RAJESH MARIWALLA, MD PC (NPI# 1457741035) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457741035 |
| Entity Type | Organization |
| Organization Name | RAJESH MARIWALLA, MD PC |
| Practice Address |
1175 Montauk Hwy Suite 4 West Islip NY 11795-4939 |
| Practice Telephone | 6314229600 |
| Practice Fax Number | 6314229697 |
| Mailing Telephone | 6314229600 |
| Mailing Fax Number | 6314229697 |
| Enumeration Date | 2015-02-03 |
| Last Update Date | 2015-02-18 |
| Authorized Official Name | DR. RAJESH MARIWALLA (MD) |
| Authorized Official Telephone | 6314229600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 217202 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 209194 | NY | Allopathic & Osteopathic Physicians |
| N | 363A00000X | Physician Assistant | 008888 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 208000000X | Pediatrics | 153786 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1175 MONTAUK HWY SUITE 4 |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309037 | Rajkumar G Mariwalla | Internal Medicine | 1175 Montauk Hwy, Suite #3, West Islip, NY 11795-4939 | 2006-01-02 |
| 1669014197 | Amit Sharma Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-10-16 |
| 1811548142 | Eric Fanaee Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-09-27 |
| 1609423821 | Kelly Heraghty | Nurse Practitioner | 1175 Montauk Hwy, West Islip, NY 11795-4939 | 2019-08-22 |
| 1669943510 | Carolann Sutherland | Physician Assistant | 1175 Montauk Hwy, West Islip, NY 11795-4939 | 2018-12-17 |
| 1841717618 | George Kakoulides Md PC | Neurological Surgery | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2017-08-23 |
| 1346656105 | Long Island Neurosurgical & Pain Specialists, Pllc | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2014-07-01 |
| 1972914596 | Nassau-suffolk Medical Services, P.C. | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2014-05-16 |
| 1922399757 | Eujenia Momchilova Darakchieva | Physician Assistant | 1175 Montauk Hwy, Suite 3, West Islip, NY 11795-4939 | 2011-04-27 |
| 1306165949 | Diana Besleaga | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2010-05-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1609901263 | Margaret Fiumano | Pediatrics | 720 Montauk Hwy, West Islip, NY 11795-4411 | 2007-02-23 |
| 1598836231 | Ciro Thomas Grello | Pediatrics | 390 Montauk Highway, West Islip, NY 11795-4212 | 2006-11-13 |
| 1205935863 | Timothy George | Pediatrics | 239 Higbie Ln, West Islip, NY 11795-2825 | 2006-09-21 |
| 1477940690 | Kelly Marie Bethune | Pediatrics | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2015-04-26 |
| 1689094286 | Ann Le | Pediatrics | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2014-04-22 |
| 1427372952 | Saumil Hardev Trivedi | Pediatrics | 239 Higbie Ln, West Islip, NY 11795-2825 | 2010-03-26 |
| 1063649796 | Stephanie Anne Tischler | Pediatrics | 1000 Montauk Hwy, West Islip, NY 11795-4927 | 2009-06-21 |
| 1558503466 | Nancy Uythoven | Pediatrics | 1111 Montauk Hwy, Suite 104, West Islip, NY 11795-4910 | 2009-03-24 |
| 1235391202 | Heather Grooms | Pediatrics | 1000 Montauk Highway, West Islip, NY 11795 | 2008-06-30 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
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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.