DEEPA MANOHARA


Address: 705 E 180th St, Bronx, NY 10457-3601
Phone: 7182200507

DEEPA MANOHARA (NPI# 1891000501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
F382138 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02745242 05

Office Location

Street Address 705 E 180TH ST
City BRONX
State NY
Zip Code 10457-3601

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City BRONX
Zip Code 10457

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Dataset Information

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.

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