DR. PALAK MOONDRA (NPI# 1124267091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124267091 |
| Entity Type | Individual |
| Full Name | DR. PALAK MOONDRA |
| Credential | DO |
| Practice Address |
254 Easton Ave New Brunswick NJ 08901-1766 |
| Practice Telephone | 7327456655 |
| Mailing Telephone | 7327456655 |
| Enumeration Date | 2009-02-16 |
| Last Update Date | 2011-04-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
25MB08886800 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
248292 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 248292 | NY | Student, Health Care |
| Street Address |
254 EASTON AVE |
| City | NEW BRUNSWICK |
| State | NJ |
| Zip Code | 08901-1766 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033112859 | Kathy O Covert | Nurse Practitioner | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2005-05-24 |
| 1033710173 | William Andres Vasquez Espinosa | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-05 |
| 1639770746 | Andrea Santos | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-04 |
| 1548861651 | Shikha Jha | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-11-04 |
| 1497354682 | Andres Calderon | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-10-20 |
| 1023623311 | Tamanna Mahesh Kumar Chandak | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-09-13 |
| 1972117786 | Sreelakshmi Chettoor Janardhanan | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-08-31 |
| 1487262416 | Jan Carol Hader | Social Worker | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-07-15 |
| 1083238828 | Suyansh Sharma | Student in an Organized Health Care Education/Training Program | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-06-07 |
| 1447874623 | Gwendolyn Morkorhn Delbridge | Nurse Practitioner | 254 Easton Ave, New Brunswick, NJ 08901-1766 | 2020-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
| 1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
| 1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
| 1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
| 1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
| 1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
| 1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
| 1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
| 1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
| Find all providers in zip 08901 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1841633369 | Zahava Nilly Brodt | Internal Medicine | 125 Paterson St Ste 2300, New Brunswick, NJ 08901-1962 | 2013-04-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366983033 | Liberty Med Associates LLC | Internal Medicine | 999 Palmer Ave Ste 1, Holmdel, NJ 07733 | 2017-03-15 |
| 1013369461 | Pankaj Gupta | Internal Medicine | 31 Southfield Rd, Edison, NJ 08820-3141 | 2016-07-11 |
| 1780091736 | Sukhwinder K. Hundle M.d., P.a. | Internal Medicine | 721 N Beers St Ste 1a, Holmdel, NJ 07733-1500 | 2014-07-22 |
| 1649602897 | David M Lackner | Internal Medicine | 2107 Aqueduct Ln, Cherry Hill, NJ 08002-1932 | 2013-07-30 |
| 1871866632 | Anna H Zezon | Internal Medicine | 197 Cedar Ln Ste 2, Teaneck, NJ 07666-4300 | 2012-02-09 |
| 1760759740 | Ashvini Health Services | Internal Medicine | 2271 State Highway 33 Ste 110, Hamilton, NJ 08690-1749 | 2011-11-19 |
| 1518241934 | Hygiea Healthcare,llc | Internal Medicine | 100 Plainsboro Rd, Plainsboro, NJ 08536-1914 | 2011-10-04 |
| 1578857066 | Raymond Cogen | Internal Medicine | 72 Grange Ave, Fair Haven, NJ 07704-3004 | 2011-06-02 |
| 1871804534 | Medical and Geratric Associate PC | Internal Medicine | 2239 Center Ave, Fort Lee, NJ 07024-6123 | 2010-06-28 |
| 1598086969 | Jeycare, LLC | Internal Medicine | 43 Rainford Rd, Edison, NJ 08820-2930 | 2010-06-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW BRUNSWICK |
| Zip Code | 08901 |
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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.