JALAL MAHDAVIAN (NPI# 1528111051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528111051 |
| Entity Type | Individual |
| Full Name | JALAL MAHDAVIAN |
| Credential | MD |
| Practice Address |
40 Hurley Ave Ste 5 Kingston NY 12401-3738 |
| Practice Telephone | 8453389488 |
| Practice Fax Number | 8453386774 |
| Mailing Telephone | 8453389488 |
| Mailing Fax Number | 8453386774 |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2008-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 0973341 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00546474 | 05 | |
| NY | RAILROAD MEDICARE | CJ9902 | 01 |
| Street Address |
40 HURLEY AVE STE 5 |
| City | KINGSTON |
| State | NY |
| Zip Code | 12401-3738 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215565783 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue--breast Depart., Kingston, NY 12401 | 2020-03-31 |
| 1306474879 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Avenue --surg. Onc. Dept, Kingston, NY 12401 | 2020-03-31 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1013552181 | Health Quest Medical Practice, PC | Emergency Medicine | 1240 Ulster Avenue, Kingston, NY 12401 | 2019-11-13 |
| 1073156808 | Vala Conklin | Hearing Instrument Specialist | Beltone, 10 Westbrook Lane, Kingston, NY 12401 | 2019-10-24 |
| 1306304860 | Laura Juliane Isele | Dietitian, Registered | 521 Boices Lane Taconic Ddso, Kingston, NY 12401 | 2019-03-04 |
| 1104345107 | Shiv Ramlochan | Licensed Practical Nurse | 1 Family Drive, Kingston, NY 12401 | 2017-09-12 |
| 1346776333 | Sara Bockelmann | Licensed Practical Nurse | 616 Kiersted Ave, Kingston, NY 12401 | 2017-05-11 |
| 1093265472 | Janelle Haylett | Pathology | 121 Rondout Drive, Q, Kingston, NY 12401 | 2016-10-10 |
| 1669830873 | Julie Brady | Counselor | 154 Fair Street #2, Kingston, NY 12401 | 2016-02-02 |
| Find all providers in zip 12401 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997015 | Health Quest Medcial Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-03-17 |
| 1023572278 | Geisinger Clinic | Surgery | 480 Pierce St Ste 314, Kingston, PA 18704-5512 | 2019-01-22 |
| 1982048625 | Fernando Jorge Abrantes | Surgery | 36 Butler St, Kingston, PA 18704-4721 | 2013-04-24 |
| 1144373929 | Jamal Mahdavian | Surgery | 40 Hurley Ave Suite 5, Kingston, NY 12401 | 2007-01-18 |
| 1518070689 | Zoe A. Weinstein | Surgery | 117 Mary's Ave, Suite 203, Kingston, NY 12401 | 2006-08-15 |
| 1730178377 | Kalyan R. Venkat | Surgery | 40 Hurley Ave, Suite 17, Kingston, NY 12401-3739 | 2005-10-17 |
| 1982220737 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-06-17 |
| 1861994162 | Health Quest Medical Practice, PC | Surgery | 334 Plaza Rd, Kingston, NY 12401-2975 | 2018-03-02 |
| 1578820668 | Andrews and Verazin Surgical Consultants | Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2012-04-13 |
| 1467723866 | Blaum Breast Care Specialist LLC | Surgery | 480 Pierce St, New Bridge Center, Suite #312-314, Kingston, PA 18704-5512 | 2012-01-18 |
| Find all providers in KINGSTON | ||||
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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.