 10701-1200 | 2020-06-08 |
| 1114549045 | Victoria Marie Kieltyka | Specialist | 48 Gavin St Apt 2f, Yonkers, NY 10701-5670 | 2020-05-14 |
| 1689296451 | Ashley D Collado | Specialist | 18 Loudoun St Apt 2, Yonkers, NY 10705-4395 | 2020-05-14 |
| 1912534306 | Jo Ann Bloomberg | Specialist | 134 Colonial Pkwy N, Yonkers, NY 10710-3133 | 2020-03-25 |
| 1831723147 | Sharon Sayegh | Specialist | 1120 Mile Square Rd, Yonkers, NY 10704-1622 | 2020-02-25 |
| 1598302762 | Regina Mollo | Specialist | 277 Bronx River Rd Apt 7e, Yonkers, NY 10704-3738 | 2019-12-05 |
| 1316596901 | Louis Mazzullo | Specialist | 68 Briggs Ave, Yonkers, NY 10701-5602 | 2019-09-06 |
| 1245889955 | Devenish De La Rosa | Specialist | 10 Gerri Ln, Yonkers, NY 10703-1609 | 2019-09-05 |
| 1922560176 | Julie Anne Siragusa | Specialist | 1408 Nepperhan Ave, Yonkers, NY 10703-1015 | 2019-04-04 |
| 1184182685 | Courtney Adams | Specialist | 49 Gold St, Yonkers, NY 10701-2234 | 2019-03-04 |
| Find all providers in YONKERS | ||||
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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.