DR. CAROLINE PATRICIA HALVERSTAM (NPI# 1215132147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215132147 |
| Entity Type | Individual |
| Full Name | DR. CAROLINE PATRICIA HALVERSTAM |
| Credential | M.D. |
| Practice Address |
1250 Waters Pl Tower 2, 6th Floor Bronx NY 10461-2720 |
| Practice Telephone | 8666338255 |
| Enumeration Date | 2007-06-20 |
| Last Update Date | 2015-03-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 251330 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03384416 | 05 |
| Street Address |
1250 WATERS PL TOWER 2, 6TH FLOOR |
| City | BRONX |
| State | NY |
| Zip Code | 10461-2720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316836 | David M.s. Shein | Orthopaedic Surgery | 1250 Waters Pl, Suite 903, Bronx, NY 10461-2720 | 2005-06-17 |
| 1699307983 | Larissa Arango | Physical Therapist | 1250 Waters Pl, Tower One / 10th Floor, Bronx, NY 10461 | 2020-02-05 |
| 1831730886 | Meaghan O'neill | Physician Assistant | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-10-01 |
| 1790334746 | Victoria Theresa Mccaffrey | Physician Assistant | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-09-11 |
| 1255980603 | Monica Poleway | Physician Assistant | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-09-09 |
| 1699323113 | Rujuta Rajendra Tandel | Physical Therapist | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-08-28 |
| 1457904864 | Deborah Thompkins | Licensed Practical Nurse | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-07-24 |
| 1427617521 | Shannon Pierce Donnelly | Physician Assistant | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-06-12 |
| 1194382648 | Diana Josephine Estrada Mislang | Nurse Practitioner | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-05-21 |
| 1700449873 | Kyle Melfe | Orthopaedic Surgery | 1250 Waters Pl, Bronx, NY 10461-2720 | 2019-04-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104211580 | Shira Wieder | Dermatology | 3333 Henry Hudson Pkwy Apt 1b, Bronx, NY 10463-3235 | 2015-04-01 |
| 1508048240 | Advanced Dermatology of New York PC | Dermatology | 291 E 149th St, Bronx, NY 10451-5601 | 2007-12-05 |
| 1477689362 | Susan Katz Md | Dermatology | 1578 Williasbridge Road, Bronx, NY 10461-6265 | 2007-02-26 |
| 1225199243 | Ronald Roman Liteplo | Dermatology | 3176 Bainbridge Avenue, Bronx, NY 10467-3980 | 2006-12-13 |
| 1619075389 | Peter G Burk | Dermatology | 267a W 231st St, Bronx, NY 10463-3903 | 2006-09-20 |
| 1477536068 | Kenneth Edward Bloom | Dermatology | 1455 West Ave, Bronx, NY 10462-7304 | 2005-11-28 |
| 1235124355 | Steven R Cohen | Dermatology | 111 East 210th Street, Division of Dermatology, Bronx, NY 10467-2490 | 2005-09-14 |
| 1295727808 | Eugene J Whang | Dermatology | 3620 E Tremont Ave, 2nd Floor, Bronx, NY 10465-2022 | 2005-08-19 |
| 1518964923 | Advanced Dermatology of New York PC | Dermatology | 2100 Bartow Ave, Ste 211, Bronx, NY 10475-4614 | 2005-06-30 |
| 1972917524 | Emily Hejazi | Dermatology | 111 E 210th St, Bronx, NY 10467-2401 | 2014-06-11 |
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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.