NOAH PRAVEEN KUMAR KONDAMUDI


Address: 30 Bergen St, Admc 12 1205, Newark, NJ 07107-3000
Phone: 9739720037

NOAH PRAVEEN KUMAR KONDAMUDI (NPI# 1114958451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114958451
Entity Type Individual
Full Name NOAH PRAVEEN KUMAR KONDAMUDI
Credential M.D.
Practice Address 30 Bergen St
Admc 12 1205
Newark
NJ 07107-3000
Practice Telephone 9739720037
Enumeration Date 2006-07-05
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0204X Pediatrics
Specialization: Pediatric Emergency Medicine
25MA06802600 NJ Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NJ 8778205 05

Office Location

Street Address 30 BERGEN ST
ADMC 12 1205
City NEWARK
State NJ
Zip Code 07107-3000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1235119686 Susan V Garstang Physical Medicine & Rehabilitation 30 Bergen St, Admc 101, Newark, NJ 07107-3000 2006-01-20
1699225227 University Physician Associates of New Jersey, Inc Otolaryngology 30 Bergen St, Admc 1205, Newark, NJ 07107-3000 2016-10-06
1083068217 Ariel Patrice Sena Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 - Room 110, Newark, NJ 07107-3000 2016-04-13
1346694577 Helena Gvili Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc11 Rm 1110, Newark, NJ 07107-3000 2016-04-13
1124413265 Tiffany Chan Student in an Organized Health Care Education/Training Program 30 Bergen St, Emergency Medicine, Admc-11, Rm 1110, Newark, NJ 07107-3000 2015-04-06
1801152939 Subhanir Sunil Chitnis Emergency Medicine 30 Bergen St, Admc 11, Room 1110, Newark, NJ 07107-3000 2012-04-03
1659647873 Chidinma Dawn Kabba Emergency Medicine 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-04-02
1407122328 Joseph Alan Rogers Student in an Organized Health Care Education/Training Program 30 Bergen St, Admc 11 Room 1110, Newark, NJ 07107-3000 2012-03-26
1477842631 Suzanne A Katsetos Emergency Medicine 30 Bergen St, Admc 11, Rm 1110, Newark, NJ 07107-3000 2011-03-28
1669603387 Tobechukwu Clouden Psychiatry & Neurology 30 Bergen St, Newark, NJ 07107-3000 2009-07-29
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1750620944 Jeevan M Mathew Physical Therapist 500 0range Street, Suite 2, Newark, NJ 07107 2013-02-07
1982967386 D & M Quality of Life Services, LLP In Home Supportive Care 285 Roseville Avenue, Suite 118, Newark, NJ 07107 2012-06-20
1710121496 Paul Hsu Pharmacist 421 Bloomfield Ave, Guardys, Newark, NJ 07107 2009-04-27
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Taxonomy Information

Taxonomy Code 2080P0204X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Pediatric Emergency Medicine

Taxonomy Definition

A pediatrician who has special qualifications to manage emergencies in infants and children.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003038027 Catherine Anne Scarfi Pediatrics Newark Beth Israel Medical Center- Emergency Medicine, 201 Lyons Ave. Dept. D11 (emergency Medicine), Newark, NJ 07112-0000 2007-05-02
1477844827 Uchechi Azubuine Pediatrics 201 Lyons Ave, Newark, NJ 07112-2027 2011-04-20
1750508149 Maria Theresa Alvarez-ballway Pediatrics 150 Bergen St, Pediatric E.r, Newark, NJ 07103-2496 2007-04-19
1033246897 Ellen Monahan Pediatrics 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 2007-02-28
1518008960 Robert Louis Barricella Pediatrics 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 2007-02-09
1700924727 Maureen A. Rickerhauser-krall Pediatrics 150 Bergen St, Pediatric E.r, Newark, NJ 07103-2496 2007-02-02
1255479580 Katherine Baranowski Pediatrics 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 2007-02-01
1053463810 Tyrone K. Reyes Pediatrics 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 2007-01-18
1275602906 Beatriz C Arpayoglou Pediatrics 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 2006-11-07

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1467848622 Praneetha Chaganti Pediatrics 30 Prospect Ave, Hackensack, NJ 07601 2015-04-14
1588084404 Nisha Polavarapu Pediatrics 30 Prospect Ave, Hackensack, NJ 07601-1915 2014-04-17
1023433794 Minh-tu Do Pediatrics 1 Robert Wood Johnson Pl, Meb 342, New Brunswick, NJ 08901 2014-03-04
1174966816 Sondra Maureen Nemetski Pediatrics 30 Prospect Ave, Hackensack, NJ 07601-1915 2013-04-11
1124361878 Tina Dhebaria Pediatrics 1945 Route 33, Neptune, NJ 07753 2013-04-01
1679812630 Kpuc, LLC Pediatrics 530 Green St, Suite 100, Iselin, NJ 08830-2654 2013-02-11
1427315068 Christina Melchionne Miseo Pediatrics 100 Madison Ave, Morristown, NJ 07960-6136 2012-04-20
1831227875 Ambrin Hussain-rizvi Pediatrics 703 Main St, Paterson, NJ 07503-2621 2007-03-01
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Competitor

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City NEWARK
Zip Code 07107

Improve Information

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Dataset Information

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.

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