DR. CHARLES TONDERAI MUPAMOMBE (NPI# 1568844413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568844413 |
| Entity Type | Individual |
| Full Name | DR. CHARLES TONDERAI MUPAMOMBE |
| Credential | MD |
| Practice Address |
450 Clarkson Ave # 50 Brooklyn NY 11203-2012 |
| Mailing Address |
1 Medical Center Dr Morgantown WV 26506-1200 |
| Practice Telephone | 7182701574 |
| Practice Fax Number | 7182704070 |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2020-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
28878 | WV | Allopathic & Osteopathic Physicians |
| N | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
28878 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
450 CLARKSON AVE # 50 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-2012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750572152 | Brian David Baxley | Physician Assistant | 450 Clarkson Ave # 50, Brooklyn, NY 11203-2056 | 2007-08-09 |
| 1548899024 | Gowthami Ramineni | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 50, Brooklyn, NY 11203-2012 | 2020-04-06 |
| 1841828795 | Ridhima Goel | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 50, Brooklyn, NY 11203-2098 | 2020-03-27 |
| 1407316359 | Klaudio Gjeluci | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 50, Brooklyn, NY 11203-2012 | 2019-03-25 |
| 1265992382 | Benjamin Joelinjaka Ramalanjaona | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 50, Brooklyn, NY 11203-2012 | 2019-03-24 |
| 1942792023 | John Anthony Bretana Teotico | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 50, Brooklyn, NY 11203 | 2018-06-04 |
| 1811425366 | Naseem A Hossain | Student in an Organized Health Care Education/Training Program | 450 Clarkson Ave # 50, Brooklyn, NY 11203-2012 | 2017-05-30 |
| 1972738482 | Guilaine Aristide | Physician Assistant | 450 Clarkson Ave # 50, Brooklyn, NY 11203-2056 | 2009-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487027496 | Shujing Lin | Internal Medicine | 6309 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2015-11-12 |
| 1871922575 | Sherif El-salawy Medical. P.c | Internal Medicine | 1491 Broadway, 3rd Floor, Brooklyn, NY 11221-4237 | 2013-11-04 |
| 1740527985 | Kingsway Medical, PC | Internal Medicine | 2907 Kings Hwy, Brooklyn, NY 11229-1805 | 2013-01-08 |
| 1578708210 | Shavon Dillon | Internal Medicine | 450 Clarkson Ave, Msc 68, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2008-12-10 |
| 1073778916 | Eaw Medical Care Pllc | Internal Medicine | 612 Schenectady Ave, Brooklyn, NY 11203-1821 | 2008-07-21 |
| 1982889648 | Parkville Medical PC | Internal Medicine | 445 Park Avenue, Brooklyn, NY 11205-2735 | 2007-12-31 |
| 1972799161 | Bella Zimilevich | Internal Medicine | 6301 Mill Ln, Brooklyn, NY 11234-5512 | 2007-09-20 |
| 1861687592 | P.dhillon Md PC | Internal Medicine | 34 Plaza Street East, Suite 102, Brooklyn, NY 11238 | 2007-09-06 |
| 1831301332 | Charles Chanan Kanner | Internal Medicine | 3015- West 29th Street, Brooklyn, NY 11224 | 2007-05-04 |
| 1346468139 | Traditional and Alternative Medicine PC | Internal Medicine | 2 W End Ave, Brooklyn, NY 11235-4848 | 2007-04-24 |
| Find all providers in BROOKLYN | ||||
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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.