DR. JAGRUTI PANKAJ GOHEL (NPI# 1295906832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295906832 |
| Entity Type | Individual |
| Full Name | DR. JAGRUTI PANKAJ GOHEL |
| Credential | MD |
| Practice Address |
111 Maltese Dr Middletown NY 10940-2115 |
| Practice Telephone | 8453424774 |
| Practice Fax Number | 8453438741 |
| Mailing Telephone | 8453424774 |
| Mailing Fax Number | 8453438741 |
| Enumeration Date | 2008-03-21 |
| Last Update Date | 2011-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 253432 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE | A400013322 | 01 |
| NY | 03123562 | 05 |
| Street Address |
111 MALTESE DR |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396744892 | Stanley C. Giudici | Psychiatry & Neurology | 111 Maltese Dr, Middletown, NY 10940-2115 | 2005-07-18 |
| 1396342648 | Mckinnley Conklin | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2115 | 2020-10-08 |
| 1548884794 | Maria Pryluck | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2020-06-03 |
| 1407480551 | Kellie Cummings | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2020-02-27 |
| 1952944308 | Thomas C Macpherson | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-10-17 |
| 1801447313 | Elvira Sahmanovic | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-09-25 |
| 1225688799 | Sandra Binkowski | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-09-17 |
| 1174178222 | Elizabeth Jahn | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2115 | 2019-08-06 |
| 1194378554 | Christine Louise Straessle | Nurse Practitioner | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-07-24 |
| 1508426198 | Jillian Ann Carlstrom | Physician Assistant | 111 Maltese Dr, Middletown, NY 10940-2141 | 2019-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932748746 | Khalilah Williams-perry | Family Medicine | 20 Tammy Dr, Middletown, NY 10941-2052 | 2019-12-26 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1841787652 | Southcoast Physicians Group, Inc. | Family Medicine | 670 Aquidneck Avenue, Middletown, RI 02841 | 2018-04-17 |
| 1952832164 | Emmet Theodore Fenichel | Family Medicine | 18 Leonardville Rd, Middletown, NJ 07748-2311 | 2017-03-21 |
| 1346604774 | Austin James Williams | Family Medicine | 6147 State Route 122, Ste 200, Middletown, OH 45005-5201 | 2016-04-12 |
| 1174965412 | Home Medical Office, P.C. | Family Medicine | 18 Orchard St Ste 100, Middletown, NY 10940-5005 | 2013-07-29 |
| 1801121991 | Pamela Jean Hanson | Family Medicine | 4421 Roosevelt Blvd Ste A, Middletown, OH 45044-9024 | 2009-10-07 |
| 1053542068 | Jenny Q. Lu, M.d., Pllc | Family Medicine | 75 Crystal Run Rd Ste 105, Middletown, NY 10941-7003 | 2009-08-07 |
| 1396974556 | Mvhe Inc | Family Medicine | 253 N Breiel Blvd, Middletown, OH 45042-3807 | 2009-07-09 |
| 1073794665 | Zoila Cartaya | Family Medicine | 345 Stony Ford Rd, Middletown, NY 10941-3952 | 2007-11-25 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.