IRFAN M HISAMUDDIN (NPI# 1871798421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871798421 |
| Entity Type | Individual |
| Full Name | IRFAN M HISAMUDDIN |
| Credential | MD |
| Practice Address |
4745 Ogletown Stanton Rd Suite 134 Newark DE 19713-2067 |
| Mailing Address |
Po Box 7356 Lancaster PA 17604-7356 |
| Practice Telephone | 3027385300 |
| Practice Fax Number | 3027314822 |
| Mailing Telephone | 4104414847 |
| Enumeration Date | 2007-06-15 |
| Last Update Date | 2015-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | PENDING | MD | Other Service Providers |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
C1-0011248 | DE | Allopathic & Osteopathic Physicians |
| Street Address |
4745 OGLETOWN STANTON RD SUITE 134 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831194224 | Mehdi Balakhani | Specialist | 4745 Ogletown Stanton Rd, Map #1, Suite 226, Newark, DE 19713-2067 | 2005-06-14 |
| 1912439829 | Dirm Surgery Center | Clinic/Center | 4745 Ogletown Stanton Rd, Suite 117, Newark, DE 19713-2067 | 2017-03-30 |
| 1821548025 | Danielle M Corsi | Registered Nurse | 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 | 2016-10-12 |
| 1386194116 | Sooin Lee | Nurse Practitioner | 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 | 2016-10-05 |
| 1023564499 | Hosmane Eye Care LLC | Optometrist | 4745 Ogletown Stanton Rd, Pavillion 1, Suite 135, Newark, DE 19713-2067 | 2016-08-26 |
| 1407202807 | Lisa Wei Schmidt | Physician Assistant | 4745 Ogletown Stanton Rd, Ste 225, Newark, DE 19713-2067 | 2016-05-04 |
| 1619341328 | Keri Ann E. Flanagan | Registered Nurse | 4745 Ogletown Stanton Rd, Map 1, Suite 217, Newark, DE 19713-2067 | 2015-11-18 |
| 1124496807 | Kaysha P Michel | Registered Nurse | 4745 Ogletown Stanton Rd, Suite 220, Newark, DE 19713-2067 | 2015-09-11 |
| 1376922799 | Chanhsamone Syravanh | Physician Assistant | 4745 Ogletown Stanton Rd, Medical Arts Pavilion 1, Suite 135, Hosmane Cardiology, Newark, DE 19713-2067 | 2015-05-19 |
| 1548652704 | Kristin M Fawcett | Nurse Practitioner | 4745 Ogletown Stanton Rd, Suite 217, Newark, DE 19713-2067 | 2015-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811426133 | Darrell Eugene Roberson | Specialist | 243 Halsey St Apt 5c, Newark, NJ 07102-3750 | 2017-06-09 |
| 1497109771 | Amy Karlyna Iturburo | Specialist | 452 Highland Ave, Newark, NJ 07104-1518 | 2016-04-22 |
| 1003213380 | Rachel Ann Gerber | Specialist | 119 Union Street, Newark, OH 43055 | 2014-12-02 |
| 1821425356 | Paige Thomasson | Specialist | 35 Edison Place #402, Newark, NJ 07102 | 2013-09-30 |
| 1538508221 | Sarah Diane Johnson | Specialist | 347 Lake St, Apt C5, Newark, NJ 07104-1223 | 2013-06-17 |
| 1326381575 | Cecilia Asare | Specialist | 30-32 Crawford St, 3floor, Newark, NJ 07102-1100 | 2013-04-05 |
| 1912216573 | Persante Sleep Care, Inc. | Specialist | One Centurian Drive Ste: 208, Abby Medical Center, Newark, DE 19713-2137 | 2010-09-30 |
| 1205165321 | James M Bastianelli | Specialist | 28 Dublin Dr, Newark, DE 19702-7708 | 2009-12-19 |
| 1932332848 | Alternative Therapy | Specialist | 4631 Ogletown Stanton Rd, Newark, DE 19713-2006 | 2009-08-25 |
| 1508005083 | Jodi Lynn Collins | Specialist | 202 N Bridlewood Dr, Newark, DE 19702-3418 | 2009-02-06 |
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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.