KUSUM VISWANATHAN (NPI# 1790876126) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790876126 |
| Entity Type | Individual |
| Full Name | KUSUM VISWANATHAN |
| Credential | M.D. |
| Practice Address |
1 Brookdale Plz Suite # 346 Brooklyn NY 11212-3139 |
| Mailing Address |
1 Brookdale Plz Brooklyn NY 11212-3139 |
| Practice Telephone | 7182405904 |
| Mailing Telephone | 7182405904 |
| Enumeration Date | 2006-09-28 |
| Last Update Date | 2013-11-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
164894 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00961826 | 05 |
| Street Address |
1 BROOKDALE PLZ SUITE # 346 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11212-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265432868 | Steven Braha | Nuclear Medicine | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2005-07-26 |
| 1902406234 | Christine Huynh | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-27 |
| 1043818784 | Kevin Courtney Kemp | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2020-10-14 |
| 1184221640 | Manjusha Kuraganti | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-07 |
| 1942807920 | Nancy Rizzuto | Nurse Practitioner | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-10-03 |
| 1699372854 | Ann Andrasovich | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3198 | 2020-10-01 |
| 1437766151 | Elena Dudorova | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-27 |
| 1972110757 | Pratichhya Khatiwada | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-25 |
| 1780290031 | Hajira Basit | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-22 |
| 1932715661 | Orzu Yuldasheva | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plz, Brooklyn, NY 11212-3139 | 2020-09-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365136 | Ama Asabea Asare | Student in an Organized Health Care Education/Training Program | Emergency Medicine, Brookdale University Hospital and M, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2020-04-22 |
| 1811516560 | Amrusha Musunuru | Student in an Organized Health Care Education/Training Program | Room 222 Chc, Department of Surgical Services, The Broo, Brookdale, NY 11212 | 2020-04-13 |
| 1508414707 | Sri Lakshmi Atthota | Student in an Organized Health Care Education/Training Program | Brookdale University Hospital,room 222, Chc, One Brookdale Plaza, Brooklyn,new York, NY 11212 | 2019-08-30 |
| 1457812273 | Shane Devanand Naidoo | Student in an Organized Health Care Education/Training Program | Dept of Emergency Medicine, Brookdale Hospital Med Cntr, 1 Brookdale Plaza, Brooklyn, NY 11212 | 2019-03-26 |
| 1790262467 | Xiao Xiong You | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Department of Adult Psychiatry, Brooklyn, NY 11212 | 2018-07-25 |
| 1215426143 | Danielle Levy | Counselor | 298 Hegeman Ave, Brooklyn, NY 11212 | 2018-05-07 |
| 1699298026 | Alexander Andreev | Student in an Organized Health Care Education/Training Program | 1 Brookdale Plaza, Brooklyn, Brooklyn, NY 11212 | 2017-07-18 |
| 1598288011 | Naga Venkata Divya Challa | Student in an Organized Health Care Education/Training Program | One Brookdale Plaza, 8 Chc Room 801-5, Department of Pediatrics, Brookdale University Hospital, Brooklyn, NY 11212 | 2017-07-18 |
| 1912428921 | Sadrac Edouard | Licensed Practical Nurse | 498 East 94th St, Brooklyn, NY 11212 | 2017-06-29 |
| 1023544194 | Orrett Layne | Licensed Practical Nurse | 279 East 92nd Street, Brooklyn, NY 11212 | 2017-05-10 |
| Find all providers in zip 11212 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568478964 | Mmc Pediatric Hematology Oncology | Pediatrics | 6300 8th Avenue, Brooklyn, NY 11220 | 2006-07-31 |
| 1902801103 | Ludovico Guarini | Pediatrics | 948 48th St, Brooklyn, NY 11219-2918 | 2005-06-15 |
| 1093071201 | Sheera Minkowitz | Pediatrics | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2012-04-02 |
| 1720355928 | Arpan A Sinha | Pediatrics | 450 Clarkson Ave, Brooklyn, NY 11203-2012 | 2011-11-16 |
| 1528228343 | Aziza S Sedrak | Pediatrics | 121 Dekalb Ave, Brooklyn, NY 11201-5425 | 2008-06-16 |
| 1902884547 | Sreedhar P. Rao | Pediatrics | 450 Clarkson Ave, Suite B4-333, Brooklyn, NY 11203-2056 | 2006-01-04 |
| 1003892902 | Ninad Desai | Pediatrics | 451 Clarkson Ave, Kings County Hospital Center; B 6202, Brooklyn, NY 11203-2057 | 2005-12-22 |
| 1982689741 | Scott T. Miller | Pediatrics | 450 Clarkson Ave, B4-333, Brooklyn, NY 11203-2056 | 2005-12-14 |
| 1194710574 | Shipra Kaicker | Pediatrics | 948 48th St, Brooklyn, NY 11219-2918 | 2005-09-13 |
| 1811998883 | Herold Duroseau | Pediatrics | 506 6th Street, Brooklyn, NY 11215 | 2005-08-02 |
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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.