VINOD HAVALAD (NPI# 1932303674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932303674 |
| Entity Type | Individual |
| Full Name | VINOD HAVALAD |
| Credential | MD |
| Practice Address |
1245 Park Ave 4h New York NY 10128-1735 |
| Mailing Address |
65 E Monroe St 4718 Chicago IL 60603-5717 |
| Practice Telephone | 8474044854 |
| Mailing Telephone | 8474044854 |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2012-08-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
036130990 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
1245 PARK AVE 4H |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-1735 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013441096 | Megan Elizabeth Laitman | Occupational Therapist | 1245 Park Ave, 14k, New York, NY 10128-1735 | 2017-04-17 |
| 1447791629 | Ann Elizabeth Symonds | Student in an Organized Health Care Education/Training Program | 1245 Park Ave, 11c, New York, NY 10128-1735 | 2017-03-20 |
| 1750777298 | David Alexander Apatov | Student in an Organized Health Care Education/Training Program | 1245 Park Ave, Apartment 7c, New York, NY 10128-1735 | 2015-04-11 |
| 1164818100 | Joanna Charny Miller | Student in an Organized Health Care Education/Training Program | 1245 Park Ave, Apt 14b, New York, NY 10128-1735 | 2015-04-07 |
| 1427469998 | Zachariah Joseph Blegen-dipietro | Student in an Organized Health Care Education/Training Program | 1245 Park Ave, Apartment 3g-2, New York, NY 10128-1735 | 2014-05-18 |
| 1699185777 | Sharon Steinberger | Radiology | 1245 Park Ave, Apt 12g, New York, NY 10128-1735 | 2014-04-29 |
| 1457778607 | Yedidya Saiman | Student in an Organized Health Care Education/Training Program | 1245 Park Ave, Apt 10g, New York, NY 10128-1735 | 2014-03-26 |
| 1932484722 | Ido Mizrahi | Student in an Organized Health Care Education/Training Program | 1245 Park Ave, Apartment 1f, New York, NY 10128-1735 | 2011-10-12 |
| 1376842872 | Jingjing Li Sherman | Surgery | 1245 Park Ave, Apt 2k, New York, NY 10128-1735 | 2011-03-23 |
| 1184954059 | Osher Cohen | Student in an Organized Health Care Education/Training Program | 1245 Park Ave, Apt. 1c, New York, NY 10128-1735 | 2009-12-28 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
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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 |
|---|---|---|---|---|
| 1518200203 | Kelly Haque | Pediatrics | 525 E 68th St # M-508, New York, NY 10065-4870 | 2013-04-01 |
| 1053654822 | Ami J Shah | Pediatrics | 424 E 34th St Fl Street9, New York, NY 10016-4901 | 2013-03-31 |
| 1063775955 | Marguerite Orsi Canter | Pediatrics | 1705 1st Ave, Apt 4fn, New York, NY 10128-4905 | 2012-06-17 |
| 1255629887 | Emily Wasserman | Pediatrics | 525 E 68th St # 6-south, New York, NY 10065-4870 | 2011-07-17 |
| 1023341583 | Rishma Chand | Pediatrics | 344 W 12th St, Apt 3d, New York, NY 10014-1707 | 2009-09-15 |
| 1568604031 | Ramon E Gist | Pediatrics | 525 E 68th St Rm M508, New York, NY 10065-4870 | 2009-03-31 |
| 1073770913 | Michelle Marie Ramirez-joglar | Pediatrics | 525 E 68th St # M-501, New York, NY 10065-4870 | 2008-05-19 |
| 1194862516 | Robert Stanley Hum | Pediatrics | 3959 Broadway # Chn10-24, New York, NY 10032-1559 | 2007-02-01 |
| 1356403042 | Mayank Shukla | Pediatrics | 345 E 37th St Rm 319, New York, NY 10016-3256 | 2006-12-16 |
| 1396701389 | Robert Mansfield | Pediatrics | 36 W 84th St, Apt 1b, New York, NY 10024-4739 | 2006-04-26 |
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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.