MANISH CHANDRU JOTWANI (NPI# 1942277173) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942277173 |
| Entity Type | Individual |
| Full Name | MANISH CHANDRU JOTWANI |
| Credential | MD |
| Practice Address |
176-60 Union Turnpike Suite 130 Flushing NY 11366-1531 |
| Mailing Address |
40 Valley Stream Pkwy Ste 100 Attn: Credentialing Department Malvern PA 19355-1407 |
| Practice Telephone | 7188209729 |
| Practice Fax Number | 7188209730 |
| Mailing Telephone | 6106448900 |
| Mailing Fax Number | 6106448909 |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2019-07-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
231476 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02646151 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1225 Mcbride Ave Ste 117, Woodland Park, NJ 074243813 | 9738371018 | 9738371329 |
| Street Address |
176-60 UNION TURNPIKE SUITE 130 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11366-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1831615756 | Joseph Sarreal | Licensed Practical Nurse | 77-03 166 Street, Fresh Meadows, NY 11366 | 2017-08-22 |
| 1780106872 | Nadezhda Bababekova | Registered Nurse | 77-15 169st, Fresh Meadows, NY 11366 | 2017-07-11 |
| 1669902284 | Alla Roziyeva | Case Manager/Care Coordinator | 162-16 Union Turnpike, Suite 303, Fresh Meadows, NY 11366 | 2017-06-15 |
| 1568998508 | Patricia Guthrie | Technician/Technologist | 17760 Union Tpke, Suite 110, Fresh Meadows, NY 11366 | 2017-05-11 |
| 1639617384 | Elina Gavrielova | Clinical Nurse Specialist | 7531 190th Street, Fresh Meadows, NY 11366 | 2017-02-02 |
| 1164966818 | Lamisa Ahsan | Pharmacist | 186-16 Union Tunrpike, Flushing, NY 11366 | 2016-12-15 |
| 1508217027 | Huisi Wu | Case Manager/Care Coordinator | 164-19 78th Ave, Fresh Meadows, NY 11366 | 2016-06-27 |
| 1770932113 | Mary-kate Martinez | Community Health Worker | 75-02 162nd St, Fresh Meadows, NY 11366 | 2016-06-07 |
| 1366899866 | Medical Offices of Occupational Health Resources P C | Clinic/Center | Hangar 3 Room 117, Laguardia Airport, Flushing, NY 11366 | 2016-05-16 |
| Find all providers in zip 11366 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275793259 | Guan Hua Xu | Internal Medicine | 13681 Roosevelt Ave Ste 2, Flushing, NY 11354-5560 | 2008-06-12 |
| 1336223783 | Lawrence T. Choy | Internal Medicine | 142-20 Franklin Avenue, Flushing, NY 11355 | 2006-10-24 |
| 1609968536 | Michael Koutsoyiannis | Internal Medicine | 42 70 156th Street, Flushing, NY 11355 | 2006-09-28 |
| 1750395000 | Ljubisa Micic | Internal Medicine | 2604 169th St, Flushing, NY 11358-1131 | 2006-07-29 |
| 1811963002 | Salim Albert Khoury | Internal Medicine | 2932 172nd St, Flushing, NY 11358-1538 | 2006-02-27 |
| 1255315776 | Amy Su | Internal Medicine | 3916 Prince St Ste 155, Flushing, NY 11354-5367 | 2005-11-30 |
| 1225494743 | Nishita Parikh | Internal Medicine | 5645 Main St, Flushing, NY 11355-5045 | 2016-01-13 |
| 1154709517 | Lawrence T Choy, Md, PC | Internal Medicine | 14220 Franklin Ave, Flushing, NY 11355-2640 | 2015-05-18 |
| 1285012849 | Franklin 142 Associates Inc | Internal Medicine | 14220 Franklin Ave, Flushing, NY 11355-2640 | 2015-05-14 |
| 1235495326 | Edward E. Lee,md, PC | Internal Medicine | 13636 39th Ave, 7th Floor, Flushing, NY 11354-5599 | 2012-04-03 |
| Find all providers in FLUSHING | ||||
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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.