MRS. SHAKIRA DHAMOTHARAN (NPI# 1699102848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699102848 |
| Entity Type | Individual |
| Full Name | MRS. SHAKIRA DHAMOTHARAN |
| Credential | M.D. |
| Practice Address |
1135 Broad St Ste 201 Clifton NJ 07013-3346 |
| Practice Telephone | 9737544100 |
| Mailing Telephone | 9737544100 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 25MA09355900 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
1135 BROAD ST STE 201 |
| City | CLIFTON |
| State | NJ |
| Zip Code | 07013-3346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417158767 | Emmanuel Adekunle Adedokun | Family Medicine | 1135 Broad St Ste 201, Clifton, NJ 07013-3346 | 2007-05-31 |
| 1598393936 | Eric Michael Yuneman | Student in an Organized Health Care Education/Training Program | 1135 Broad St Ste 201, Clifton, NJ 07013-3346 | 2020-03-31 |
| 1043703135 | Ivan Jakimovski | Student in an Organized Health Care Education/Training Program | 1135 Broad St Ste 201, Clifton, NJ 07013-3346 | 2018-06-13 |
| 1205329372 | Suey Lyn Wong | Student in an Organized Health Care Education/Training Program | 1135 Broad St Ste 201, Clifton, NJ 07013-3346 | 2018-06-12 |
| 1013400175 | Bijal S Sheth | Student in an Organized Health Care Education/Training Program | 1135 Broad St Ste 201, Clifton, NJ 07013-3346 | 2018-06-12 |
| 1831689504 | David Thomas Rodriguez | Student in an Organized Health Care Education/Training Program | 1135 Broad St Ste 201, Clifton, NJ 07013 | 2018-05-17 |
| 1922537919 | Justin Anthony Herrel | Student in an Organized Health Care Education/Training Program | 1135 Broad St Ste 201, Clifton, NJ 07013-3346 | 2017-06-05 |
| 1366971244 | Raul Emilio Vasquez Duran | Family Medicine | 1135 Broad St Ste 201, Clifton, NJ 07013-3346 | 2017-06-05 |
| 1891146452 | Oluwaseun Akangbe | Family Medicine | 1135 Broad St Ste 201, Clifton, NJ 07013-3346 | 2016-06-24 |
| 1033498951 | St. Joseph's Regional Medical Center | General Acute Care Hospital | 1135 Broad St Ste 201, Clifton, NJ 07013-3346 | 2011-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028763 | Chedva Grossman | Behavioral Analyst | 1115 Clifton Avenue, Suite 202, Clifton, NJ 07013 | 2020-03-23 |
| 1518519578 | Marybel Hernandez | Social Worker | 730 Board St. Second Floor, Second Floor, Clifton, NJ 07013 | 2019-07-10 |
| 1427516152 | Maya Kron Wellness | Acupuncturist | 1425 Broad Street Suite 4, Clifton, NJ 07013 | 2019-03-12 |
| 1598251076 | Eileen Madden | Counselor | 1135 Clifton Avenue, Suite 103, Clifton, NJ 07013 | 2018-07-08 |
| 1215444591 | Wilber Espinosa | Nurse Practitioner | 1700 Nj-3, Clifton, NJ 07013 | 2018-01-08 |
| 1093222424 | Clifton Mri | Radiology | 750 Clifton Ave, Clifton, NJ 07013 | 2018-01-08 |
| 1912425745 | Partnerships for People, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 101 Scales Plz Apt 115, Clifton, NJ 07013 | 2017-08-31 |
| 1255875183 | Elite Gynecology, LLC | Obstetrics & Gynecology | 1033 Us Highway 46e Suite 105, Clifton, NJ 07013 | 2016-12-12 |
| 1659815710 | Patrick Dispoto | Registered Nurse | 1005 Clifton Ave # 2, Clifton, NJ 07013 | 2016-12-08 |
| 1033568829 | Community Options Enterprises, Inc. | Day Training, Developmentally Disabled Services | 24-36 Fornelius Avenue, Clifton, NJ 07013 | 2016-06-13 |
| Find all providers in zip 07013 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740823988 | Salam Clinical LLC | Family Medicine | 353 Crooks Ave Ste B, Clifton, NJ 07011-1660 | 2019-10-21 |
| 1770097628 | Vivan Mai | Family Medicine | 7090 Balmoral Forest Rd, Clifton, VA 20124-1539 | 2017-11-29 |
| 1912334673 | Elena Ann Rubino | Family Medicine | 132 Rutgers Pl, Clifton, NJ 07013-1457 | 2013-09-26 |
| 1225473507 | Jenny Chien | Family Medicine | 4 Brighton Rd Ste 208, Clifton, NJ 07012-1665 | 2013-05-01 |
| 1932479706 | Diana Fibison | Family Medicine | 533 Lexington Ave, Clifton, NJ 07011-1923 | 2012-01-10 |
| 1487975827 | Laci Desirae Waner | Family Medicine | 2710 Oak Rdg, Clifton, TX 76634-1162 | 2010-06-21 |
| 1750538609 | Vikram Gupta | Family Medicine | 246 Clifton Ave Ste 4, Clifton, NJ 07011-1953 | 2008-08-22 |
| 1851599765 | Pearl Guerzon | Family Medicine | Pearl Guerzon Md, 4 Brighton Rd, Suite 208, Clifton, NJ 07012-0701 | 2007-07-03 |
| 1417158767 | Emmanuel Adekunle Adedokun | Family Medicine | 1135 Broad St Ste 201, Clifton, NJ 07013-3346 | 2007-05-31 |
| 1740342575 | Randall W. Miller | Family Medicine | 1170 Clifton Ave, Clifton, NJ 07013-3622 | 2006-12-15 |
| Find all providers in CLIFTON | ||||
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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.