SHIRISH C PATRAWALLA (NPI# 1245346188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245346188 |
| Entity Type | Individual |
| Full Name | SHIRISH C PATRAWALLA |
| Credential | MD |
| Practice Address |
264 Boyden Ave Maplewood NJ 07040 |
| Practice Telephone | 9737634120 |
| Practice Fax Number | 9737631713 |
| Mailing Telephone | 9737634120 |
| Mailing Fax Number | 9737631713 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
27791 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 2062305 | 05 |
| Street Address |
264 BOYDEN AVE |
| City | MAPLEWOOD |
| State | NJ |
| Zip Code | 07040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871565887 | Dina Prus | Internal Medicine | 264 Boyden Ave, Empire Medical Group, Maplewood, NJ 07040-3070 | 2006-02-03 |
| 1417566498 | Matthew Parmar | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2020-07-27 |
| 1295380228 | Kathryn M Michelotti | Nurse Practitioner | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2019-08-06 |
| 1962951616 | Sandra Jeanne Thompson | Nurse Practitioner | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2016-09-22 |
| 1710344155 | Empire Surgical Assistants, LLC | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2016-01-15 |
| 1972975142 | Neiha, LLC | Internal Medicine | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2015-10-27 |
| 1043691736 | Empire Medical Urgentcare Center LLC | Clinic/Center | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2015-06-18 |
| 1063815173 | Marvelle Maloney | Obstetrics & Gynecology | 264 Boyden Ave, Maplewood, NJ 07040 | 2014-10-02 |
| 1518216274 | Heather Ann Sabol | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2012-09-10 |
| 1952656787 | Jessica Leigh Wolkun | Physician Assistant | 264 Boyden Ave, Maplewood, NJ 07040-3070 | 2012-07-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538654462 | Ajibola G Alli | Counselor | 15 Hausmann Ct Fl 1, Maplewood, NJ 07040 | 2018-06-23 |
| 1487142980 | Monica Goodrich | Student in an Organized Health Care Education/Training Program | Winchester Gardens, 333 Elmwood Ave, Maplewood, NJ 07040 | 2018-04-30 |
| 1487173795 | Jessica M Hodge | Marriage & Family Therapist | 35 Marie Place, Maplewood, NJ 07040 | 2017-09-18 |
| 1386173797 | Marianne Nadine Rubino | Social Worker | 111 Dunnell Road, Suite 201-8, Maplewood, NJ 07040 | 2017-06-08 |
| 1629504881 | Krishna Surapaneni | Pharmacist | 747 Irvington Avenue, Maplewood, NJ 07040 | 2017-05-10 |
| 1548717143 | Mindset Psychotherapy Center | Social Worker | 2040 Millburn Ave. Suite 205, Maplewood, NJ 07040 | 2016-09-01 |
| 1588010888 | Rochelle Laverne Brunson | Massage Therapist | 2130 Millburn Ave., Suite C8, Maplewood, NJ 07040 | 2016-05-05 |
| 1881082774 | Perry Grossman | Physical Medicine & Rehabilitation | 137 Parker Avenue, Maplewood, NJ 07040 | 2014-12-31 |
| 1124436746 | Karen Reckson | Specialist | 24 Beach Place, Maplewood, NJ 07040 | 2014-07-28 |
| 1427462670 | Appetite for Health | Dietitian, Registered | 94 Claremont Ave, Maplewood, NJ 07040 | 2014-06-16 |
| Find all providers in zip 07040 | ||||
| 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 |
|---|---|---|---|---|
| 1144602129 | Allina Health System | Internal Medicine | 1560 Beam Ave, Ste B, Maplewood, MN 55109-1191 | 2015-06-25 |
| 1629391180 | Cardiology and Vascular Consultants of New Jersey | Internal Medicine | 2168 Millburn Ave, Suite 204, Maplewood, NJ 07040-2640 | 2010-03-11 |
| 1740355627 | The Heart Specialists Group, LLC | Internal Medicine | 2130 Millburn Ave, Suite A4, Maplewood, NJ 07040-3725 | 2006-11-23 |
| 1255354726 | Sunil Patel | Internal Medicine | 2010 Springfield Ave, Maplewood, NJ 07040-3437 | 2006-07-25 |
| 1295756641 | Ocean Heart Inc. | Internal Medicine | 2010 Springfield Ave, Maplewood, NJ 07040-3437 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770109688 | Cardioconsultz Professional Corporation | Internal Medicine | 512 Washington Ter, Audubon, NJ 08106-2221 | 2020-06-17 |
| 1558994566 | Comprehensive Cardiovascular Consultants of Nj | Internal Medicine | 575 Route 28 Ste 3107, Raritan, NJ 08869-1354 | 2020-02-18 |
| 1992342349 | Heart & Vascular Care Consultants LLC | Internal Medicine | 3379 Quakerbridge Rd Ste 201, Hamilton, NJ 08619-1269 | 2019-12-04 |
| 1083269146 | Helio Malinverni Md Pa | Internal Medicine | 100 Federal City Rd Ste C-103, Lawrenceville, NJ 08648-1664 | 2019-08-06 |
| 1437718855 | Optimum Heart & Medical Care LLC | Internal Medicine | 172 Summerhill Rd Ste 4, East Brunswick, NJ 08816 | 2019-06-10 |
| 1760946974 | Advanced Medical & Cosmetic Center LLC | Internal Medicine | 208 Harristown Rd # Ll-2a, Glen Rock, NJ 07452-3308 | 2019-01-22 |
| 1447765102 | Consultative Cardiology LLC | Internal Medicine | 115 Van Cleef, Whitehouse Station, NJ 08889-3746 | 2017-12-04 |
| 1124531280 | Christiana Care Health Initiatives | Internal Medicine | 125 East Ave Ste D, Woodstown, NJ 08098-1351 | 2017-11-13 |
| 1427569938 | Paul Deutsch | Internal Medicine | 30 Brinkerhoff Ave, Teaneck, NJ 07666-3126 | 2017-10-24 |
| 1174064984 | Szt Medical LLC | Internal Medicine | 424 Hidden Valley Ct, Wyckoff, NJ 07481-1557 | 2017-03-13 |
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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.