ST. DEMIAN MEDICAL PLLC (NPI# 1699913145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699913145 |
| Entity Type | Organization |
| Organization Name | ST. DEMIAN MEDICAL PLLC |
| Practice Address |
5 Ivy Way Dayton NJ 08810 |
| Mailing Address |
174 Bay 29th Street Brooklyn NY 11214 |
| Practice Telephone | 7187584520 |
| Mailing Telephone | 7187584520 |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |
| Authorized Official Name | VICTOR SHAROBEEM (MD/OWNER) |
| Authorized Official Telephone | 7187584520 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 183484 | NY | Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | ST. DEMIAN MEDICAL PLLC | 5 Ivy Way, Dayton, New Jersey 08810 |
| Street Address |
5 IVY WAY |
| City | DAYTON |
| State | NJ |
| Zip Code | 08810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205005782 | Victor Sharobeem Md LLC | Family Medicine | 5 Ivy Way, Dayton, NJ 08810-0000 | 2008-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295265817 | Urviben Niketan Tewar | Physical Therapist | 2245 Us Hwy 130, Suite 105, Dayton, Nj, Dayton, NJ 08810 | 2017-06-15 |
| 1689051732 | Princeton Adult Day Care LLC | Custodial Care Facility | 2245 Route 130, South Brunswick, NJ 08810 | 2015-04-28 |
| 1275923401 | Richa Sharma | Behavioral Analyst | 3 Aster Way, Dayton, NJ 08810 | 2015-01-26 |
| 1205255346 | Lakshmi Puttagunta | Nurse Practitioner | 43 Larkspur Drive, Dayton, NJ 08810 | 2014-04-15 |
| 1376704627 | Shivani Sharma | Internal Medicine | 12 Stults Rd Ste 121, Dayton, NJ 08810 | 2008-06-19 |
| 1548822166 | Epoch Physical Therapy | Physical Therapist | 2245 Route 130, Dayton, NJ 08810-0881 | 2019-07-03 |
| 1417345075 | Rebecca Lynn Blankstein | Nurse Practitioner | 46 Davids Ct, Dayton, NJ 08810-1301 | 2015-01-06 |
| 1912204751 | Allison Ingram | Speech-Language Pathologist | 18 Davids Ct, Dayton, NJ 08810-1301 | 2011-02-14 |
| 1336665033 | The Arc Middlesex County | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 9 Helen Dr, Dayton, NJ 08810-1306 | 2017-08-15 |
| 1275875437 | Stephanie I Haddad | Emergency Medicine | 10 Julia Way, Dayton, NJ 08810-1308 | 2013-03-26 |
| Find all providers in zip 08810 | ||||
| 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 |
|---|---|---|---|---|
| 1831662105 | Michele L. Flack, D.o., LLC | Internal Medicine | 3718 Whisper Creek Dr, Dayton, OH 45414-2570 | 2019-01-09 |
| 1851755623 | Yousef B. A. Mohamed | Internal Medicine | South Dayton Acute Care Consultants, Inc, 33 W Rahn Rd, Dayton, OH 45429-2219 | 2016-04-07 |
| 1427420256 | Hospitalist Md Inc | Internal Medicine | 10708 Falls Creek Ln, Dayton, OH 45458-6062 | 2015-10-20 |
| 1811316565 | Eric Kirby | Internal Medicine | 30 E Apple St # 3300, Dayton, OH 45409-2939 | 2014-04-09 |
| 1619394665 | Mohammad M Losta | Internal Medicine | 2200 Philadelphia Dr Ste 441, Dayton, OH 45406-1840 | 2014-03-27 |
| 1316378003 | Barrett Henry Bolton | Internal Medicine | 1608 Catalpa Dr, Dayton, OH 45406-5946 | 2013-12-05 |
| 1609215276 | Derrick Scott Porter | Internal Medicine | 2300 Miami Valley Dr Ste 310, Dayton, OH 45459-1294 | 2013-06-17 |
| 1295026607 | David Dukhyun Moh | Internal Medicine | 9251 Great Lakes Cir, Dayton, OH 45458-3677 | 2011-04-20 |
| 1831495266 | Kenechi Anikwe Obetta | Internal Medicine | 4750 30 E Apple St, Suite 6250, Dayton, OH 45409-2939 | 2011-02-02 |
| 1477870178 | Charles William Oberer IIi | Internal Medicine | 425 W Grand Ave Ste 2002, Dayton, OH 45405-4722 | 2010-04-21 |
| Find all providers in DAYTON | ||||
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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.