MANISH B UNDAVIA (NPI# 1013042944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013042944 |
| Entity Type | Individual |
| Full Name | MANISH B UNDAVIA |
| Credential | M.D. |
| Practice Address |
242 Merrick Rd Suite 402 Rockville Centre NY 11570-5254 |
| Practice Telephone | 5167632800 |
| Mailing Telephone | 5167632800 |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2013-01-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
214512 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
214512 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | DEA | BU6441505 | 01 |
| Street Address |
242 MERRICK RD SUITE 402 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-5254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730188343 | Ronald A. Primis | Internal Medicine | 242 Merrick Rd, Suite 301, Rockville Centre, NY 11570-5254 | 2005-07-15 |
| 1225406838 | Winthrop Community Medical Affiliates, P.C. | Internal Medicine | 242 Merrick Rd, Suite 402, Rockville Centre, NY 11570-5254 | 2015-09-14 |
| 1477934917 | Lyndsey Sonkin | Nurse Practitioner | 242 Merrick Rd, Suite 402, Rockville Centre, NY 11570-5254 | 2015-06-10 |
| 1952715773 | South Nassau Oncology Practice, PC | Internal Medicine | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2014-06-19 |
| 1033462684 | Varvara Alexiadis | Internal Medicine | 242 Merrick Rd, Ste 403, Rockville Centre, NY 11570-5254 | 2012-10-19 |
| 1134445497 | Valerie Kremer | Internal Medicine | 242 Merrick Rd, 301, Rockville Centre, NY 11570-5254 | 2010-04-12 |
| 1003048927 | Maureen Imelda Reese | Physician Assistant | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2009-08-11 |
| 1205094166 | Usdk LLC | Clinic/Center | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2008-05-28 |
| 1821256959 | Usdk Medical LLP | Clinic/Center | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2008-05-27 |
| 1699959908 | Cough Medical Care of Li PC | Allergy & Immunology | 242 Merrick Rd, Suite 401, Rockville Centre, NY 11570-5254 | 2007-12-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1538426242 | Robert Justin Knotts | Internal Medicine | 403 E 34th St Fl 4, New York, NY 10016-4907 | 2012-04-19 |
| 1942509260 | Rajat Goyal | Internal Medicine | 129 Melanie Dr, East Meadow, NY 11554 | 2011-03-25 |
| 1679881577 | Mount Sinai School of Medicine of New York University | Internal Medicine | 210 E 86th St Rm 502, New York, NY 10028-7725 | 2010-09-14 |
| 1275793580 | Abhijeet Singh | Internal Medicine | Suny Stonybrook University Hospital 101 Nicolls Rod, Stony Brook, NY 11794-0001 | 2008-06-10 |
| 1073639399 | Cardiac Rhythm Consultants, PC | Internal Medicine | 141 Washington Ave Ste 203, Lawrence, NY 11559-1669 | 2007-03-21 |
| 1003975632 | Saverio J Barbera | Internal Medicine | Health Science Center Nicolls Road, T-16-080, Stony Brook, NY 11794-0001 | 2006-12-08 |
| 1699868836 | Tbhc Ecg Med Services PC | Internal Medicine | Tbhc Med Services PC, 121 Dekalb Avenue, Brooklyn, NY 11201 | 2006-10-02 |
| 1235174053 | Arti N Shah | Internal Medicine | 30 West 60th Street, Suite 1u, New York, NY 10023-7906 | 2006-06-17 |
| 1225099419 | John Jun Cai | Internal Medicine | 515 Abbott Rd Ste 310, Buffalo, NY 14220-1700 | 2006-03-29 |
| 1891775201 | Michael Wilson | Internal Medicine | 9095 Main St, Clarence, NY 14031-1967 | 2006-01-20 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on MANISH B UNDAVIA.
| 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.