MANJU MARY JOHN (NPI# 1194987313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194987313 |
| Entity Type | Individual |
| Full Name | MANJU MARY JOHN |
| Practice Address |
420 Saybrook Rd Suite A Middletown CT 06457-4747 |
| Mailing Address |
420 Saybrook Rd Ste A Middletown CT 06457-4747 |
| Practice Telephone | 8603474258 |
| Practice Fax Number | 8607045924 |
| Mailing Telephone | 8606362010 |
| Mailing Fax Number | 8606362045 |
| Enumeration Date | 2008-06-29 |
| Last Update Date | 2019-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
052856 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
420 SAYBROOK RD SUITE A |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912917089 | Middlesex Cardiology Associates, PC | Internal Medicine | 420 Saybrook Rd, Middletown, CT 06457 | 2006-08-09 |
| 1962884205 | Alex C Gonzalez | Physician Assistant | 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 | 2015-06-23 |
| 1356623581 | Donna Mae Valva | Nurse Practitioner | 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 | 2011-09-14 |
| 1528267358 | Subramanian Krishnan | Internal Medicine | 420 Saybrook Rd, Middletown, CT 06457-4747 | 2007-07-12 |
| 1184723835 | Middlesex Heart Institute | Internal Medicine | 420 Saybrook Rd, Suite A, Middletown, CT 06457-4747 | 2006-09-21 |
| 1609984509 | David S Gallo | Internal Medicine | 420 Saybrook Rd, Middlesex Cardiology Associates, Middletown, CT 06457-4747 | 2006-08-29 |
| 1669580569 | Joseph J Corning | Internal Medicine | 420 Saybrook Rd, Middlesex Cardiology Associates, Middletown, CT 06457-4747 | 2006-08-29 |
| 1134237035 | Stephen M Franklin | Internal Medicine | 420 Saybrook Rd, Middlesex Cardiology Associates, Middletown, CT 06457-4747 | 2006-08-29 |
| 1811005713 | Keshava H Aithal | Internal Medicine | 420 Saybrook Rd, Middlesex Cardiology Associates, Middletown, CT 06457-4747 | 2006-08-29 |
| 1790899789 | Kimberly M Hudson | Nurse Practitioner | 420 Saybrook Rd, Middlesex Cardiology Associates, Middletown, CT 06457-4747 | 2006-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| 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 |
|---|---|---|---|---|
| 1952452021 | Cardiology South | Internal Medicine | 38 N Breiel Blvd, Middletown, OH 45042-3804 | 2007-01-16 |
| 1083783559 | Valley Cardiovascular Associates, P.C. | Internal Medicine | 75 Crystal Run Road, Orange Regional Medical Pavilion Suite 100, Middletown, NY 10941 | 2006-11-07 |
| 1568576452 | Arthur V Mcdowell | Internal Medicine | 520 Saybrook Road, Middlesex Cardiology Associates, Middletown, CT 06457 | 2006-08-18 |
| 1912917089 | Middlesex Cardiology Associates, PC | Internal Medicine | 420 Saybrook Rd, Middletown, CT 06457 | 2006-08-09 |
| 1568482677 | Walter H. Roehll | Internal Medicine | 1006 N University Blvd, Middletown, OH 45042-3300 | 2006-07-20 |
| 1750345948 | Cardiology Diagnostic Associates, LLC | Internal Medicine | 659 Spring Garden Dr, Middletown, PA 17057-3033 | 2006-04-14 |
| 1881681187 | Mojca Lorbar | Internal Medicine | 420 Saybrook Road, Suite A, Middlesex Cardiology Associates, Middletown, CT 06450 | 2005-10-02 |
| 1154325827 | Robert H Schwengel | Internal Medicine | 676 Aquidneck Ave, Middletown, RI 02842-5795 | 2005-06-09 |
| 1952303133 | Mohammad Atiq Khalid | Internal Medicine | 103 Mcknight Dr, Suite A, Middletown, OH 45044-4890 | 2005-06-01 |
| 1164425435 | Joseph Clemente | Internal Medicine | 1270 Highway 35, Middletown, NJ 07748 | 2005-05-31 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 06457 |
Please comment or provide details below to improve the information on MANJU MARY JOHN.
| 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.