DR. MRUDANGI THAKUR (NPI# 1649381302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649381302 |
| Entity Type | Individual |
| Full Name | DR. MRUDANGI THAKUR |
| Credential | M.D |
| Practice Address |
3650 Hill Blvd Jefferson Valley NY 10535-1500 |
| Practice Telephone | 9149628888 |
| Practice Fax Number | 9149628881 |
| Mailing Telephone | 9149628888 |
| Mailing Fax Number | 9149628881 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-01-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | 210957 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02267889 | 05 |
| Street Address |
3650 HILL BLVD |
| City | JEFFERSON VALLEY |
| State | NY |
| Zip Code | 10535-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588782916 | Mrudangi Thakur Plastic & Reconstructive Surgery PC | Plastic Surgery | 3650 Hill Blvd, Jefferson Valley, NY 10535-1500 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568904589 | John Joseph Duff | Social Worker | 3630 Hill Blvd., Jefferson Valley, NY 10535 | 2016-11-08 |
| 1518419639 | Zoila Morell-okeefe | Registered Nurse | 3795 Nelson Avenue, #668, Jefferson Valley, NY 10535 | 2016-10-25 |
| 1790060424 | Jose Rafael Lugay | Dentist | 3654 Lee Blvd., Jefferson Valley, NY 10535 | 2011-10-13 |
| 1730462672 | Masooma Saba Zaidi | Dentist | 3654 Lee Blvd, Jefferson Valley, NY 10535 | 2011-09-27 |
| 1619291804 | Stacey Leigh Engelberg | Pharmacist | 3663 Hill Blvd, Jefferson Valley Pharmacy, Jefferson Valley, NY 10535 | 2010-03-17 |
| 1548402142 | Jefferson Valley Dental Associates, P.C. | Dentist | 3654 Lee Rd, Jefferson Valley, NY 10535 | 2009-03-27 |
| 1841318847 | Aleia Journez Codner | Speech-Language Pathologist | 3663 Lee Blvd, Jefferson Valley, NY 10535 | 2007-03-27 |
| 1033285879 | Frederick William Cich | Chiropractor | 691 East Main Street, Jefferson Valley, NY 10535 | 2006-11-24 |
| 1124107743 | Pilar M Verdesoto | Social Worker | 3651 Hill Blvd, Jefferson Valley, NY 10535 | 2006-11-03 |
| 1477653376 | Mark Robert Honig | Psychologist | 3630 Hill Boulevard, Suite 204, Jefferson Valley, NY 10535 | 2006-09-22 |
| Find all providers in zip 10535 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588782916 | Mrudangi Thakur Plastic & Reconstructive Surgery PC | Plastic Surgery | 3650 Hill Blvd, Jefferson Valley, NY 10535-1500 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811501729 | Hamptons Plastic Surgery, Pllc | Plastic Surgery | 25 Montauk Hwy Ste 1, Quogue, NY 11959-4000 | 2020-09-08 |
| 1881218857 | Jeremy Nikfarjam Md PC | Plastic Surgery | 6c Blue Sea Ln, Great Neck, NY 11024-1500 | 2020-06-04 |
| 1073137790 | Shah Plastic Surgery Pllc | Plastic Surgery | 352 7th Avenue, Unit 1503, New York, NY 10001 | 2020-05-29 |
| 1952944852 | Rowe Plastic Surgery of Long Island PC | Plastic Surgery | 100 Manetto Hill Rd Ste 204, Plainview, NY 11803-1311 | 2019-10-23 |
| 1548817083 | Cljohnsonmd PC | Plastic Surgery | 22 W 48th St Ste 300, New York, NY 10036-1818 | 2019-08-20 |
| 1780156620 | David J Pincus Md | Plastic Surgery | 44 Laurel Hill Rd, Centerport, NY 11721-1637 | 2018-12-17 |
| 1437629433 | Craig Baldenhofer Md Pllc | Plastic Surgery | 115 W 27th St Fl 10, New York, NY 10001-6217 | 2018-12-03 |
| 1427523174 | Image Plastic Surgery LLC | Plastic Surgery | 346 E 51st St Apt 1f, New York, NY 10022-7824 | 2018-10-09 |
| 1245722719 | Plastic Surgery Practice At Manhattan PC | Plastic Surgery | 139 Plandome Rd # 139, Manhasset, NY 11030-2331 | 2018-05-31 |
| 1013416338 | Stephen Evangelisti Md | Plastic Surgery | 1901 Lac De Ville Blvd Ste 2, Rochester, NY 14618-5660 | 2018-02-02 |
| Find all providers with the same taxonomy | ||||
| City | JEFFERSON VALLEY |
| Zip Code | 10535 |
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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.