JUDY SARUNGBAM (NPI# 1780006809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780006809 |
| Entity Type | Individual |
| Full Name | JUDY SARUNGBAM |
| Credential | M.D. |
| Practice Address |
111 E 210 Street Department of Pathology Bronx NY 10467 |
| Practice Telephone | 7189204976 |
| Mailing Telephone | 7189204976 |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2019-05-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
273503 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
111 E 210 STREET DEPARTMENT OF PATHOLOGY |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740783810 | Rgld Pathology PC | Pathology | 3765 Riverdale Ave Ste 7, Bronx, NY 10463-1845 | 2018-03-14 |
| 1275859209 | Jennifer Marie Oliver-krasinski | Pathology | 111 E 210th St Fl 4, Bronx, NY 10467-2401 | 2010-04-15 |
| 1518191162 | Ronald Rice | Pathology | 1117 Pierce Ave, Bronx, NY 10461-1522 | 2009-05-12 |
| 1760626378 | George Jour | Pathology | 3450 Wayne Ave Apt 18b, Bronx, NY 10467-2514 | 2009-04-27 |
| 1174776264 | Katherine J Downey | Pathology | 111 E. 210th St. Dept of Surgical Pathology, Room 063, Bronx, NY 10467 | 2008-11-03 |
| 1295703601 | Khin Khin Win | Pathology | 4422 Third Ave, St Barnabas Hospital, Bronx, NY 10457 | 2006-03-10 |
| 1679037915 | Riverdale Medical Services PC | Pathology | 3765 Riverdale Ave Ste 7, Bronx, NY 10463-1845 | 2019-01-30 |
| 1881043867 | Sebastian A Jofre | Pathology | 111 E 210th St, Bronx, NY 10467-2401 | 2016-06-09 |
| 1477941466 | Elizabeth Richards | Pathology | 3450 Wayne Ave, Apt 21f, Bronx, NY 10467-2510 | 2014-12-30 |
| 1871999359 | Bronxcare Health System | Pathology | 1276 Fulton Ave, Room 208, Bronx, NY 10456 | 2014-11-12 |
| Find all providers in BRONX | ||||
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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.