DR. KEASHAVA SHIVASHANKAR (NPI# 1811050404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811050404 |
| Entity Type | Individual |
| Full Name | DR. KEASHAVA SHIVASHANKAR |
| Credential | MD |
| Practice Address |
140 Belmont Ave Ste 102 Belleville NJ 07109-1018 |
| Mailing Address |
140 Belmont Ave Ste102 Belleville NJ 07109-1018 |
| Practice Telephone | 9737517870 |
| Practice Fax Number | 9737517870 |
| Mailing Telephone | 9737517870 |
| Mailing Fax Number | 9737517870 |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2014-02-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
25MA04015400 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1973606 | 05 |
| Street Address |
140 BELMONT AVE STE 102 |
| City | BELLEVILLE |
| State | NJ |
| Zip Code | 07109-1018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588767875 | Gayithri R Keshav | Internal Medicine | 140 Belmont Ave, Ste 103, Belleville, NJ 07109-1018 | 2006-09-05 |
| 1306487640 | Karina Agajanov | Nurse Practitioner | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2019-10-07 |
| 1356810402 | Arlene Yaoto | Nurse Practitioner | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2018-11-19 |
| 1790231611 | Silver Lake Physical Therapy LLC | Clinic/Center | 140 Belmont Ave, Ste. 101, Belleville, NJ 07109-1018 | 2016-08-31 |
| 1104294909 | Roger Keshav Md Pa | Internal Medicine | 140 Belmont Ave, Suite 102, Belleville, NJ 07109-1018 | 2015-09-10 |
| 1508292525 | Paulette Taka Lanneaux | Nurse Practitioner | 140 Belmont Ave, Suite 102, Belleville, NJ 07109-1018 | 2013-09-23 |
| 1629333711 | Keshav M Shiva Md Pa | Internal Medicine | 140 Belmont Ave, 102, Belleville, NJ 07109-1017 | 2012-07-05 |
| 1942525316 | Roger Keshav | Internal Medicine | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2010-03-29 |
| 1427389410 | Allan Renier Mendez | Specialist | 140 Belmont Ave, Belleville, NJ 07109-1018 | 2010-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851871370 | Mario Jr Millan | Clinic/Center | 114 Washington Avenue, Belleville, NJ 07109 | 2018-08-14 |
| 1881186641 | Wayne J Caputo Dpm | Podiatrist | 5 S Franklin Avenue, Belleville, NJ 07109 | 2018-06-06 |
| 1457842429 | Gout Institute of America | Anesthesiology | 727 Joralemon St., Belleville, NJ 07109 | 2018-05-24 |
| 1477078632 | Keith Pishna | Social Worker | 224 Washington Avenue, Belleville, NJ 07109 | 2017-08-09 |
| 1669915906 | Priyankaben Gajjar | Nurse Practitioner | 668 Mill St, Apt A5, Belleville, NJ 07109 | 2016-11-18 |
| 1861878829 | 1st Cerebral Palsy of New Jersey | Contractor | 31 Cuozzo Street, Belleville, NJ 07109 | 2015-07-31 |
| 1730562323 | 1st Cerebral Palsy of New Jersey | Contractor | 20-28 Rocco Street, Apartment 20, Belleville, NJ 07109 | 2015-07-01 |
| 1407241441 | Janet Labadie | Nurse Practitioner | 140 Belmont Avenue, Bellevile, NJ 07109 | 2015-04-06 |
| 1790180537 | Eshwary Yerramsetty | Pharmacist | 345 S Franklin Ave, Walgreens Pharmacy, Belleville, NJ 07109 | 2014-10-22 |
| 1477971794 | Molly Marie Murray | Physician Assistant | 1 Clara Maass Dr., Belleville, NJ 07109 | 2014-04-03 |
| Find all providers in zip 07109 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386119014 | Hamilton Heart & Vascular Care LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 200, Hamilton, NJ 08619-1269 | 2018-10-09 |
| 1578812848 | Michael Alan Stein | Internal Medicine | 110 Lazarus Dr, Ledgewood, NJ 07852-2345 | 2012-09-02 |
| 1528386380 | Daniel Robert Amoruso | Internal Medicine | 8 Tempe Wick Rd Ste 300, Mendham, NJ 07945 | 2010-05-04 |
| 1417188905 | Humc Cardiovascular Partners, PC | Internal Medicine | 400 Frank W. Burr Boulevard, Suite 22, Teaneck, NJ 07666-6700 | 2009-07-31 |
| 1477727030 | Ramin Shayegan Hastings | Internal Medicine | 777 Terrace Ave Ste 311, Hasbrouck Heights, NJ 07604-3112 | 2008-04-15 |
| 1710168232 | Holy Name Cardiology Associates, PC | Internal Medicine | 954 Teaneck Road, Teaneck, NJ 07666-4245 | 2007-11-27 |
| 1093883597 | Varinder Singh | Internal Medicine | 215 Bridge St, Bldg.e, Metuchen, NJ 08840-2291 | 2006-12-01 |
| 1073612990 | Isaac Tawfik | Internal Medicine | 479 Rt 520, Marlboro, NJ 07746 | 2006-09-21 |
| 1215034640 | Jonathan E. Goldstein Md | Internal Medicine | 268 Dr Martin Luter King, Newark, NJ 07102 | 2006-09-20 |
| 1942235577 | James R Clifford Md PC | Internal Medicine | 255 West Spring Valley Ave, Maywood, NJ 07607 | 2006-07-12 |
| Find all providers with the same taxonomy | ||||
| City | BELLEVILLE |
| Zip Code | 07109 |
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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.