DR. PRIYANK KHANDELWAL (NPI# 1225347727) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225347727 |
| Entity Type | Individual |
| Full Name | DR. PRIYANK KHANDELWAL |
| Credential | M.D. |
| Practice Address |
90 Bergen St # 8100 Newark NJ 07103 |
| Mailing Address |
30 Bergen St Rm 1205 Newark NJ 07107-3000 |
| Practice Telephone | 9739722323 |
| Practice Fax Number | 9739722333 |
| Mailing Telephone | 9739720037 |
| Mailing Fax Number | 9739720743 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2018-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
25MA10382600 | NJ | Allopathic & Osteopathic Physicians |
| N | 2084V0102X |
Psychiatry & Neurology Specialization: Vascular Neurology |
25MA10382600 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0653543 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 450 Clarkson Ave, Brooklyn, NY 112032012 | 6468232385 |
| Street Address |
90 BERGEN ST # 8100 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07103 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073697330 | Krista Wark Rogaski | Physician Assistant | 90 Bergen St # 8100, Newark, NJ 07103-2425 | 2006-10-24 |
| 1649618596 | Dylan Francis Roden | Otolaryngology | 90 Bergen St # 8100, Newark, NJ 07103 | 2013-06-12 |
| 1386965523 | Pankaj K Agarwalla | Neurological Surgery | 90 Bergen St # 8100, Newark, NJ 07103 | 2010-06-22 |
| 1225264526 | Adham Samy Kamel Elsayed Elokda | Psychiatry & Neurology | 90 Bergen St # 8100, Newark, NJ 07103-2425 | 2009-06-02 |
| 1720288244 | Amit Singla | Neurological Surgery | 90 Bergen St # 8100, Newark, NJ 07103 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657077 | Yingna Liu | Student in an Organized Health Care Education/Training Program | Medical Science Building, 185 South Orange Avenue, Newark, NJ 07103 | 2020-04-03 |
| 1568029684 | Martins Akhibi | Nurse Practitioner | 178 Newton Street, Newark, NJ 07103 | 2019-05-23 |
| 1972168482 | Newark Renaissance House, Inc | Rehabilitation, Substance Use Disorder Unit | 50-56 Norfolk Street, Newark, NJ 07103 | 2019-05-09 |
| 1346709235 | Ian Wang Yu | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave., Medical Science Building, Room I-506, Newark, NJ 07103 | 2019-03-19 |
| 1437648417 | Stephen Vanbeek | Internal Medicine | 185 S Orange Ave Rm 547, Newark, NJ 07103 | 2018-05-06 |
| 1073019444 | Geoffrey Alexander Talis | Student in an Organized Health Care Education/Training Program | 183 S. Orange Avenue, Level E, Room 1452, Newark, NJ 07103 | 2018-04-03 |
| 1285139907 | Thomas Georg Bachmann | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Medical Science Building, G-538, Newark, NJ 07103 | 2018-03-26 |
| 1154825289 | Shammi A Patel | Student in an Organized Health Care Education/Training Program | 185 S Orange Ave # Msbg594, Newark, NJ 07103 | 2018-03-22 |
| 1982122545 | North Jersey Aids Alliance | Clinic/Center | 393 Central Avenue C/o Corey Destefano, Newark, NJ 07103 | 2017-09-05 |
| 1134655533 | Yasmin N Abedin | Student in an Organized Health Care Education/Training Program | 185 South Orange Ave, Msb E-506, Rutgers, New Jersey Medical School, Newark, NJ 07103 | 2017-05-04 |
| Find all providers in zip 07103 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164994166 | Acclaim Neurodiagnostics Group | Psychiatry & Neurology | 537 Stanton Christiana Rd Ste 106, Newark, DE 19713-2145 | 2019-01-02 |
| 1639300676 | Delaware Neuroscience Specialists | Psychiatry & Neurology | 774 Christiana Rd Ste 201b, Newark, DE 19713-4221 | 2009-08-06 |
| 1841461019 | Deren Huang | Psychiatry & Neurology | 150 Mcmillon Drive, Newark, OH 43055 | 2008-03-17 |
| 1477754893 | Maria R Alvarez Prieto | Psychiatry & Neurology | 41 Wilson Ave, Suite 2d, Newark, NJ 07105 | 2007-05-31 |
| 1245257013 | Eugene A Tolomeo | Psychiatry & Neurology | 1312 Driving Park Ave, Newark, NY 14513-1059 | 2006-07-16 |
| 1932131265 | John Robert Pollard | Psychiatry & Neurology | 774 Christiana Road, Suite 201, Newark, DE 19713-4221 | 2006-07-07 |
| 1902858475 | Joseph Handler | Psychiatry & Neurology | 774 Christiana Rd Ste 201, Newark, DE 19713-4221 | 2006-05-16 |
| 1912907197 | Michael M Moussouttas | Psychiatry & Neurology | 4755 Ogletown Stanton Rd Ste 2e99, Newark, DE 19718-2559 | 2005-07-28 |
| 1518317973 | Garland Tang | Psychiatry & Neurology | 150 Mcmillen Dr, Newark, OH 43055-1811 | 2016-06-16 |
| 1356756142 | Sandeep Devarapalli | Psychiatry & Neurology | 200 Hygeia Dr, Newark, DE 19713-2049 | 2014-07-01 |
| Find all providers in NEWARK | ||||
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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.