DR. ANTONY LESLIE INNASIMUTHU (NPI# 1104080639) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104080639 |
| Entity Type | Individual |
| Full Name | DR. ANTONY LESLIE INNASIMUTHU |
| Credential | MD |
| Practice Address |
620 Stanton Christiana Rd Suite 203 Newark DE 19713-2133 |
| Practice Telephone | 3023389444 |
| Practice Fax Number | 3023389449 |
| Mailing Telephone | 3023389444 |
| Mailing Fax Number | 3023389449 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2020-02-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
C1-0010967 | DE | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
C1-0010967 | DE | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
C1-0010967 | DE | Allopathic & Osteopathic Physicians |
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
C1-0010967 | DE | Allopathic & Osteopathic Physicians |
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
C1-0010967 | DE | Ambulatory Health Care Facilities |
| N | 282N00000X | General Acute Care Hospital | C1-0010967 | DE | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | 1104080639 | 05 |
| Street Address |
620 STANTON CHRISTIANA RD SUITE 203 |
| City | NEWARK |
| State | DE |
| Zip Code | 19713-2133 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649247487 | Ashish B Parikh | Internal Medicine | 620 Stanton Christiana Rd, Ste 203, Metroform Building, Newark, DE 19713 | 2006-03-01 |
| 1487281267 | Christine Marie Humbles | Nurse Practitioner | 620 Stanton Christiana Rd, Newark, DE 19713-2133 | 2020-03-24 |
| 1255889572 | Somatus Nephrology of Delaware, LLC | Internal Medicine | 620 Stanton Christiana Rd, Suite 101, Newark, DE 19713-2133 | 2016-09-15 |
| 1063965267 | Lauren Zastrow | Physician Assistant | 620 Stanton Christiana Rd, Suite 203, Newark, DE 19713-2133 | 2016-07-25 |
| 1215346150 | Anesha Victor | Nurse Practitioner | 620 Stanton Christiana Rd, Suite 203, Newark, DE 19713-2133 | 2014-08-05 |
| 1376958686 | Vascular Center Pa | Specialist | 620 Stanton Christiana Rd, Suite 201, Newark, DE 19713-2133 | 2014-06-25 |
| 1093142614 | Peter E Larned | Podiatrist | 620 Stanton Christiana Rd, Suite 303, Newark, DE 19713-2133 | 2013-09-27 |
| 1629401435 | Nicholas O Biasotto Do Pa | Family Medicine | 620 Stanton Christiana Rd, Ste 205, Newark, DE 19713-2133 | 2013-08-15 |
| 1689965006 | Michelle Meany Pietlock | Nurse Practitioner | 620 Stanton Christiana Rd, Suite 201, Newark, DE 19713-2133 | 2011-04-20 |
| 1942502992 | Charla Marie Phoenix | Physician Assistant | 620 Stanton Christiana Rd, Suite 302, Newark, DE 19713-2133 | 2010-11-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574490 | Stacie Guyton | Nurse Practitioner | 4501 Ogletown Stanton Road, Newark, DE 19713 | 2020-09-25 |
| 1225674633 | Michael Francis Stant | Specialist/Technologist | Delaware Field House, 617 South College Avenue Rm 111b, Newark, DE 19713 | 2019-11-20 |
| 1528559457 | Sarah Mun | Physician Assistant | 4755 Ogletown Stanton Rd, Newark, DE 19713 | 2018-05-26 |
| 1568983286 | Clarice Wanisku Kariuki | Licensed Practical Nurse | 15 Prestbury Square, Suite 14, Nweark, DE 19713 | 2017-07-03 |
| 1679029870 | Auxilia Akala | Nurse Practitioner | 1082 Churchmans Rd, Newrk, DE 19713 | 2016-08-28 |
| 1003369851 | Yawar Abbas | Psychiatry & Neurology | Rockford Center, 100 Rockford Dr, Newark, DE 19713 | 2016-07-28 |
| 1700245925 | Debra Hutz | Counselor | 25 Omega Dr., Professional Center #j, Newark, DE 19713 | 2016-02-16 |
| 1376918201 | Aquiles Igleisias | Speech-Language Pathologist | 540 South College Avenue, Newark, DE 19713 | 2015-12-03 |
| 1639547359 | Kylee Rose | Social Worker | 901 S. Chapel Street, Newark, DE 19713 | 2015-09-11 |
| 1932503976 | Kathleen Madara | Physical Therapist | 540 S College Ave, Suite 210, University of Delaware, Newark, DE 19713 | 2014-10-20 |
| Find all providers in zip 19713 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1194077586 | Hosmane Cardiology LLC | Internal Medicine | 4547 Ogletown Stanton Rd, Medical Arts Pavillion 1 Suite 135, Newark, DE 19713 | 2012-10-09 |
| 1568745016 | Emad F Aziz | Internal Medicine | 90 Bergen St # 3500, Newark, NJ 07103 | 2011-09-21 |
| 1497045504 | Usman I Choudhry | Internal Medicine | 4755 Ogletown Stanton Rd Ste 1070, Newark, DE 19718-2200 | 2011-04-10 |
| 1326357765 | Irvin Goldfarb, Md, Pa | Internal Medicine | 306 Martin Luther King Blvd, 4th Floor, Newark, NJ 07102 | 2010-10-04 |
| 1457670739 | Access Medicine Nj | Internal Medicine | 228 Lafayette St Fl 5, Newark, NJ 07105 | 2010-05-25 |
| 1467636936 | Cathedral Faculty Practice | Internal Medicine | 268 Dr. Martin Luther King Boulevard, Newark, NJ 07102-2094 | 2007-12-20 |
| 1790965259 | Irena O. Stolar, M.d., P.a. | Internal Medicine | 320 Christiana Medical Ctr, Newark, DE 19702-1653 | 2007-11-13 |
| 1235334145 | James Matthew Maher | Internal Medicine | 185 S Orange Ave # I532, Newark, NJ 07103-2757 | 2007-06-19 |
| 1366594848 | Sunrays Cardiology Inc | Internal Medicine | 71 South Terrace Avenue, Newark, OH 43055 | 2007-01-17 |
| 1184796682 | David S. Grubbs, M.d., P.a. | Internal Medicine | K15 Omega Drive, Suite 5, Newark, DE 19713 | 2006-11-14 |
| Find all providers in NEWARK | ||||
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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.