NASIRUDDIN M JAMAL (NPI# 1386685923) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386685923 |
Entity Type | Individual |
Full Name | NASIRUDDIN M JAMAL |
Credential | MD |
Practice Address |
30 Harrison St Ste 250 Johnson City NY 13790 |
Practice Telephone | 6077708600 |
Practice Fax Number | 6077700853 |
Mailing Telephone | 6077708600 |
Mailing Fax Number | 6077700853 |
Enumeration Date | 2006-06-08 |
Last Update Date | 2011-02-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
123352 | NY | Allopathic & Osteopathic Physicians |
Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
123352 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 00412262 | 05 |
Street Address |
30 HARRISON ST STE 250 |
City | JOHNSON CITY |
State | NY |
Zip Code | 13790 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932105566 | Roman Thomas Pachulski | Internal Medicine | 30 Harrison St, Suite 250, Johnson City, NY 13790-2161 | 2005-06-28 |
1811488455 | Siddharth Dalal | Internal Medicine | 30 Harrison St, Johnson City, NY 13790 | 2018-05-18 |
1316342959 | Jodi Villanti | Nurse Practitioner | 30 Harrison St, Suite 460, Johnson City, NY 13790-2161 | 2014-10-24 |
1306277017 | Kara Spalik | Nurse Practitioner | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2013-12-05 |
1033459292 | Jerome H Rosenstein Md Pllc | Specialist | 30 Harrison St, Suite 320, Johnson City, NY 13790-2161 | 2013-02-26 |
1881946788 | Karen Lee Dunham | Physician Assistant | 30 Harrison St, Suite 455, Johnson City, NY 13790-2161 | 2012-10-03 |
1225325921 | Kimberly Hageman Merrill | Nurse Practitioner | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2011-07-01 |
1023252293 | Michail Vitellas | Internal Medicine | 30 Harrison St, Suite 250, Johnson City, NY 13790 | 2009-04-30 |
1063659241 | J Richard Cunningham | Surgery | 30 Harrison St, Suite 455, Johnson City, NY 13790-2161 | 2009-01-09 |
1821240011 | Shilpa Sambidi | Internal Medicine | 30 Harrison St, Suite 100, Johnson City, NY 13790-2161 | 2008-10-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578107645 | Thomas William Sorber | Occupational Therapist | 33 Harrison St, Johnson City, Johnson City, NY 13790 | 2019-11-01 |
1326534116 | Silver Linings Golden Memory Care | Clinic/Center | 4416 Watson Blvd, Johnson City, NY 13790 | 2018-07-05 |
1508308545 | Irene Mukeli Nzasi | Registered Nurse | 156 Corliss Ave Suite 107, Johnson City, NY 13790 | 2016-11-08 |
1053867754 | Tabitha Rae Toman | Physical Therapist | 34 Harrison St, Johnson City, NY 13790 | 2016-09-01 |
1235685066 | Dianne Brunner | Physical Therapist | 33-55 Harrison Street, Wilson Hospital, Johnson City, NY 13790 | 2016-08-31 |
1578982682 | Tracy Lynn Brown | Optometrist | 223 Reynolds Road, Johnson City, NY 13790 | 2014-04-16 |
1083041495 | Maryann Serbonich | Pharmacist | 52 Harrison Street, Johnson City, NY 13790 | 2013-09-30 |
1134464399 | Kasey Connor Folger | Speech-Language Pathologist | 3 Laurel St., Johnson City, NY 13790 | 2012-11-29 |
1467797571 | Bodyworks Physical Therapy LLC | Clinic/Center | 765 Harry L Drive, Johnson City, NY 13790 | 2012-11-29 |
1548518400 | Melissa L Korosec | Nurse Practitioner | 30 Harrison St., Suite 250, Johnson City, NY 13790 | 2012-08-27 |
Find all providers in zip 13790 |
Taxonomy Code | 207RI0011X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Interventional Cardiology |
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
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1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
1487294971 | John A. Lanzone, M.d., P.c | Internal Medicine | 173 Mineola Blvd Ste 406, Mineola, NY 11501-2555 | 2020-01-13 |
1831651058 | Cny Care of Ny IIi, LLC | Internal Medicine | 1131 Route 55 Ste 1c, Lagrangeville, NY 12540-5054 | 2019-04-05 |
1548741283 | North Shore Long Island Jewish Healthcare Inc. | Internal Medicine | 501 Seaview Ave Ste 300, Staten Island, NY 10305-3400 | 2018-08-21 |
1316433345 | Dheeraj Khurana Cardiology PC | Internal Medicine | 8912 Woodhaven Blvd, Woodhaven, NY 11421-2614 | 2018-07-02 |
1447758719 | Coordinated Health of Ny II, LLC | Internal Medicine | 708 3rd Ave Fl 6, New York, NY 10017-4119 | 2018-01-31 |
1407364383 | Cardiac Cin of Buffalo LLC | Internal Medicine | 3725c Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
1235647116 | Coordinated Health of Ny, LLC | Internal Medicine | 1131 Route 55 # 1c, Lagrangeville, NY 12540-5054 | 2018-01-13 |
1356711949 | Tess Marie Becker | Internal Medicine | 1184 5th Ave # P6-320, New York, NY 10029 | 2015-09-25 |
1720464589 | New York Cardiovascular Care P.C. | Internal Medicine | 30 Gardner Avenue, Hicksville, NY 11801 | 2015-08-04 |
Find all providers with the same taxonomy |
City | JOHNSON CITY |
Zip Code | 13790 |
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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.