VIJAY PAMPANA (NPI# 1699167767) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699167767 |
| Entity Type | Individual |
| Full Name | VIJAY PAMPANA |
| Credential | MD |
| Practice Address |
111 Maltese Dr Middletown NY 10940-2115 |
| Practice Telephone | 8453424774 |
| Practice Fax Number | 8453438741 |
| Mailing Telephone | 8453424774 |
| Mailing Fax Number | 8453438741 |
| Enumeration Date | 2015-02-26 |
| Last Update Date | 2015-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
277865 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
277865 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NYS LICENSE | 277865 | 01 |
| Street Address |
111 MALTESE DR |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744892 | Stanley C. Giudici | Psychiatry & Neurology | 111 Maltese Dr, Middletown, NY 10940-2115 | 2005-07-18 |
| 1396342648 | Mckinnley Conklin | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2115 | 2020-10-08 |
| 1548884794 | Maria Pryluck | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2020-06-03 |
| 1407480551 | Kellie Cummings | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2020-02-27 |
| 1952944308 | Thomas C Macpherson | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-10-17 |
| 1801447313 | Elvira Sahmanovic | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-09-25 |
| 1225688799 | Sandra Binkowski | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-09-17 |
| 1174178222 | Elizabeth Jahn | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2115 | 2019-08-06 |
| 1194378554 | Christine Louise Straessle | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-07-24 |
| 1508426198 | Jillian Ann Carlstrom | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285841353 | George David Shapiro Weiss | Psychiatry & Neurology | 7 Spring Street, Middletown, CT 06457 | 2007-05-17 |
| 1811967672 | Daniel Richard Weis | Psychiatry & Neurology | 1131 Manchester Ave, Middletown, OH 45042-1925 | 2006-01-25 |
| 1356781710 | Yun Feng | Psychiatry & Neurology | 915 River Rd, Middletown, CT 06457-3921 | 2013-07-01 |
| 1104012293 | Jean C Hagen | Psychiatry & Neurology | 915 River Rd, Middletown, CT 06457-3921 | 2007-09-21 |
| 1518165232 | Lisa Karabelnik | Psychiatry & Neurology | 770 Saybrook Rd, Building B, Middletown, CT 06457-4739 | 2007-07-03 |
| 1184832750 | Andrea C Ribier | Psychiatry & Neurology | 4464 S Dixie Hwy, Middletown, OH 45005-5464 | 2007-05-18 |
| 1285850982 | Charles Rich Jr. | Psychiatry & Neurology | 635 Main St, Middletown, CT 06457-2718 | 2007-04-18 |
| 1710013834 | Peter Zorach | Psychiatry & Neurology | 495 E Main St, Middletown, DE 19709-1463 | 2007-02-25 |
| 1356484794 | Bhagyalakshmi Reddy | Psychiatry & Neurology | 915 River Rd, Middletown, CT 06457 | 2007-02-15 |
| 1457497083 | Akashdeep Aujla | Psychiatry & Neurology | 915 River Rd, Middletown, CT 06457-3921 | 2007-01-30 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
Please comment or provide details below to improve the information on VIJAY PAMPANA.
| 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.