MONA KHEDKAR (NPI# 1013023423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013023423 |
| Entity Type | Individual |
| Full Name | MONA KHEDKAR |
| Credential | M.D. |
| Practice Address |
410 Centre St Nutley NJ 07110-1635 |
| Practice Telephone | 9736610006 |
| Practice Fax Number | 9736614473 |
| Mailing Telephone | 9736610006 |
| Mailing Fax Number | 9736614473 |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
25MA03586700 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
410 CENTRE ST |
| City | NUTLEY |
| State | NJ |
| Zip Code | 07110-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033466248 | American Diagnostic Imaging of Nutley | Clinic/Center | 410 Centre St, Nutley, NJ 07110-1635 | 2012-08-07 |
| 1407127251 | Magnetic Resonance of N.j. Inc | Clinic/Center | 410 Centre St, Nutley, NJ 07110-1635 | 2012-01-25 |
| 1508006677 | Clinical Diagnostic Imaging, LLC | Clinic/Center | 410 Centre St, Nutley, NJ 07110-1635 | 2009-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304984 | Nutley Vision LLC | Optometrist | 214 N Franklin Avenue, Nutley, NJ 07110 | 2019-09-06 |
| 1548762073 | Michal Milow Divney | Social Worker | 340 Kingsland St Bldg 123, Nutley, NJ 07110 | 2018-02-28 |
| 1144743162 | Erin Doyle Theodorou | Counselor | 29 Faber Pl, Nutley, NJ 07110 | 2017-07-21 |
| 1134642671 | Everas Community Services, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 150 Kingsland St, Nutley, NJ 07110 | 2017-07-17 |
| 1851811764 | Janet Joke Bamgbade | Social Worker | 21 River Road, Apt. J, Nutley, NJ 07110 | 2017-06-21 |
| 1588190656 | Nutley Vision | Eyewear Supplier (Equipment, not the service) | 214 Franklin Ave., Nutley, NJ 07110 | 2017-05-10 |
| 1043662596 | Angela Furnari-romano | Social Worker | 596 Franklin Ave, Nutley, NJ 07110 | 2016-07-08 |
| 1659720381 | Nutley Adult Day Care Inc | Clinic/Center | 357-361 Harrison St, 1st Floor, Nutley, NJ 07110 | 2016-06-03 |
| 1881055937 | Roman Rubin | Community/Behavioral Health | 263 Hillside Address, 5, Nutley, NJ 07110 | 2016-03-17 |
| 1275937922 | Victoria L Beckerman | Social Worker | 405 Centre St, Nutley, NJ 07110 | 2014-10-09 |
| Find all providers in zip 07110 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982713681 | Steven D Richman | Radiology | 20 High Street, Nutley, NJ 07110 | 2006-08-29 |
| 1235143504 | Sarah A Dodge | Radiology | 20 High St, Nutley, NJ 07110-1132 | 2006-07-29 |
| 1457669004 | Konstantin Krepkin | Radiology | 20 High St, Nutley, NJ 07110-1132 | 2010-09-16 |
| 1588829204 | Ross Mondshine | Radiology | 20 High St, Nutley, NJ 07110 | 2008-07-22 |
| 1295909190 | Lisa Taub Bash | Radiology | 20 High St, Nutley, NJ 07110-1132 | 2008-04-22 |
| 1306052246 | Nicole Lynn Lacz | Radiology | 20 High St, Nutley, NJ 07110-1132 | 2007-05-15 |
| 1669513099 | Jessica Torrente | Radiology | 20 High St, Nutley, NJ 07110-1132 | 2007-02-09 |
| 1588701213 | Brett D Ferdinand | Radiology | 20 High St, Nutley, NJ 07110-1132 | 2007-01-31 |
| 1285796474 | Anuj J Tolia | Radiology | 20 High St, Nutley, NJ 07110 | 2006-12-14 |
| 1639267156 | Daniel Levy | Radiology | 20 High St, Nutley, NJ 07110-1132 | 2006-10-10 |
| Find all providers in NUTLEY | ||||
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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.