DR. REUBIN POOYA DAVOUDZADEH (NPI# 1306145057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306145057 |
| Entity Type | Individual |
| Full Name | DR. REUBIN POOYA DAVOUDZADEH |
| Credential | M.D. |
| Practice Address |
200 Belle Terre Rd Port Jefferson NY 11777-1928 |
| Mailing Address |
27 Gaetano Ln Coram NY 11727-2343 |
| Practice Telephone | 6314746166 |
| Mailing Telephone | 5165260127 |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
267056-1 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 300 Community Dr, Manhasset, NY 110303816 | 5165620100 |
| Street Address |
200 BELLE TERRE RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-1928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346243987 | Stacey Luise Tursi | Nurse Practitioner | 200 Belle Terre Rd, Dept. of Nursing Education, Port Jefferson, NY 11777 | 2005-05-27 |
| 1114555331 | Justine Morgan | Occupational Therapist | 200 Belle Terre Rd, Port Jefferson, NY 11777-1968 | 2020-04-01 |
| 1013543503 | Michelle Wah | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2020-03-17 |
| 1285266130 | James Joseph Cassin | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2020-02-09 |
| 1518599752 | Yigit Ali Gol | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2020-02-05 |
| 1043855596 | Robert Kennedy Awadallah | Pharmacist | 200 Belle Terre Rd, Port Jefferson, NY 11777-1968 | 2019-11-07 |
| 1356983449 | Joseph Francis Byrne | Physician Assistant | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-10-10 |
| 1871149740 | Alyssa Dawn Morando | Dietitian, Registered | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-08-15 |
| 1912562133 | Cassandra Jones | Anesthesiology | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-05-02 |
| 1235697400 | Joshua Jihun Sok | Student in an Organized Health Care Education/Training Program | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2019-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780858860 | Kenny Lien | Radiology | 75 N Country Road, Port Jefferson, NY 11777 | 2008-04-18 |
| 1538611876 | New York Radiology & Specialty Neuroradiology Pllc | Radiology | 450 Main St, Port Jefferson, NY 11777-1658 | 2016-11-03 |
| 1629431473 | Meghan Moriarty | Radiology | 75 N Country Rd, Port Jefferson, NY 11777 | 2016-03-30 |
| 1336428796 | John T. Mather Memorial Hospital | Radiology | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2011-08-16 |
| 1891816070 | John T. Mather Memorial Hospital | Radiology | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2007-04-03 |
| 1356412035 | Port Radiation Therapy PC | Radiology | 75 N Country Rd, Port Jefferson, NY 11777 | 2006-11-13 |
| 1194812479 | John T. Mather Memorial Hospital | Radiology | 120 N Country Rd, Port Jefferson, NY 11777-2604 | 2006-10-06 |
| 1619989464 | Professional Radiology PC | Radiology | 75 North Country Road, Port Jefferson, NY 11777 | 2006-08-12 |
| 1629080478 | Michelle P Price | Radiology | 75 N Country Rd, Port Jefferson, NY 11777-2119 | 2006-08-12 |
| 1164434924 | Port Interventional Radiology PC | Radiology | 75 North Country Road, Port Jefferson, NY 11777 | 2006-08-12 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
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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.