JWALANT K VADALIA (NPI# 1578550232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578550232 |
| Entity Type | Individual |
| Full Name | JWALANT K VADALIA |
| Credential | MD |
| Practice Address |
138 Webster Street Manchester NH 03104 |
| Mailing Address |
P.o. Box 3300 Manchester NH 03105 |
| Practice Telephone | 6036455977 |
| Practice Fax Number | 6036455980 |
| Mailing Telephone | 6036455977 |
| Mailing Fax Number | 6036455980 |
| Enumeration Date | 2005-09-28 |
| Last Update Date | 2019-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
9203 | NH | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
9203 | NH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | 3071621 | 05 | |
| NH | 80003103 | 05 | |
| ANTHEM | 0108830Y0NH01 | 01 |
| Street Address |
138 WEBSTER STREET |
| City | MANCHESTER |
| State | NH |
| Zip Code | 03104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346329133 | Jwalant Vadalia Md PC | Psychiatry & Neurology | 138 Webster Street, Manchester, NH 03104 | 2006-11-03 |
| 1720188113 | Muhammad Sarwar Pasha | Family Medicine | 138 Webster Street, Elliot Senior Health Center, Manchester, NH 03104 | 2006-09-25 |
| 1558470526 | Jonathan Schwartz | Psychiatry & Neurology | 138 Webster Street, Manchester, NH 03104 | 2006-08-30 |
| 1487674917 | Melissa Renee Bertoulin | Social Worker | 138 Webster Street, Manchester, NH 03104 | 2006-07-20 |
| 1578537254 | Consuelo M. Alvarez | Internal Medicine | 138 Webster Street, Manchester, NH 03104 | 2006-02-17 |
| 1558358218 | Reinhard Peter Bernhard Viehoff | Psychiatry & Neurology | 138 Webster Street, Manchester, NH 03104 | 2005-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730675562 | Hannah E Boutselis | Nurse Practitioner | 1750 Elm St., Suite 201a, Manchester, NH 03104 | 2018-07-04 |
| 1366948770 | Families In Transition | Counselor | 15 Brook St, Manchester, NH 03104 | 2018-04-04 |
| 1528586872 | Nicole Mitchell | Physical Therapy Assistant | 235 Myrtle St., Manchester, NH 03104 | 2017-09-07 |
| 1851819270 | Community House Calls LLC | Contractor | 497 Hooksett Road, 232, Manchester, NH 03104 | 2017-09-06 |
| 1407207533 | Brianna Cassidy | Specialist/Technologist | 62 Jonathan Ln, Manchester, NH 03104 | 2016-06-30 |
| 1477926871 | Anthony Macri | Skilled Nursing Facility | 524 Blevens Dr., Manchester, NH 03104 | 2015-11-06 |
| 1225412935 | Families In Transition | Counselor | 136 Lowell St, Manchester, NH 03104 | 2015-07-13 |
| 1386036622 | Phoenix Rising Counseling Services, LLC | Counselor | 114 Bay Street, Suite A, Manchester, NH 03104 | 2015-02-24 |
| 1366795767 | Alicia M. Kleczkowski | Nurse Practitioner | 57 Webster St., Manchester, NH 03104 | 2012-10-23 |
| 1356615710 | Laurie Lagasse | Physical Therapy Assistant | 44 West Webster St, Manchester, NH 03104 | 2012-03-02 |
| Find all providers in zip 03104 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801226071 | Further Care P A | Psychiatry & Neurology | 330 Borthwick Ave Ste 111, Portsmouth, NH 03801-7110 | 2013-11-25 |
| 1689911059 | John William Knesevich | Psychiatry & Neurology | 27 Farley Rd, Hollis, NH 03049-5916 | 2013-01-05 |
| 1669737805 | Dartmouth Medical School | Psychiatry & Neurology | 33 Rip Rd, Hanover, NH 03755-1616 | 2012-07-12 |
| 1871757666 | Salud Poblete Mendoza | Psychiatry & Neurology | 74 Pear Tree Ln, Newmarket, NH 03857 | 2008-07-11 |
| 1902988124 | Sandeep Sobti | Psychiatry & Neurology | 84 Central Ave, Dover, NH 03820-4070 | 2006-10-19 |
| 1457912065 | Benjamin Fernandes | Psychiatry & Neurology | 11 Whitehall Rd, Rochester, NH 03867-3297 | 2019-06-25 |
| 1215425269 | Thrive Psychiatry Pllc | Psychiatry & Neurology | 74 Pear Tree Ln, Newmarket, NH 03857-1846 | 2018-04-25 |
| 1952560690 | Namratha Reddy Boda | Psychiatry & Neurology | 11 Whitehall Rd, Rochester, NH 03867-3226 | 2008-06-06 |
| 1770768269 | Memcare, LLC | Psychiatry & Neurology | 84 Central Ave, Dover, NH 03820-4070 | 2008-01-03 |
| 1194893495 | Thomas Elliot Oxman | Psychiatry & Neurology | 1 Medical Center Dr, Dhmc, Department of Psychiatry, Lebanon, NH 03756-1000 | 2006-12-04 |
| Find all providers with the same taxonomy | ||||
| City | MANCHESTER |
| Zip Code | 03104 |
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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.