BORIS KHOLDAROV (NPI# 1578000519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578000519 |
| Entity Type | Individual |
| Full Name | BORIS KHOLDAROV |
| Credential | M.D. |
| Practice Address |
170 Frelinghuysen Rd Room 212 Piscataway NJ 08854-8020 |
| Practice Telephone | 8484456071 |
| Mailing Telephone | 8484456071 |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
287060 | NY | Allopathic & Osteopathic Physicians |
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
25MA09991600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
170 FRELINGHUYSEN RD ROOM 212 |
| City | PISCATAWAY |
| State | NJ |
| Zip Code | 08854-8020 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275530313 | Connie T Chuang | Internal Medicine | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2005-07-05 |
| 1821417668 | Paul Park | Psychologist | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2014-04-09 |
| 1205132669 | Sonia Chatterjee | Family Medicine | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2011-02-02 |
| 1295065803 | Environmental and Occupational Health Science Institute. | Clinic/Center | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2010-01-04 |
| 1760652440 | Francine S. Katz | Preventive Medicine | 170 Frelinghuysen Rd, Umdnj Rwj Medical School, Piscataway, NJ 08854-8020 | 2008-03-10 |
| 1689855769 | Michael Elwood Pratt | Emergency Medicine | 170 Frelinghuysen Rd, Clinical Research and Occupational Medicine Division, Piscataway, NJ 08854-8020 | 2007-11-17 |
| 1295914430 | Michelle Williams Robertson | Family Medicine | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2007-10-24 |
| 1871716803 | Robert J. Laumbach | Preventive Medicine | 170 Frelinghuysen Rd, Environmental & Occupational Health Sciences Institute, Piscataway, NJ 08854-8020 | 2007-04-10 |
| 1629114913 | Iris G. Udasin | Preventive Medicine | 170 Frelinghuysen Rd, Environmental & Occupational Health Sciences Institute, Piscataway, NJ 08854-8020 | 2007-01-30 |
| 1083768360 | Michael Gochfeld | Preventive Medicine | 170 Frelinghuysen Rd, Eohsi Rm 200, Piscataway, NJ 08854-8020 | 2007-01-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992327548 | Sally Ng | Student in an Organized Health Care Education/Training Program | 675 Hoes Lane West, Piscataway, NJ 08854 | 2020-05-16 |
| 1932728870 | Mawaddah Ahmed Mohamed Khalil Alislambouli | Student in an Organized Health Care Education/Training Program | 1701 Quincy Street, Piscataway, NJ 08854 | 2020-04-10 |
| 1457831273 | Lindsay Brooke Gonzalez | Social Worker | Rutgers Day School- Rutgers University Ubhc, 671 Hoes Lane, Piscataway, NJ 08854 | 2018-08-21 |
| 1568941524 | Step Three Support Services, LLC | In Home Supportive Care | 1297 Centennial Ave Ste 5-102, Piscataway, NJ 08854 | 2018-08-10 |
| 1942788252 | Adrienne Wallace | Speech-Language Pathologist | 170 Birchview Dr, Piscataway, NJ 08854 | 2018-07-31 |
| 1215423066 | Eugene Reid | Physical Medicine & Rehabilitation | 250 Old New Brunswick Road, Building 12, Piscataway Township, NJ 08854 | 2018-07-05 |
| 1649768326 | Madhusree Chowdhury | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, 675 Hoes Lane, Piscataway, NJ 08854 | 2018-04-27 |
| 1033635065 | Achieving Goals, LLC | Community Health Worker | 83 Kensington Drive, Piscataway, NJ 08854 | 2017-08-22 |
| 1750801650 | Neil O'connor | Case Manager/Care Coordinator | 151 Centenial Ave, Piscataway, NJ 08854 | 2017-06-21 |
| 1235680240 | Manthan Patel | Pharmacist | 1222 Hanover St, Piscataway, NJ 08854 | 2016-10-14 |
| Find all providers in zip 08854 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508203720 | Timmy Thomas | Preventive Medicine | 170 Frelinghuysen Rd Rm 212, Rutgersrwjms Eohsi, Piscataway, NJ 08854-8020 | 2013-05-29 |
| 1629114913 | Iris G. Udasin | Preventive Medicine | 170 Frelinghuysen Rd, Environmental & Occupational Health Sciences Institute, Piscataway, NJ 08854-8020 | 2007-01-30 |
| 1164402889 | Julia Griggs Garcia | Preventive Medicine | 170 Frelinghuysen Rd, Piscataway, NJ 08854-8020 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811526593 | Peterson Moise | Preventive Medicine | 54 Ember Ln, Willingboro, NJ 08046-2422 | 2020-04-05 |
| 1194088575 | Muthu Vel Sivasankaran | Preventive Medicine | 315 Route 70 E, Cherry Hill, NJ 08034-2408 | 2012-06-20 |
| 1386957082 | Aladdin Motia | Preventive Medicine | 1900 Mountaintop Road, Bridgewater, NJ 08807 | 2010-07-22 |
| 1295900587 | Unimed Center | Preventive Medicine | 190 State Route 18 Ste 202, East Brunswick, NJ 08816-1407 | 2008-04-28 |
| 1083887624 | James Arthur Hathaway | Preventive Medicine | 8 Cedar Brook Drive, Rhodia Inc, Cranbury, NJ 08512 | 2008-04-03 |
| 1386840858 | Jared Schulman | Preventive Medicine | 2441 Rte 33, Neptune, NJ 07753-3763 | 2007-06-22 |
| 1376744755 | Raymond Stanley Briski | Preventive Medicine | 241 Valley Dr, Watchung, NJ 07069-6445 | 2007-05-31 |
| 1043411804 | Gary Udasin | Preventive Medicine | 2000 Galloping Hill Road, Employee Health Services, Kenilworth, NJ 08816 | 2007-05-30 |
| 1922217272 | Elizabeth Anne Jennison | Preventive Medicine | 101 Columbia Rd, Meyer-3, Morristown, NJ 07960-4640 | 2007-05-22 |
| 1770798092 | Joseph A Depietro | Preventive Medicine | 86 Radcliffe Dr, Lincroft, NJ 07738-1622 | 2007-05-11 |
| Find all providers with the same taxonomy | ||||
| City | PISCATAWAY |
| Zip Code | 08854 |
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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.