AJAY BALLADIN (NPI# 1134541733) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134541733 |
Entity Type | Individual |
Full Name | AJAY BALLADIN |
Practice Address |
350 S Broadway Hicksville NY 11801-5006 |
Mailing Address |
55 Water St 12th Fl. New York NY 10041-0004 |
Practice Telephone | 5169380100 |
Mailing Telephone | 6466802888 |
Mailing Fax Number | 5165425556 |
Enumeration Date | 2014-01-16 |
Last Update Date | 2017-02-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
338235 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
350 S BROADWAY |
City | HICKSVILLE |
State | NY |
Zip Code | 11801-5006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336149855 | Dominic Fiorenza | Podiatrist | 350 S Broadway, Hicksville, NY 11801-5006 | 2005-07-27 |
1295143287 | Athina Doulaveris | Optometrist | 350 S Broadway, Hicksville, NY 11801-5006 | 2014-07-23 |
1093099236 | Leili Iranmanesh | Physical Therapist | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-10-06 |
1437446705 | Miriam Riaz | Family Medicine | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-07-07 |
1437455268 | Nadia Qadri | Obstetrics & Gynecology | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-01-26 |
1053615914 | Valerie Rabinovich | Obstetrics & Gynecology | 350 S Broadway, Hicksville, NY 11801-5006 | 2011-01-06 |
1851607352 | Anthony Joy Camacho | Physical Therapist | 350 S Broadway, Hicksville, NY 11801-5006 | 2010-08-23 |
1073833851 | Zena Hassan | Internal Medicine | 350 S Broadway, Hicksville, NY 11801-5006 | 2010-06-03 |
1477789667 | Eric David Blacher | Family Medicine | 350 S Broadway, Hicksville, NY 11801-5006 | 2009-06-02 |
1992943906 | Chandni Ayushyaman Suba | Physical Therapist | 350 S Broadway, Hicksville, NY 11801-5006 | 2009-01-29 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
Find all providers in zip 11801 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558985200 | Rincy Eapen | Nurse Practitioner | 77 Moeller St, Hicksville, NY 11801-1933 | 2020-05-28 |
1881086874 | Cheol Woong Lee | Nurse Practitioner | 47 Ball Park Ln, Hicksville, NY 11801-4501 | 2015-02-27 |
1477954881 | Northshore University Hospital | Nurse Practitioner | 130 Wilfred Blvd, Hicksville, NY 11801-1923 | 2014-09-05 |
1891103487 | Sajani Abraham | Nurse Practitioner | 33 Cambridge Dr, Hicksville, NY 11801-3416 | 2014-07-27 |
1669071296 | Jessica Martins Santos | Nurse Practitioner | 108 Morgan St, Hicksville, NY 11801-3850 | 2020-10-24 |
1104455344 | Elizabeth Heitmeyer | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1250 | 2020-04-08 |
1427567957 | Christine Spates | Nurse Practitioner | 125 10th St, Hicksville, NY 11801-5509 | 2017-09-27 |
1447781802 | Doris Chiu | Nurse Practitioner | 232 W Old Country Rd, Hicksville, NY 11801-4011 | 2017-03-27 |
1417359761 | Siji Thomas | Nurse Practitioner | 130 Wilfred Blvd, Hicksville, NY 11801-1923 | 2014-09-18 |
1598165888 | Tara Garza | Nurse Practitioner | 208 Columbus St, Hicksville, OH 43526-1250 | 2014-08-25 |
Find all providers in HICKSVILLE |
City | HICKSVILLE |
Zip Code | 11801 |
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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.