DR. SURENDRA KUMAR NEVATIA (NPI# 1396705869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396705869 |
| Entity Type | Individual |
| Full Name | DR. SURENDRA KUMAR NEVATIA |
| Credential | M.D. |
| Practice Address |
92 Broad St Glens Falls NY 12801-4383 |
| Practice Telephone | 5187939055 |
| Mailing Telephone | 5187939055 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2015-11-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
152775 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00889510 | 05 |
| Street Address |
92 BROAD ST |
| City | GLENS FALLS |
| State | NY |
| Zip Code | 12801-4383 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215089131 | Stephen Anthony Monn | Internal Medicine | 92 Broad St, Glens Falls, NY 12801-4383 | 2007-01-18 |
| 1447212717 | Adirondack Pulmonary Medicine,p.c. | Internal Medicine | 92 Broad St, Glens Falls, NY 12801-4383 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629549399 | Upstate Vision Care, Pllc | Technician/Technologist | 206 Glen St. Suite 31b, Colvin Building, Glens Falls, NY 12801 | 2018-12-06 |
| 1043737356 | Tiffany Britt | Social Worker | 43 Kensington Rd, Glens Falls, NY 12801 | 2017-08-28 |
| 1922375922 | Kathleen A Callaghan | Registered Nurse | 43 Kensington Road, Glens Falls, NY 12801 | 2011-11-19 |
| 1043595531 | Nancy K. Carroll | Social Worker | 37 Broad St., Glens Falls, NY 12801 | 2011-10-15 |
| 1992027528 | Benjamin Alan Rametta | Pharmacist | 202 Broad Street, Walgreens, Glens Falls, NY 12801 | 2010-02-23 |
| 1194052563 | Angela M Lalla | Audiologist | 318 Ridge Street, Glens Sallas, NY 12801 | 2009-11-05 |
| 1407018591 | Marilyn J Bryan | Counselor | 4 Technical Park, Suite #3, #6, Glens Falls, NY 12801 | 2008-06-30 |
| 1104087667 | Chase Chiropractic LLC | Chiropractor | 17 Pine St. 1 Irongate Center, Suite 3, Glens Falls, NY 12801 | 2008-06-18 |
| 1619183571 | Glens Falls Crossings LLC | Skilled Nursing Facility | 170 Warren Street, Glens Falls, NY 12801 | 2007-05-15 |
| 1417099706 | Patricia Ann Cameron | Psychologist | 464 Glen Street, Glens Falls, NY 12801 | 2007-02-13 |
| Find all providers in zip 12801 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437317351 | Shazia Amber Choudry | Internal Medicine | 100 Park St, Glens Falls Hospital Pulmonology, Glens Falls, NY 12801-4413 | 2008-05-28 |
| 1215089131 | Stephen Anthony Monn | Internal Medicine | 92 Broad St, Glens Falls, NY 12801-4383 | 2007-01-18 |
| 1447212717 | Adirondack Pulmonary Medicine,p.c. | Internal Medicine | 92 Broad St, Glens Falls, NY 12801-4383 | 2006-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197739 | Amna Omer Internal Medicine PC | Internal Medicine | 423 W 55th St Fl T4, New York, NY 10019-4460 | 2019-10-30 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1699284281 | Long Island Pulmonary Rehabilitation PC | Internal Medicine | 326 W Neck Rd, Huntington, NY 11743-1725 | 2017-09-26 |
| 1124478987 | Islandwide Medical Pllc | Internal Medicine | 275 Helm Ln, Bay Shore, NY 11706-8118 | 2016-06-13 |
| 1578968657 | Pulmonary and Sleep Medical PC | Internal Medicine | 2523 Avenue O, Brooklyn, NY 11210-5230 | 2014-10-30 |
| 1891101853 | Purav Chetan Shah | Internal Medicine | 515 W 59th St Apt 5p, New York, NY 10019-1264 | 2014-07-10 |
| 1982027744 | Osvaldo Fulco | Internal Medicine | 120 Turtle Cove Ln, Huntington, NY 11743-3858 | 2014-01-30 |
| 1174865315 | Harish Patel Pulmonary & Sleep, Pllc | Internal Medicine | 132 Saint Nicholas Ave, Brooklyn, NY 11237-4034 | 2013-03-26 |
| 1417299934 | Peter Stangel | Internal Medicine | 512 Devries Ct, Piermont, NY 10968-1068 | 2013-03-22 |
| 1083963458 | Nadia Pletukhina | Internal Medicine | 530 1st Ave Ste 5d, New York, NY 10016 | 2012-08-31 |
| Find all providers with the same taxonomy | ||||
| City | GLENS FALLS |
| Zip Code | 12801 |
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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.