DEEPA MANOHARA (NPI# 1891000501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1891000501 |
Entity Type | Individual |
Full Name | DEEPA MANOHARA |
Credential | P.N.P. |
Practice Address |
705 E 180th St Bronx NY 10457-3601 |
Mailing Address |
705 East 180th. St. Bronx NY 10457 |
Practice Telephone | 7182200507 |
Practice Fax Number | 7182208419 |
Mailing Telephone | 7182200507 |
Mailing Fax Number | 7182208419 |
Enumeration Date | 2010-08-18 |
Last Update Date | 2017-06-27 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F382138 | NY | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 02745242 | 05 |
Street Address |
705 E 180TH ST |
City | BRONX |
State | NY |
Zip Code | 10457-3601 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275938482 | Emmanuel Diaz Guerrero | Pediatrics | 705 E 180th St, Bronx, NY 10457-3601 | 2014-10-30 |
1730522848 | First Step Medical, P. C. | Pediatrics | 705 E 180th St, Bronx, NY 10457-3601 | 2013-04-09 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
Find all providers in zip 10457 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871145300 | Kaliko Saroj Sharma | Nurse Practitioner | 2805 Heath Ave, Bronx, NY 10463-7805 | 2019-07-15 |
1699180596 | Abigail Felix | Nurse Practitioner | 3032 Corlear Ave Fl 1, Bronx, NY 10463-5141 | 2014-06-30 |
1609157007 | Evelyn A O'neill-brown | Nurse Practitioner | 3011 Randall Ave, Bronx, NY 10465-2359 | 2011-08-30 |
1245544360 | Richard Joseph Beaulieu | Nurse Practitioner | 1515 Souther Boulevard, Bronx, NY 10460 | 2010-07-30 |
1477793511 | Linda Anne Reid | Nurse Practitioner | 369 E 149th Street, 3rd Floor, Bronx, NY 10455 | 2009-03-03 |
1861642415 | Olga Mae Manns | Nurse Practitioner | 85 West Burnside Avenue, Bronx, NY 10453-4015 | 2008-09-19 |
1407024839 | Dora Alejandra Acevedo | Nurse Practitioner | 275 Balcom Ave, Bronx, NY 10465-3104 | 2008-02-19 |
1881721975 | Regina A Whitlow | Nurse Practitioner | 112 East 210th Street, Mmc - School Health Program, Bronx, NY 10467 | 2007-02-27 |
1457492027 | Teresa Ann Wilson | Nurse Practitioner | 3961 Hillman Ave, Montefiore School Health Clinic, Bronx, NY 10463-3001 | 2007-02-08 |
1013098425 | Melinda A. Lando | Nurse Practitioner | 1425 Walton Ave, P.s. 64 School Based Clinicbronxlebanon Hospital, Bronx, NY 10452-6901 | 2006-10-19 |
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.