SHIVALI RAAV (NPI# 1093120800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093120800 |
Entity Type | Individual |
Full Name | SHIVALI RAAV |
Credential | M.D |
Practice Address |
111 Madison Ave Ste 305 Morristown NJ 07960 |
Mailing Address |
111 Madison Ave Ste 305 Morristown NJ 07960-7347 |
Practice Telephone | 9736831400 |
Mailing Telephone | 6308652424 |
Enumeration Date | 2014-07-01 |
Last Update Date | 2018-08-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 390200000X | Student in an Organized Health Care Education/Training Program | 4301106122 | MI | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
22151 Moross Rd, Pb1 Suite 311, Detroit, MI 48236 | 3133438306 | 3133434932 |
Street Address |
111 MADISON AVE STE 305 |
City | MORRISTOWN |
State | NJ |
Zip Code | 07960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710587050 | Deborah Ann Straka-demarco | Physical Therapist | 131 Madison Avenue, 3rd Floor, Morristown, NJ 07960 | 2020-10-27 |
1962009381 | Savannah Haririe | Family Medicine | 9 N Dorado Dr, Morristown, NJ 07960 | 2020-10-08 |
1063034718 | Cerebral Palsy of North Jersey, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1050 Mount Kemble Avenue, Harding, NJ 07960 | 2020-05-15 |
1154801967 | Danielle M Rediker | Physical Therapist | 25 Lindsley Drive Morristown, Nj 07960, 207, Morristown, NJ 07960 | 2018-08-21 |
1982105631 | Erin Scott | Counselor | 15 Elliott Street, Morristown, NJ 07960 | 2018-02-27 |
1992152029 | Alfre Inc. | Clinic/Center | 56 Mt Kemble Ave, Morrsitown, NJ 07960 | 2016-05-18 |
1285081588 | Pamela Marel | Social Worker | 3 First Street, Apt#2, Morristown, NJ 07960 | 2016-05-17 |
1346696671 | Community Options Enterprises, Inc | Day Training, Developmentally Disabled Services | 150 -152 Speedwell Avenue, Morristown, NJ 07960 | 2016-05-05 |
1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
1912372392 | Universal Rehabilitation & Fitness Center Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 41 Tiger Lily Ln, Morristown, NJ 07960 | 2015-12-10 |
Find all providers in zip 07960 |
Taxonomy Code | 390200000X |
Grouping | Student, Health Care |
Classification | Student in an Organized Health Care Education/Training Program |
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
Notes: [1/1/2005: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487280780 | Ambika Sharma | Student in an Organized Health Care Education/Training Program | 8 Applewood Ln, Morristown, NJ 07960-5984 | 2020-03-18 |
1770046047 | Blake Edward Bandeff | Student in an Organized Health Care Education/Training Program | 95 Mount Kemble Ave # 205, Morristown, NJ 07960-5155 | 2019-04-12 |
1841654274 | Matthew Olesiak | Student in an Organized Health Care Education/Training Program | 100 Madison Avenue, Morristown, Nj 07960, Morristown, NJ 07960 | 2016-04-12 |
1912297854 | Allison Mautone | Student in an Organized Health Care Education/Training Program | 55 Alexandria Rd, Morristown, NJ 07960-3638 | 2011-04-12 |
1447456728 | Fritzgerald Estinfa | Student in an Organized Health Care Education/Training Program | 100 Madison Ave # 8, Emergency Medicine Department, Morristown, NJ 07960-6136 | 2007-06-25 |
1649885351 | Talha Iqbal | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-09-09 |
1245848480 | Rebecca Hope Gilley | Student in an Organized Health Care Education/Training Program | 815 W 5th North St, Morristown, TN 37814-3810 | 2020-07-14 |
1982220240 | Jordan Nelson | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-23 |
1851915235 | Maureen Younan | Student in an Organized Health Care Education/Training Program | 100 Madison Ave, Morristown, NJ 07960-6136 | 2020-06-02 |
1558984211 | Olivia Carol Norton | Student in an Organized Health Care Education/Training Program | 310 W 3rd North St, Morristown, TN 37814-4038 | 2020-05-28 |
Find all providers in MORRISTOWN |
City | MORRISTOWN |
Zip Code | 07960 |
Please comment or provide details below to improve the information on SHIVALI RAAV.
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.