DR. DEEPAK ADVANI (NPI# 1689929663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689929663 |
| Entity Type | Individual |
| Full Name | DR. DEEPAK ADVANI |
| Credential | M.D. |
| Practice Address |
1208 Driving Park Ave Newark NY 14513-1057 |
| Practice Telephone | 3153592640 |
| Practice Fax Number | 3153592645 |
| Mailing Telephone | 3153592640 |
| Mailing Fax Number | 3153592645 |
| Enumeration Date | 2012-07-17 |
| Last Update Date | 2012-07-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 004088-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1208 DRIVING PARK AVE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714784 | Karen S. Roth | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2005-07-15 |
| 1972015527 | Monifi A Osmen | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2017-11-03 |
| 1790296820 | Caroline Cooper | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2017-10-16 |
| 1093199762 | Kuljinder Deol | Internal Medicine | 1208 Driving Park Ave, Newark, NY 14513 | 2015-07-13 |
| 1801201777 | Diane Della Porta | Registered Nurse | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2014-06-30 |
| 1760737951 | Rochester General Health System | Clinic/Center | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2012-07-13 |
| 1295068427 | Kathleen M Collins | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2009-09-04 |
| 1538224662 | Andrea Gefell | Physician Assistant | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2006-12-27 |
| 1215096482 | Beverly J Provo | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2006-12-06 |
| 1629151220 | John Koch | Physician Assistant | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2006-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1114554532 | Rwjbh Associates 2, LLC | Internal Medicine | 155 Jefferson St # Ll, Newark, NJ 07105-6906 | 2020-03-25 |
| 1538790563 | North Ward Medical Arts LLC | Internal Medicine | 485-491 Mt Prospect Ave, Newark, NJ 07104 | 2020-01-29 |
| 1538709837 | Saloojas Inc. | Internal Medicine | 5763 Stevenson Blvd Ste A, Newark, CA 94560-5301 | 2020-01-14 |
| 1528600715 | Roseville Health Center Inc. | Internal Medicine | 500 Orange St Fl 2, Newark, NJ 07107-2944 | 2019-10-09 |
| 1457912388 | Vanessa Browne | Internal Medicine | 185 S Orange Ave Rm I-506, Newark, NJ 07103-2757 | 2019-06-21 |
| 1477024867 | Hazera Khatun | Internal Medicine | 111 Central Ave Dept Of, Newark, NJ 07102-1909 | 2018-12-10 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1720504905 | Tri-state Physicians Inc | Internal Medicine | 266 South College Ave, Newark, DE 19711 | 2017-08-18 |
| 1649700253 | Cheryl Emilia Monteiro | Internal Medicine | 183 S Orange Ave # F1416, Newark, NJ 07103-2757 | 2017-06-15 |
| 1871029199 | Saira Zafar | Internal Medicine | 90 Bergen St # 4700, Newark, NJ 07103-2425 | 2017-05-05 |
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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.