SHAYAN KHORSANDI (NPI# 1083159305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1083159305 |
Entity Type | Individual |
Full Name | SHAYAN KHORSANDI |
Credential | M.D. |
Practice Address |
5045 Route 130 Ste I Delran NJ 08075 |
Mailing Address |
5045 Route 130 Ste I Delran NJ 08075-9707 |
Practice Telephone | 8567647660 |
Mailing Telephone | 8567647660 |
Enumeration Date | 2016-12-21 |
Last Update Date | 2018-07-16 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207V00000X | Obstetrics & Gynecology | 25MA10177800 | NJ | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
3 Cooper Plz Rm 221, Camden, NJ 081031438 | 7872265425 |
Street Address |
5045 ROUTE 130 STE I |
City | DELRAN |
State | NJ |
Zip Code | 08075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326438060 | Kerry-anne Perkins | Obstetrics & Gynecology | 5045 Route 130 Ste I, Delran, NJ 08075 | 2015-02-03 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659894947 | Mackenzie June Peed | Specialist/Technologist | 7 Aster Ct, Delran, NJ 08075 | 2017-07-19 |
1912427824 | Megan Marie Staerk | Nurse Practitioner | 102 Wayside Court, Delran, NJ 08075 | 2017-06-21 |
1043746746 | Bancroft Neurohealth | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 506 Leon Ave, Delran, NJ 08075 | 2017-05-02 |
1407394489 | Rachel Petrin | Speech-Language Pathologist | 80 Stecher Ave, Delran, NJ 08075 | 2017-02-09 |
1902267495 | Elizabeth Merlino | Pharmacist | 4000 Rout 130, Unit 17, Delran, NJ 08075 | 2016-03-11 |
1659753234 | The Arc of Burlington County, Inc. | Day Training, Developmentally Disabled Services | 801 Burlington Avennue, Unit B, Delanco, NJ 08075 | 2015-06-19 |
1073758876 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 7001 Route 130, Delran, NJ 08075 | 2008-12-08 |
1154458297 | Senior Care Centers of America, Inc. | Respite Care | 8008 Us Route 130 North, Bldg B, Suite 300, Delran, NJ 08075 | 2007-02-27 |
1528103256 | Jean Metz | Social Worker | 950 Chester Ave, Delran, NJ 08075 | 2007-02-20 |
1427140904 | New Jersey Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | Rt 130 South and Tenby Chase Dr, Delran, NJ 08075 | 2006-09-29 |
Find all providers in zip 08075 |
Taxonomy Code | 207V00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326438060 | Kerry-anne Perkins | Obstetrics & Gynecology | 5045 Route 130 Ste I, Delran, NJ 08075 | 2015-02-03 |
1114073269 | Linda J Edwards | Obstetrics & Gynecology | 5045 Route 130 South, Suite I, Delran, NJ 08088 | 2007-01-25 |
1457390189 | Kathleen M. Christophe | Obstetrics & Gynecology | 5045 Us-130, Delran, NJ 08075-2908 | 2006-06-06 |
1013061381 | Alliance Ob Gyn Consultants LLC | Obstetrics & Gynecology | 5045 Route 130, Suite I, Delran, NJ 08075-9707 | 2007-01-23 |
1902984909 | Chike W Obianwu | Obstetrics & Gynecology | 5045 Route 130, Suite I, Delran, NJ 08075-9707 | 2006-11-01 |
1235169202 | Khatoon T Ginwala | Obstetrics & Gynecology | 5045 Route 130, Suite I, Delran, NJ 08075-9707 | 2006-07-04 |
1699723999 | Alka Kohli | Obstetrics & Gynecology | 5045 Route 130, Suite I, Delran, NJ 08075-9707 | 2006-05-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376172262 | Julia Buldo-licciardi | Obstetrics & Gynecology | 712 Beechcrest Dr, River Vale, NJ 07675-6053 | 2020-04-03 |
1154964773 | Gerard G Nahum | Obstetrics & Gynecology | 29 Canal Xing, Lake Hopatcong, NJ 07849-2419 | 2019-10-27 |
1558821587 | Todays Women Gynecology Pa | Obstetrics & Gynecology | 385 Prospect Ave Ste 314, Hackensack, NJ 07601-2570 | 2019-03-25 |
1679038962 | Nj Premier Women Health LLC | Obstetrics & Gynecology | 1300 Main Ave Ste 3c, Clifton, NJ 07011-2266 | 2019-01-31 |
1578041174 | St. Luke's Warren Physician Group, PC | Obstetrics & Gynecology | 39 Roseberry St Ste 2, Phillipsburg, NJ 08865-1627 | 2018-08-06 |
1881195881 | Fisayo Tunde | Obstetrics & Gynecology | 3322 Us Highway 22 Ste 1302, Branchburg, NJ 08876 | 2018-02-24 |
1477053072 | Vernon & Bustamante Assoc LLC | Obstetrics & Gynecology | 85 Nautilus Dr Ste A&b, Manahawkin, NJ 08050-2448 | 2018-02-20 |
1598264681 | Amy Patel | Obstetrics & Gynecology | 123 Franklin Corner Rd Ste 214, Lawrenceville, NJ 08648-2526 | 2018-02-05 |
1174033914 | Ragin Patel Md LLC | Obstetrics & Gynecology | 2177 Oak Tree Rd Ste 205, Edison, NJ 08820-1082 | 2017-10-06 |
1376067181 | Nghotra | Obstetrics & Gynecology | 3185 John F Kennedy Blvd, Jersey City, NJ 07306-3415 | 2017-08-02 |
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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.