RAVIKIRAN IYENGAR (NPI# 1962939215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1962939215 |
Entity Type | Individual |
Full Name | RAVIKIRAN IYENGAR |
Practice Address |
817 Rahway Ave Elizabeth NJ 07202-2212 |
Practice Telephone | 9083535750 |
Enumeration Date | 2017-05-17 |
Last Update Date | 2017-05-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00301100 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
817 RAHWAY AVE |
City | ELIZABETH |
State | NJ |
Zip Code | 07202-2212 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760553838 | Narendra Narottamdas Saraiya | Pediatrics | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2006-11-12 |
1144872730 | Stefany Morales Rodriguez | Nurse Practitioner | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2019-07-12 |
1124453311 | Kacy Eunkyung In | Nurse Practitioner | 817 Rahway Ave, Elizabeth, Elizabeth, NJ 07202-2212 | 2013-09-06 |
1831379841 | Union County Pediatrics Group Inc | Pediatrics | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2007-11-07 |
1053466672 | Amita N Patel | Pediatrics | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2007-01-24 |
1760555007 | Raghunandan Sundaram | Pediatrics | 817 Rahway Ave, Elizabeth, NJ 07202-2212 | 2006-11-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205446572 | Hardik Ashwinkumar Fichadiya | Student in an Organized Health Care Education/Training Program | Trinitas Regional Medical Center, 225 Williamson St, Elizabeth, NJ 07202 | 2020-08-03 |
1659935484 | Community Access Unlimited Inc. | Community/Behavioral Health | 349 West Grand Street, Apartment 303, Elizabeth, NJ 07202 | 2019-04-26 |
1891279071 | Noreen Sidhom | Physical Therapist | 59-63 Elmora Avenue, Elizabeth, NJ 07202 | 2018-09-24 |
1578082889 | Jannette L Belen | Marriage & Family Therapist | 1102 South Elmora Ave, Elizabeth, NJ 07202 | 2017-09-18 |
1679000921 | Jefferson Park Ministries, Inc | Day Training, Developmentally Disabled Services | 70 West Grand St, Elizabeth, NJ 07202 | 2017-05-17 |
1912382557 | Community Access Unlimited | Community/Behavioral Health | 414 Magie Ave, Elizabeth, NJ 07202 | 2015-07-24 |
1538587845 | Remigiusz Soltys | Internal Medicine | 225 Williamson St., Trinitas Physician's Practice, LLC, Elizabeth, NJ 07202 | 2014-04-03 |
1447674270 | One Stop Medical Supplies LLC | Durable Medical Equipment & Medical Supplies | 216 Palmer St., Elizabeth, NJ 07202 | 2014-02-14 |
1306274337 | South Filmora Optical LLC | Eyewear Supplier (Equipment, not the service) | 1000 South Filmora Ave., Suite E2, Elizabeth, NJ 07202 | 2013-10-30 |
1881021129 | Julie Allison Sorrell | Social Worker | 80 West Grand Street, Elizabeth, NJ 07202 | 2013-10-01 |
Find all providers in zip 07202 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861914418 | Erik John Woxholdt | Physician Assistant | 225 Williamson St, Elizabeth, NJ 07202-3625 | 2017-07-14 |
1588048557 | Bridget Desmarais | Physician Assistant | 240 Williamson St, Suite 204, Elizabeth, NJ 07202-3674 | 2015-07-19 |
1437415270 | Ifrah A Syed | Physician Assistant | 400 Westfield Ave, Elizabeth, NJ 07208-1621 | 2012-04-05 |
1972778785 | Rosario Davidson | Physician Assistant | 310 W Jersey St, Elizabeth, NJ 07202-1832 | 2008-04-23 |
1861681116 | Nosha Hadi Nahavandi | Physician Assistant | 225 Williamson St, Women's Care Room# 312, Elizabeth, NJ 07202-3625 | 2007-10-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
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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.