JAVID ROHULLAH AMINI (NPI# 1689609638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689609638 |
| Entity Type | Individual |
| Full Name | JAVID ROHULLAH AMINI |
| Credential | M.D. |
| Practice Address |
610 Wyoming Ave Suite 1 Kingston PA 18704-3702 |
| Mailing Address |
610 Wyoming Ave Kingston PA 18704-3702 |
| Practice Telephone | 5702885441 |
| Practice Fax Number | 5702889613 |
| Mailing Telephone | 5702885441 |
| Mailing Fax Number | 5702885842 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2012-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD071384L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 00180634 | 05 |
| Street Address |
610 WYOMING AVE SUITE 1 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356397673 | Intermountain Medical Group, Inc | Dietitian, Registered | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-05-26 |
| 1740723675 | Ashley K Marsh | Physician Assistant | 610 Wyoming Ave, Suite 1, Kingston, PA 18704-3702 | 2016-11-26 |
| 1558513168 | Kalyani R Meduri | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2008-10-14 |
| 1780847657 | Seema Kumari | Family Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2008-07-09 |
| 1710151527 | Karthik Penumetsa | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2008-04-14 |
| 1245423367 | Jaromir Kohout | Surgery | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2007-08-22 |
| 1932271624 | Intermountain Medical Group, Inc | Clinical Medical Laboratory | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-11-15 |
| 1487755591 | David F Rimple | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-09-25 |
| 1265545990 | Richard Abramowitz | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-08-16 |
| 1568475820 | Daniel K Silverstein | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033101019 | Paul M Reiter | Internal Medicine | 111 Marys Ave, Suite 3, Kingston, NY 12401-5852 | 2005-08-17 |
| 1104818343 | Aneta K Dimova | Internal Medicine | 111 Mary's Ave, Suite 3, Kingston, NY 12401-5853 | 2005-08-15 |
| 1205839495 | Joseph Christiana | Internal Medicine | 55 Grand St, Ste 106, Kingston, NY 12401-3933 | 2005-05-23 |
| 1184225948 | Farook K Shroff Md | Internal Medicine | 517 Pierce St, Kingston, PA 18704-5756 | 2020-11-06 |
| 1881933646 | Health Quest Medical Practice | Internal Medicine | 55 Grand St, Kingston, NY 12401-3933 | 2013-02-13 |
| 1427393149 | St Peters Health Partners Medical Associates, PC | Internal Medicine | 111 Marys Ave, Suite 3, Kingston, NY 12401-5852 | 2012-12-06 |
| 1164742912 | Shalin Jitendra Patel | Internal Medicine | 365 Broadway, Kingston, NY 12401 | 2010-06-03 |
| 1790865764 | Rachid Elkoustaf | Internal Medicine | 111 Marys Ave, Suite 3, Kingston, NY 12401-5852 | 2006-10-16 |
| 1487755591 | David F Rimple | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-09-25 |
| 1265545990 | Richard Abramowitz | Internal Medicine | 610 Wyoming Ave, Kingston, PA 18704-3702 | 2006-08-16 |
| Find all providers in KINGSTON | ||||
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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.