MARYANN KHOUDARY (NPI# 1578686424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578686424 |
| Entity Type | Individual |
| Full Name | MARYANN KHOUDARY |
| Practice Address |
99 Beauvoir Ave Summit NJ 07901-3533 |
| Mailing Address |
Po Box 41657 Boston MA 02241-6457 |
| Practice Telephone | 9085222000 |
| Mailing Telephone | 9736566280 |
| Mailing Fax Number | 9732907495 |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2013-09-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
MA69077 | NJ | Allopathic & Osteopathic Physicians |
| N | 207VH0002X |
Obstetrics & Gynecology Specialization: Hospice and Palliative Medicine |
MA69077 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
99 BEAUVOIR AVE |
| City | SUMMIT |
| State | NJ |
| Zip Code | 07901-3533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124010079 | John Halperin | Psychiatry & Neurology | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2005-08-17 |
| 1902404486 | Jenna Lin Boni | Nurse Practitioner | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-10-15 |
| 1508483116 | Khawaja Bakhtawar | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-30 |
| 1891312658 | Odon Makonko Nsungu | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-28 |
| 1316563679 | Sheryl Thant Yu Htoo | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-23 |
| 1750906327 | Emily Findakly | Physician Assistant | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-06-10 |
| 1659994465 | Jefferson Isibor | Pharmacist | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-05-27 |
| 1437779493 | Jason Robert Steiner | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-20 |
| 1114556669 | Jacqueline Bobson | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-06 |
| 1508495524 | John David Yachmetz | Student in an Organized Health Care Education/Training Program | 99 Beauvoir Ave, Summit, NJ 07901-3533 | 2020-04-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
| 1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
| 1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
| 1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
| 1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
| 1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
| 1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
| 1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
| 1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
| 1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
| Find all providers in zip 07901 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134194624 | Lisa Abeshaus | Obstetrics & Gynecology | 33 Overlook Rd Ste 108, Summit, NJ 07901-3562 | 2006-02-20 |
| 1144337759 | Lisa L Harshbarger | Obstetrics & Gynecology | 36500 Aurora Dr, Summit, WI 53066-4899 | 2006-08-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892318 | Amy Elizabeth Ziminski | Obstetrics & Gynecology | 376 Lafayette Rd Ste 201, Sparta, NJ 07871-3560 | 2020-02-10 |
| 1104341023 | Alexander Gudz LLC | Obstetrics & Gynecology | 515 N Wood Ave Ste 302, Linden, NJ 07036-4173 | 2017-08-11 |
| 1720467723 | Barbara Plucknett LLC | Obstetrics & Gynecology | 30 Two Bridges Rd, Fairfield, NJ 07004-1593 | 2015-05-22 |
| 1245583897 | Albert C Parker | Obstetrics & Gynecology | 512a Old Nassau Rd, Monroe Twp, NJ 08831-1835 | 2012-10-19 |
| 1609178573 | Family Health Providers, LLC | Obstetrics & Gynecology | 450 Martin Luther King Jr Dr, Jersey City, NJ 07304-4218 | 2010-11-29 |
| 1265740732 | Maryann Huhn-werner, Md, LLC | Obstetrics & Gynecology | 854 Mountain Ave, Suite 1, Mountainside, NJ 07092-2716 | 2010-09-18 |
| 1992013403 | J. Evans Murage, Md, PC | Obstetrics & Gynecology | 1301 Whitehorse Mercerville Rd Ste 201, Hamilton, NJ 08619-3826 | 2010-09-17 |
| 1487965711 | George M Tai | Obstetrics & Gynecology | 2421 Cedarbridge Rd, Northfield, NJ 08225-1446 | 2010-07-01 |
| 1336471192 | Women for Women Medical Associates | Obstetrics & Gynecology | 102 I. Centre Blvd., Marlton, NJ 08053 | 2010-02-04 |
| 1306073036 | Urogynecology Associates of Central Jersey P.C. | Obstetrics & Gynecology | 19 Continental Ct, South River, NJ 08882-2586 | 2009-06-21 |
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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.