GAUTAM MALHOTRA, MD LLC (NPI# 1386955003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386955003 |
Entity Type | Organization |
Organization Name | GAUTAM MALHOTRA, MD LLC |
Practice Address |
33 Overlook Rd Ste 212 Summit NJ 07901-3563 |
Practice Telephone | 9082730500 |
Mailing Telephone | 9082730500 |
Enumeration Date | 2010-06-28 |
Last Update Date | 2010-06-28 |
Authorized Official Name | DR. GAUTAM MALHOTRA (PHYSICIAN) |
Authorized Official Telephone | 9086471072 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
25MAO7676200 | NJ | Allopathic & Osteopathic Physicians |
Street Address |
33 OVERLOOK RD STE 212 |
City | SUMMIT |
State | NJ |
Zip Code | 07901-3563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053626747 | Rahul Malhotra | Psychiatry & Neurology | 33 Overlook Rd Ste 212, Summit, NJ 07901-3563 | 2010-08-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790242212 | Elizabeth Russo Putnam | Occupational Therapist | 88 Mountain Ave, Summit, NJ 07901 | 2019-02-21 |
1821536152 | Nyree Tchalikian | Social Worker | 467 Springfield Avenue, Suites 201-202, Summit, NJ 07901 | 2017-02-07 |
1891149050 | Trucare Homehealth Services, Inc | Health Maintenance Organization | 86 Summit Ave Suite Ll200, Summit, NJ 07901 | 2016-04-14 |
1043672975 | Brendan P. Mccollum, Md LLC | Clinic/Center | 33 Overlook Rd., Suite 210, Summit, NJ 07901 | 2016-03-21 |
1972917086 | Family and Sports Medicine Institute of New Jersey LLC | Physical Medicine & Rehabilitation | 33 Upper Overlook Rd, Suite 305, Summit, NJ 07901 | 2014-06-17 |
1639589666 | Adonis Cheng | Physician Assistant | Overlook Medical Center, 99 Beauvoir Avenue, Summit, NJ 07901 | 2014-04-29 |
1932542693 | Brian Patrick Thornton Jr. | Counselor | 33 Upper Overlook Road, Suite 210, Summit, NJ 07901 | 2013-04-12 |
1285977371 | Rehab Universe, LLC | Clinic/Center | 137 Springfield Ave, 2nd Floor, Summit, NJ 07901 | 2013-03-27 |
1568702348 | Summit Board of Education | Local Education Agency (LEA) | 14 Beekman Terrace, Summit, NJ 07901 | 2013-02-15 |
1538418082 | Dana N Cohen | Psychologist | 86 Summit Avenue, Summit Psychological Services, Summit, NJ 07901 | 2012-08-30 |
Find all providers in zip 07901 |
Taxonomy Code | 2081N0008X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Physical Medicine & Rehabilitation |
Specialization | Neuromuscular Medicine |
A physician who specializes in neuromuscular medicine possesses specialized knowledge in the science, clinical evaluation and management of these disorders. This encompasses the knowledge of the pathology, diagnosis and treatment of these disorders at a level that is significantly beyond the training and knowledge expected of a general neurologist, child neurologist or physiatrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: new] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. |
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1023624012 | Total Activcore PC | Physical Medicine & Rehabilitation | 719 Route 206 Ste 104, Hillsborough, NJ 08844-1529 | 2020-09-16 |
1619581105 | Jersey Shore Spine Center | Physical Medicine & Rehabilitation | 442 Lacey Rd Ste 7, Forked River, NJ 08731-2436 | 2020-09-02 |
1780157370 | Kajol Vora | Physical Medicine & Rehabilitation | 425 Washington Blvd Apt 2012, Jersey City, NJ 07310-2051 | 2019-01-07 |
1215322508 | Joanne Perkins | Physical Medicine & Rehabilitation | 201 New Rd, Linwood, NJ 08221-1201 | 2015-04-02 |
1316350481 | Pl Pmr Medical PC | Physical Medicine & Rehabilitation | 1018 Palisade Ave, Suite 18, Fort Lee, NJ 07024-6300 | 2014-06-06 |
1235476433 | Union County Comprehensive Medical and Rehabilitation Center, PC | Physical Medicine & Rehabilitation | 469 Morris Ave, Second Floor, Elizabeth, NJ 07208-2904 | 2013-01-08 |
1265719124 | David J Jacobs, Md Pa | Physical Medicine & Rehabilitation | 2780 Morris Ave, Suite 1b, Union, NJ 07083-4852 | 2011-11-07 |
1104100098 | Hudson Health Services Associates,pa | Physical Medicine & Rehabilitation | 3540 John F Kennedy Blvd, Jersey City, NJ 07307-3450 | 2011-10-10 |
1780991265 | Zach M Reid | Physical Medicine & Rehabilitation | 23659 Columbus Rd, Unit 3, Columbus, NJ 08022-1980 | 2010-09-07 |
1235312778 | Total Care of Union City, LLC | Physical Medicine & Rehabilitation | 415 39th St, Union City, NJ 07087-4817 | 2007-12-06 |
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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.