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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
25MA06802600 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 8778205 | 05 |
Street Address |
30 BERGEN ST ADMC 12 1205 |
City | NEWARK |
State | NJ |
Zip Code | 07107-3000 |
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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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
1811522634 | Yasheika Hermitt South | Licensed Practical Nurse | North 11th Street, Newark, NJ 07107 | 2020-03-12 |
1568941375 | Orange Street Spec LLC | Dentist | 509a Orange Street Suite A, Newark, NJ 07107 | 2018-08-13 |
1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
1053743997 | Center for Wound Science and Healing | General Acute Care Hospital | 495 North 13th Street, 2nd Floor, Newark, NJ 07107 | 2013-08-02 |
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 |
1194969774 | Prescriptions Etc Inc. | Clinic/Center | 421 Bloomfield Ave., Guardys, Newark, NJ 07107 | 2009-04-27 |
1821269630 | Chandra Gupta | Pediatrics | 156 Roseville Avenue, Newark, NJ 07107 | 2008-03-19 |
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Taxonomy Code | 2080P0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
Specialization | Pediatric Emergency Medicine |
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. |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225371404 | Prerna Trivedy | Pediatrics | 1 Robert Wood Johnson Pl # Place342, New Brunswick, NJ 08901-1928 | 2013-04-05 |
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 |
1285795229 | Joseph Reich | Pediatrics | 1 Robert Wood Johnson Pl, Robert Wood Johnson University Hospital - New Brunswick, New Brunswick, NJ 08901-1928 | 2006-12-13 |
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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.