DR. DIWAKAR JAIN (NPI# 1265480784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265480784 |
| Entity Type | Individual |
| Full Name | DR. DIWAKAR JAIN |
| Credential | MD |
| Practice Address |
19 Bradhurst Ave Hawthorne NY 10532-2140 |
| Mailing Address |
100 Woods Rd Tcc- Rm D368 Valhalla NY 10595-1530 |
| Practice Telephone | 9149096900 |
| Practice Fax Number | 9144932828 |
| Mailing Telephone | 9144937530 |
| Mailing Fax Number | 9144935827 |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-03-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
263741 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
MD072624L | PA | Allopathic & Osteopathic Physicians |
| Y | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
263741 | NY | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
MD072624L | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 001829590 | 05 | |
| NY | NY M.D. LICENSE | 263741 | 01 |
| Street Address |
19 BRADHURST AVE |
| City | HAWTHORNE |
| State | NY |
| Zip Code | 10532-2140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437152618 | Martin Cohen | Internal Medicine | 19 Bradhurst Ave, Ste 3850s, Hawthorne, NY 10532-2140 | 2005-05-23 |
| 1194368472 | Susan Eleanora Russo | Dietitian, Registered | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2019-10-19 |
| 1326536434 | Amanda Elizabeth Muldoon | Audiologist | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2018-04-24 |
| 1992252662 | Daniela Levin | Physician Assistant | 19 Bradhurst Ave, Ste 3050n, Hawthorne, NY 10532-2140 | 2016-09-09 |
| 1831564616 | Diane Lindsay-adler | Dietitian, Registered | 19 Bradhurst Ave, Hawthorne, NY 10532-2140 | 2015-12-05 |
| 1730551755 | Alessandra Marino | Physician Assistant | 19 Bradhurst Ave, Suite 2575, Hawthorne, NY 10532-2140 | 2015-10-29 |
| 1093190043 | Adedoyin Solomon | Nurse Practitioner | 19 Bradhurst Ave, Suite 2300, Hawthorne, NY 10532-2140 | 2015-07-20 |
| 1912396219 | Jaclyn Basso | Nurse Practitioner | 19 Bradhurst Ave, Suite 1400, Hawthorne, NY 10532-2140 | 2015-01-10 |
| 1073919874 | Jessica Hoffman | Audiologist | 19 Bradhurst Ave, Ste 3600s, Hawthorne, NY 10532-2140 | 2014-11-06 |
| 1841693413 | Amy Sue Habeck | Dietitian, Registered | 19 Bradhurst Ave, Suite 1700, Hawthorne, NY 10532-2140 | 2014-09-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447792924 | Avril Dunbar | Registered Nurse | 228-500 Linda Ave, Hawthorne, NY 10532 | 2016-11-15 |
| 1134572704 | Ronald Tomlinson Jr. | Licensed Practical Nurse | 228- 500 Linda Avenue, Hawthorne, NY 10532 | 2016-07-19 |
| 1831566843 | Noble A Thomas | Chiropractor | 153 Broadway Ste 1, Hawthorne, NY 10532 | 2015-08-25 |
| 1790169068 | Sheila Astorino | Case Manager/Care Coordinator | 281 Pythian Avenue, Hawthorne, NY 10532 | 2015-07-16 |
| 1962801381 | Edison Pena | Student in an Organized Health Care Education/Training Program | 2226 Linda Avenue, Hawthorne, NY 10532 | 2014-08-21 |
| 1093029720 | Kathleen B Shaps | Registered Nurse | 226 Linda Avenue, Hawthorne, NY 10532 | 2010-08-05 |
| 1457580839 | Tracey Leah Shannon | Nurse Practitioner | 19 Bradhurst Ave Ste 3850s, Hawthorne, NY 10532 | 2009-07-07 |
| 1033364930 | Aldo Joseph Porco Md | Psychiatry & Neurology | 500 Linda Ave., Hawthorne, NY 10532 | 2008-11-20 |
| 1164675443 | Joanne Mary Bortone | Occupational Therapist | 1 Skyline Drive Suite 298, Kidabilities, Hawthorne, NY 10532 | 2008-10-30 |
| 1306094420 | Jeffrey Scott Anderson | Counselor | 226 Linda Ave., Hawthorne, NY 10532 | 2008-09-03 |
| Find all providers in zip 10532 | ||||
| Taxonomy Code | 207UN0901X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Nuclear Medicine |
| Specialization | Nuclear Cardiology |
| A nuclear medicine physician who specializes in nuclear cardiology. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Nuclear Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356985683 | Robe Zack Olanz Md Oles | Nuclear Medicine | 401 7th Ave, New York, NY 10001-3463 | 2019-10-30 |
| 1326552548 | Sylvan Healthcare Inc | Nuclear Medicine | 849 57th St Ste 801, Brooklyn, NY 11220-3797 | 2017-11-27 |
| 1629505003 | Gramercy Cardiology, PC | Nuclear Medicine | 131 W 35th St # 700, New York, NY 10001-2111 | 2017-05-17 |
| 1912329467 | Kings Medical Services PC | Nuclear Medicine | 1847 Utica Ave, 1st Fl, Brooklyn, NY 11234-2122 | 2014-01-16 |
| 1962832485 | Gold Coast Cardiology PC | Nuclear Medicine | 370 Northern Blvd, Great Neck, NY 11021-4813 | 2013-11-19 |
| 1568727782 | New York Cardiac, P.C. | Nuclear Medicine | 5 Jeanne Dr Ste 5, Newburgh, NY 12550-1797 | 2012-07-13 |
| 1194016618 | Gramercy Cardiac Diagnostic Services, P.C. | Nuclear Medicine | 2329 Nostrand Ave, 600, Brooklyn, NY 11210-3839 | 2011-05-02 |
| 1366776700 | Gramercy Cardiac Diagnostic Svcs P.C. | Nuclear Medicine | 90 Moore St, Unit 1a, Brooklyn, NY 11206-3353 | 2009-10-01 |
| 1447584883 | Gramercy Cardiac Diagostic Svcs P.C. | Nuclear Medicine | 9617 Astoria Blvd, East Elmhurst, NY 11369-1815 | 2009-10-01 |
| 1366691610 | Metro Physician Associates LLP | Nuclear Medicine | 1973 University Blvd, Bronx, NY 10453-4404 | 2008-09-11 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DIWAKAR JAIN.
| 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.