DR. RAJ KAMLESH THAKER (NPI# 1699185041) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699185041 |
| Entity Type | Individual |
| Full Name | DR. RAJ KAMLESH THAKER |
| Credential | D.M.D |
| Practice Address |
15 W 136th St New York NY 10037-2104 |
| Mailing Address |
200 W 70th St Apt 8k New York NY 10023-4327 |
| Practice Telephone | 2129392985 |
| Practice Fax Number | 2129392985 |
| Mailing Telephone | (832) 282-5550 |
| Enumeration Date | 2014-05-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
PGY1 | NY | Dental Providers |
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 182 E 95th St Apt 12c, New York, NY 101282562 | 8322825550 |
| Street Address |
15 W 136TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10037-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609003060 | Ackeilia K Bloomfield-heatrice | Dentist | 15 W 136th St, New York, NY 10037-2104 | 2009-06-12 |
| 1851887293 | Shahabeddin Sassanpour | Student in an Organized Health Care Education/Training Program | 15 W 136th St, New York, NY 10037-2104 | 2018-07-09 |
| 1962935221 | Somtochukwu Agunwah | Student in an Organized Health Care Education/Training Program | 15 W 136th St, New York, NY 10037-2104 | 2017-04-04 |
| 1508219106 | Erika Dickerson | Nurse Practitioner | 15 W 136th St, 2nd Floor, Kountz Pavilion, New York, NY 10037-2104 | 2016-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770199986 | Collaborative for Better Urban Health, LLC | Case Management | 15 West 139th Street, Apt. 3h, New York, NY 10037 | 2020-09-22 |
| 1295352524 | Monisha Kanya Savarimuthu | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave. New York, Ny 10037, 506 Lenox Ave. New York Ny 10037, New York City, NY 10037 | 2020-07-02 |
| 1396361283 | Iman Mukhtar | Student in an Organized Health Care Education/Training Program | 506 Lenox Ave, Mlk Harlem Hospital Center, New York City, NY 10037 | 2020-06-17 |
| 1982226296 | Shivani Shrestha | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Rm-13-106-mlk, New York City, NY 10037 | 2020-05-08 |
| 1326669359 | Natan Katanov | Student in an Organized Health Care Education/Training Program | 506 Lennox Ave, Harlem Hospital Center Dept of Dentistry, New York, NY 10037 | 2020-04-30 |
| 1699395053 | Allie Chua Tan | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm 13-106-mlk, New York, NY 10037 | 2020-04-25 |
| 1619506896 | Sherlon Orin Sinclair | Student in an Organized Health Care Education/Training Program | 506 Lennox Avenue, Rm. 13-106-mlk, New York, NY 10037 | 2020-04-08 |
| 1841857166 | Domingo Pena | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue Rm. 14-106 Mlk, Harlem Hospital Center, New York, NY 10037 | 2019-05-22 |
| 1588228308 | Sebastian Cristobal Valdivieso Rueda | Student in an Organized Health Care Education/Training Program | 506 Lenox Avenue, Mlk 11.101, New York, NY 10037 | 2019-04-26 |
| 1548726235 | Michelle Len Moore | Prosthetist | 620 Lenox Ave, Suite 4c, New York, NY 10037 | 2019-02-18 |
| Find all providers in zip 10037 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
| 1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
| 1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| Find all providers in NEW YORK | ||||
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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.