DR. PREETI JHAVERI (NPI# 1639292741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639292741 |
| Entity Type | Individual |
| Full Name | DR. PREETI JHAVERI |
| Credential | M.D. |
| Practice Address |
601 Riverside Dr Johnson City NY 13790-2544 |
| Mailing Address |
346 Grand Ave Johnson City NY 13790-2558 |
| Practice Telephone | 6077638088 |
| Practice Fax Number | 6077294452 |
| Mailing Telephone | 6077636293 |
| Mailing Fax Number | 6077636717 |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2019-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 320605 | LA | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 35003 | OK | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 52591 | KY | Allopathic & Osteopathic Physicians |
| Y | 207V00000X | Obstetrics & Gynecology | 251505 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
601 RIVERSIDE DR |
| City | JOHNSON CITY |
| State | NY |
| Zip Code | 13790-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033110424 | Galen Graham | Internal Medicine | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2005-08-09 |
| 1366837569 | Professional Home Care | Home Health | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2015-04-03 |
| 1336413517 | Project Hear, Inc | Emergency Response System Companies | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2012-03-06 |
| 1700057742 | William G Waldron | Pharmacist | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2008-03-18 |
| 1366626434 | Joyce M Smith | Pharmacist | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2007-12-24 |
| 1205873387 | Tamara Burger | Advanced Practice Midwife | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2006-05-31 |
| 1821089517 | Donna Lee Gardner | Nurse Practitioner | 601 Riverside Dr, United Medical Associates PC, Johnson City, NY 13790-2544 | 2005-11-02 |
| 1982699252 | Professional Home Care Inc | Durable Medical Equipment & Medical Supplies | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2005-09-13 |
| 1841284387 | Edward D Miller | Internal Medicine | 601 Riverside Dr, United Medical Associates PC, Johnson City, NY 13790-2544 | 2005-09-09 |
| 1629078928 | Christopher Demtrak | Pediatrics | 601 Riverside Dr, Johnson City, NY 13790-2544 | 2005-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
| 1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
| 1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
| 1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
| 1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
| 1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
| 1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
| 1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
| 1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
| 1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
| Find all providers in zip 13790 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669615605 | Greater Binghamton Obstetrics and Gynecology,pllc | Obstetrics & Gynecology | 365 Harry L Dr, Suite 110, Johnson City, NY 13790-1471 | 2009-04-07 |
| 1619044765 | Melinda B Rupp | Obstetrics & Gynecology | 180 Harry L Drive, Optional, Johnson City, NY 13790-1566 | 2006-11-30 |
| 1568423028 | Carol Miller | Obstetrics & Gynecology | 401 Main St Ste 1, Johnson City, NY 13790-2065 | 2006-03-31 |
| 1821058660 | Bai O Lee | Obstetrics & Gynecology | 41 Arch St, Johnson City, NY 13790-2101 | 2006-03-24 |
| 1619960713 | Ann Maria Gebka Rouse | Obstetrics & Gynecology | 325 N State of Franklin Rd Fl 1, Johnson City, TN 37604-6056 | 2005-08-24 |
| 1669472932 | Jerome Rosenstein | Obstetrics & Gynecology | 30 Harrison Street, Suite 320, Johnson City, NY 13790-2544 | 2005-07-28 |
| 1760487946 | Frederick C Hartley | Obstetrics & Gynecology | 203 E Watauga Ave, Johnson City, TN 37601-4629 | 2005-06-15 |
| 1518504281 | Women2women Obstetrics and Gynecology, LLC | Obstetrics & Gynecology | 180 Harry L Dr, Johnson City, NY 13790-1566 | 2019-12-02 |
| 1174979926 | Blake T Rozycki | Obstetrics & Gynecology | 301 Med Tech Pkwy Ste 200, Johnson City, TN 37604-2641 | 2016-05-11 |
| 1083079198 | Womens Obgyn PC | Obstetrics & Gynecology | 401 Main St, 1st Flr., Johnson City, NY 13790-2064 | 2015-12-17 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 13790 |
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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.