SURUCHI SANTOSH DEWOOLKAR (NPI# 1093141624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093141624 |
| Entity Type | Individual |
| Full Name | SURUCHI SANTOSH DEWOOLKAR |
| Credential | D.O. |
| Practice Address |
176 Palisade Ave Jersey City NJ 07306-1121 |
| Mailing Address |
684 William Bliss Dr New Milford NJ 07646-1461 |
| Practice Telephone | 2017958200 |
| Mailing Telephone | 2012612428 |
| Enumeration Date | 2013-09-14 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
34.013790 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
176 PALISADE AVE |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07306-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689673923 | Virginia Marie Witt | Family Medicine | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2005-07-19 |
| 1639778301 | Alimata Sore Ouedraogo | Psychiatry & Neurology | 176 Palisade Ave, Jersey City, NJ 07306 | 2020-10-22 |
| 1205452299 | Amardeep Singh Chharan | Student in an Organized Health Care Education/Training Program | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2020-06-25 |
| 1629694740 | Raza Ahmed Zia | Student in an Organized Health Care Education/Training Program | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2020-06-24 |
| 1790309086 | Andrew Haroun | Student in an Organized Health Care Education/Training Program | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2020-06-02 |
| 1346864733 | Gene Chulyoung Yoo | Student in an Organized Health Care Education/Training Program | 176 Palisade Ave, Jersey City, NJ 07306-1196 | 2020-06-02 |
| 1104468651 | Jordan Delynn Pendleton | Physician Assistant | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2019-10-16 |
| 1821658402 | Birju V Amin | Student in an Organized Health Care Education/Training Program | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2019-06-17 |
| 1710545959 | Simone Gabrielle Rubin | Student in an Organized Health Care Education/Training Program | 176 Palisade Ave, Jersey City, NJ 07306-1121 | 2019-06-03 |
| 1275190993 | Polyxeni Gudis | Student in an Organized Health Care Education/Training Program | 176 Palisade Ave, Jersey City, NJ 07306-1196 | 2019-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225655186 | Hazem Shokry Mohamed Abdelhafez | Physical Therapist | 2 Vroom St, 4 R Apt, Jersey City, NJ 07306 | 2020-06-26 |
| 1407498223 | Shweta Sitaram Shenoy | Physical Therapist | 208 Hopkins Avenue 2nd Floor, Jersey, NJ 07306 | 2019-10-14 |
| 1932679909 | Morgan Teeratananon | Occupational Therapist | 2854 John Fitzgerald Kennedy Blvd, Jersey City, NJ 07306 | 2018-12-03 |
| 1255824892 | Best Home Care Inc | Home Health | 879 Bergen Avenue, Ste 200, Ste 200, Jersey City, NJ 07306 | 2018-06-08 |
| 1518455203 | New Jersey Weight Loss & Surgery PC | Surgery | 1 Journal Square Plaza, 3rd Floor, Jersey City, NJ 07306 | 2018-04-27 |
| 1225546922 | Chungmoo Huh | Acupuncturist | 720 Bergen Ave, Jersey City, NJ 07306 | 2018-01-16 |
| 1215451042 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2859 61 Kennedy Blvd, Jersey City, NJ 07306 | 2017-08-02 |
| 1447789128 | Krishna Shah | Physical Therapist | 43 Central Avenue, Jersey City, NJ 07306 | 2017-06-07 |
| 1275075749 | Jersey City Home Care | Home Health | 780 Newark Avenue Suite #203, Jersey City, NJ 07306 | 2016-11-15 |
| 1356752380 | Dina Ibrahim | Podiatrist | 550 Newark Ave Ste 307, Jersey City, NJ 07306 | 2014-05-13 |
| Find all providers in zip 07306 | ||||
| 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 |
|---|---|---|---|---|
| 1972803245 | Samy F Hanna Youssef | Radiology | 2300 Kennedy Blvd, Jersey City, NJ 07304-1510 | 2010-11-02 |
| 1477865558 | Westside Radiology Associates, PC | Radiology | 10 Exchange Place, Jersey City, NJ 07302-3918 | 2010-07-06 |
| 1083691752 | Harbor Medical Imaging, LLC | Radiology | 127 Montgomery St, Jersey City, NJ 07302-3616 | 2005-12-23 |
| 1265798375 | West Side Radiology Associates, PC | Radiology | 10 Exchange Pl, 14th Floor, Jersey City, NJ 07302-3918 | 2012-04-03 |
| 1063653780 | Jersey Liberty Radiology, P.C. | Radiology | 355 Grand St, Jersey City, NJ 07302-4321 | 2009-03-09 |
| 1053576132 | Jennifer Michelle Hendi | Radiology | 10 Exchange Pl Fl 15, Jersey City, NJ 07302-4934 | 2008-07-28 |
| 1649446410 | Jersey Liberty Radiology, LLC | Radiology | 355 Grand St, Jersey City, NJ 07302-4321 | 2008-05-01 |
| 1104028299 | Passaic County Integrated Healthcare | Radiology | 550 Newark Ave, Suite 201, Jersey City, NJ 07306-1326 | 2007-06-01 |
| 1881756146 | Cheryl Jean Byk | Radiology | 550 Summit Ave, Jersey City, NJ 07306-2707 | 2006-12-14 |
| 1235211350 | American Imaging of Jersey City Inc | Radiology | 550 Summit Ave, Jersey City, NJ 07306 | 2006-10-19 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07306 |
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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.