DR. RENU HAUSEN (NPI# 1316950017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316950017 |
Entity Type | Individual |
Full Name | DR. RENU HAUSEN |
Other Name | RENU AGGARWAL |
Credential | MD |
Practice Address |
1333 Roanoke Ave Riverhead NY 11901 |
Practice Telephone | 6317272755 |
Practice Fax Number | 6312089521 |
Mailing Telephone | 6317272755 |
Mailing Fax Number | 6312089521 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2008-05-16 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
201506 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | BC/BS | W11401 | 01 |
NY | RR MEDICARE | CF3402 | 01 |
NY | MEDICARE GROUP HR | WEU091 | 01 |
NY | MEDICARE GROUP SHR | W22111 | 01 |
NY | 01849870 | 05 |
Street Address |
1333 ROANOKE AVE |
City | RIVERHEAD |
State | NY |
Zip Code | 11901 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487619409 | Zeinab Fathelbab | Specialist | 1333 Roanoke Ave, Riverhead, NY 11901-2029 | 2006-04-20 |
1467842518 | William F Buffone Dpm | Durable Medical Equipment & Medical Supplies | 1333 Roanoke Ave, Suite 204, Riverhead, NY 11901-2029 | 2015-01-28 |
1770841256 | Paul Youn | Internal Medicine | 1333 Roanoke Ave, Riverhead, NY 11901-2029 | 2012-05-02 |
1902078173 | Urological Associates of Li, PC | Specialist | 1333 Roanoke Ave, Riverhead, NY 11901-2029 | 2008-03-28 |
1942369608 | Martin Vandyne | Radiology | 1333 Roanoke Ave, Riverhead, NY 11901-2029 | 2006-12-08 |
1356451157 | William Brancaccio | Radiology | 1333 Roanoke Ave, Riverhead, NY 11901 | 2006-08-30 |
1407964695 | Justin Zack | Radiology | 1333 Roanoke Ave, Riverhead, NY 11901 | 2006-08-28 |
1427061126 | Margaret Whelan | Radiology | 1333 Roanoke Ave, Riverhead, NY 11901 | 2006-08-14 |
1225041924 | David Kirshy | Radiology | 1333 Roanoke Ave, Riverhead, NY 11901 | 2006-08-14 |
1134132830 | David Gross | Radiology | 1333 Roanoke Ave, Riverhead, NY 11901 | 2006-08-14 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578102786 | Michael Arthur Frangeskos | Physician Assistant | 1330 Roanoke Avenue, Riverhead, NY 11901 | 2020-01-06 |
1922569136 | Mjd Optical Corp | Optometrist | 1053 Route 58 Roanoke Ave, Riverhead, NY 11901 | 2019-03-29 |
1356837702 | Justin M Liu | Physician Assistant | 31 Main Rd Ste 3, Riverhead, NY 11901 | 2018-07-09 |
1467943522 | North Shore Hematology Oncology Associates PC | Clinic/Center | 750 Old Country Rd Bldg 2, Riverhead, NY 11901 | 2018-05-24 |
1063918688 | Riverhead Volunteer Ambulance Corps Inc | Ambulance | 111 Osborn Ave, Riverhead, NY 11901 | 2018-04-03 |
1669977906 | Joseph Cataldo | Student in an Organized Health Care Education/Training Program | 64 Ida Lane, Riverhead, NY 11901 | 2018-03-28 |
1861903056 | The Flanders Northampton Volunteer Ambulance Company Inc | Ambulance | 641 Flanders Road, Flanders, NY 11901 | 2017-10-16 |
1336676659 | Patricia Ann Leask | Registered Nurse | 300 Center Drive Suite 250, Methadone Clinic Department of Mental Health, Riverhead, NY 11901 | 2017-05-17 |
1922463447 | Diana Williams-burke | Counselor | 550 East Main St Suite 103, Riverhead, NY 11901 | 2015-12-29 |
1699155549 | Twin Forks Optometry, Pllc | Optometrist | 25 Cranberry Street, Riverhead, NY 11901 | 2015-06-05 |
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Taxonomy Code | 2085R0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Radiation Oncology |
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063496974 | Isamettin Aral | Radiology | 896 Old Country Rd, Riverhead, NY 11901-2107 | 2005-12-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053875229 | Msk Nassau | Radiology | 1101 Hempstead Turnpike, Uniondale, NY 11553 | 2019-01-22 |
1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
1639566516 | Fauzia Shaikh | Radiology | 525 E 68th St # 95, New York, NY 10065-4870 | 2015-04-18 |
1306231774 | Lucas Resende Salgado | Radiology | 370 Avenue U Apt 3, Brooklyn, NY 11223-4024 | 2015-04-02 |
1083008403 | Alan J. Katz, M.d., Pllc | Radiology | 1781 Hylan Blvd, Staten Island, NY 10305-1917 | 2015-03-24 |
1417368721 | Moses Min-chi Tam | Radiology | 550 1st Ave Fl 2, New York, NY 10016-6402 | 2014-05-09 |
1649690629 | Christine Chin | Radiology | 622 West 168th Street Chony North B-level, New York, NY 10032 | 2014-04-17 |
1336566272 | Stanislav Lazarev | Radiology | 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 | 2014-03-27 |
1548683022 | Metropolitan Radiation Oncology Consulting PC | Radiology | 686 Stoneleigh Ave., Carmel, NY 10512 | 2014-02-04 |
1295070845 | Ezzat T Youssef | Radiology | 5 Ridge Ave, Staten Island, NY 10304-1418 | 2012-12-09 |
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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.