TANISHA PRASHANT WANDHARE (NPI# 1386265569) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386265569 |
| Entity Type | Individual |
| Full Name | TANISHA PRASHANT WANDHARE |
| Practice Address |
703 Main Street Department of Surgery/trauma, St. Joseph's University M Paterson NJ 07503 |
| Mailing Address |
165 Barclay Street Apartment 203 Paterson NJ 07503 |
| Practice Telephone | 9737542671 |
| Mailing Telephone | 9733893184 |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
703 MAIN STREET DEPARTMENT OF SURGERY/TRAUMA, ST. JOSEPH'S UNIVERSITY M |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730182403 | Michael C Erlichman | Dentist | 703 Main Street, St. Joseph's Regional Medical Center, Paterson, NJ 07503 | 2005-05-24 |
| 1407372238 | Kristen F Henderson | Pediatrics | 703 Main Street, Pediatrics Department - Picu, Paterson, NJ 07503-0750 | 2017-08-14 |
| 1942757125 | Saint Joseph Regional Medical Center | Long Term Care Hospital | 703 Main Street, Paterson, NJ 07503-3700 | 2016-09-06 |
| 1821544115 | Vinod Kumar | Internal Medicine | 703 Main Street, Paterson, NJ 07503 | 2016-08-28 |
| 1851766588 | Sundus Abbasi | Student in an Organized Health Care Education/Training Program | 703 Main Street, Paterson, NJ 07053 | 2015-12-07 |
| 1831593961 | Islam Kassab | Physician Assistant | 703 Main Street, Paterson, NJ 07503 | 2014-10-17 |
| 1043638638 | Jerome Edward Balbin | Emergency Medicine | 703 Main Street, Department of Emergency Medicine, Paterson, NJ 07503 | 2014-04-01 |
| 1891033106 | Melissa Slivka | Social Worker | 703 Main Street, Paterson, NJ 07503-2621 | 2013-01-21 |
| 1679823645 | Michael Hanna | Internal Medicine | 703 Main Street, Paterson, NJ 07503-2621 | 2012-09-17 |
| 1144587502 | Haris Kalatoudis | Internal Medicine | 703 Main Street, Medicine Department, Paterson, NJ 07503-0750 | 2012-04-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1790205201 | Anish Jayesh Shah | Student in an Organized Health Care Education/Training Program | 703 Main St # A1403, Paterson, NJ 07503-2621 | 2017-06-26 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| 1407237050 | Jonathan David Jimenez | Student in an Organized Health Care Education/Training Program | 78 E 16th St, Paterson, NJ 07524-1513 | 2015-06-09 |
| 1720327075 | John P Holland Charter School | Student in an Organized Health Care Education/Training Program | 190 Oliver St, Paterson, NJ 07501-1816 | 2013-02-06 |
| 1295001261 | Mohammed Motaharul Huq | Student in an Organized Health Care Education/Training Program | 367 Edmund Ave, 1st Fl, Paterson, NJ 07502-1313 | 2012-03-23 |
| 1073714424 | Kamal Hosni Al-rabi | Student in an Organized Health Care Education/Training Program | 100 Hospital Plz Apt 901, Paterson, NJ 07503-3053 | 2007-05-31 |
| 1083824999 | Sripriya Krishnamoorthy | Student in an Organized Health Care Education/Training Program | 200 Hospital Plz, #104, Paterson, NJ 07503-3072 | 2007-05-23 |
| 1518571868 | Prathyusha Chennupati | Student in an Organized Health Care Education/Training Program | 703 Main St, Paterson, NJ 07503-2621 | 2020-09-03 |
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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.