JANA KRYSTOFOVA (NPI# 1801237037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801237037 |
| Entity Type | Individual |
| Full Name | JANA KRYSTOFOVA |
| Credential | M.D., PHD |
| Practice Address |
4802 10th Avenue Maimonides Medical Center Brooklyn NY 11219 |
| Mailing Address |
550 16th St Fl 5 San Francisco CA 94143-2549 |
| Practice Telephone | 7182838090 |
| Mailing Telephone | 9177753697 |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2016-06-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
A141825 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
4802 10TH AVENUE MAIMONIDES MEDICAL CENTER |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598746646 | Lawrence Shevlin | Internal Medicine | 4802 10th Avenue, Attn: Mail Room, Brooklyn, NY 11219 | 2005-11-07 |
| 1609371954 | Ogochukwu Okoli | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2018-03-28 |
| 1124542253 | Shaurya Sharma | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-07-31 |
| 1366963431 | Karis Buford | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-06-29 |
| 1932635000 | Shelly Uppal | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219-1671 | 2017-05-10 |
| 1104352871 | Patria T. Gerardo Arroyo | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-05-02 |
| 1821523846 | Howard Brent | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-04-27 |
| 1982139853 | Josephine E.w. Gathura | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-04-27 |
| 1285169383 | Maria Abramov | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-04-26 |
| 1285169490 | Joseph Aaron Gotesman | Student in an Organized Health Care Education/Training Program | 4802 10th Avenue, Maimonides Medical Center, Brooklyn, NY 11219 | 2017-04-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
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| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720236151 | Rohit Pinto | Pediatrics | 445 Lenox Road, Pediatric Department, Brooklyn, NY 11203 | 2008-08-27 |
| 1982704680 | Franscene Oulds | Pediatrics | 450 Lenox Rd, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2006-09-22 |
| 1972055424 | Tingchang Hsieh | Pediatrics | 1 Brookdale Plaza, Brooklyn, NY 11212 | 2016-11-01 |
| 1619238011 | Hussam Alharash | Pediatrics | 451 Clarkson Ave, Brooklyn, NY 11203-2097 | 2012-06-01 |
| 1619275625 | Suny Health Science Center At Brooklyn | Pediatrics | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-01 |
| 1942526926 | Ariel Daube | Pediatrics | 4802 10th Ave, Brooklyn, NY 11219 | 2010-04-15 |
| 1679806772 | Ariel Brandwein | Pediatrics | 506 6th St, Brooklyn, NY 11215-3609 | 2009-09-09 |
| 1487889747 | Mara Beatriz Chavolla-calderon | Pediatrics | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2009-05-15 |
| 1073751608 | Heda Marie R Dapul | Pediatrics | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2009-02-04 |
| 1407059074 | Davor Skaricic | Pediatrics | 451 Clarkson Ave, B-6202 Pediatrics, Brooklyn, NY 11203-2057 | 2007-06-08 |
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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.