DR. WATUTANTRIGE TAKSHAN DEALWIS (NPI# 1396798120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396798120 |
| Entity Type | Individual |
| Full Name | DR. WATUTANTRIGE TAKSHAN DEALWIS |
| Credential | M.D. |
| Practice Address |
223 N Van Dien Ave Ridgewood NJ 07450-2726 |
| Mailing Address |
71 Berkely Place Alpine NJ 07620 |
| Practice Telephone | 2014478586 |
| Practice Fax Number | 2014478491 |
| Mailing Telephone | 2017501907 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2011-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
25MA04286900 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 6358900 | 05 |
| Street Address |
223 N VAN DIEN AVE |
| City | RIDGEWOOD |
| State | NJ |
| Zip Code | 07450-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306840913 | Donna Mae Rudesyle | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2005-06-10 |
| 1942801956 | Kelly Kennedy | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2020-11-05 |
| 1649889858 | Barbara Abboud | Pharmacist | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2020-07-24 |
| 1326668930 | Gita Natovich | Pharmacist | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2020-04-23 |
| 1255975926 | Gertrude Patria Borja | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2019-11-05 |
| 1386209229 | Benita Shaji Varghese | Nurse Practitioner | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2019-05-07 |
| 1750851481 | Joe Juliano | Dietitian, Registered | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2018-11-26 |
| 1558857748 | Amanda Ukleja | Physician Assistant | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2018-07-10 |
| 1528597218 | Leah Serviano | Registered Nurse | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2017-06-07 |
| 1306377569 | The Valley Hospital Inc. | Pharmacy | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2017-03-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675857 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 213 Larue Road, W. Milford, NJ 07450 | 2019-05-28 |
| 1962065979 | Corey Chan | Student in an Organized Health Care Education/Training Program | 550 Lynn St, Ridgewood, NJ 07450 | 2019-04-16 |
| 1679058200 | Raymond Hawash | Pharmacist | 223 North Van Dien Ave, Ridgewood, NJ 07450 | 2018-09-28 |
| 1548771967 | Leonard Swerdlof | Dentist | 160 S Broad St, Ridgewood, NJ 07450 | 2017-10-12 |
| 1336671114 | Camp Sunshine and Camp Snowflake, Inc. | Respite Care | 1133 East Ridgewood Avenue, Ridgewood, NJ 07450 | 2017-03-30 |
| 1952764862 | Elysium Aesthetics and Vein Care, Inc | Radiology | 400 State Route 17, Ridgewood, NJ 07450 | 2016-03-30 |
| 1780077362 | Paul Walter Dasher | Psychologist | 76 West Ridgewood Avenue, Ridgewood, NJ 07450 | 2015-03-06 |
| 1255750071 | Myron Frank Lesh | Pharmacist | 305 E. Ridgewood Ave., Ridgewood, NJ 07450 | 2014-04-09 |
| 1649612912 | Jane Worthman-leva | Nutritionist | 357 South Irving St, Ridgewood, NJ 07450 | 2013-07-26 |
| 1427398858 | Life Opportunities Unlimited A Non Profit Corp. | Day Training, Developmentally Disabled Services | 75 North Maple Ave, Suite 104, Ridgewood, NJ 07450 | 2013-02-21 |
| Find all providers in zip 07450 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700418563 | Williambecker Md and Nina Sugar Md Child and Adolescentpsychiatry,llc | Psychiatry & Neurology | 589 Franklin Tpke, Ridgewood, NJ 07450-1989 | 2020-02-10 |
| 1184932931 | Alima B. Farooki Md PC | Psychiatry & Neurology | 127 Union St, Suite 106, Ridgewood, NJ 07450-4478 | 2010-09-15 |
| 1336355858 | William Becker | Psychiatry & Neurology | 589 Franklin Tpke, Ridgewood, NJ 07450-1989 | 2007-05-14 |
| 1275748717 | Alima Bibi Farooki | Psychiatry & Neurology | 127 Union St, Suite 106, Ridgewood, NJ 07450-4478 | 2007-05-10 |
| 1861613531 | Steven Jay Wruble | Psychiatry & Neurology | 1250 E Ridgewood Ave, Ridgewood, NJ 07450-3956 | 2007-05-01 |
| 1881755973 | West Bergen Mental Healthcare, Inc. | Psychiatry & Neurology | 120 Chestnut St, Ridgewood, NJ 07450-2504 | 2006-12-12 |
| 1750460754 | Sofia Kondrashin | Psychiatry & Neurology | 120 Chestnut Street, Ridgewood, NJ 07450 | 2006-11-02 |
| 1841214566 | Ravinder N Bhalla | Psychiatry & Neurology | 65 N Maple Ave, Ridgewood, NJ 07450-3233 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063059079 | Rr & C Associates | Psychiatry & Neurology | 705 Birchfield Dr, Mount Laurel, NJ 08054-4013 | 2019-12-09 |
| 1154888162 | St. Luke's Counseling Medical Center L.L.C. | Psychiatry & Neurology | 59 Seeley Ave, Kearny, NJ 07032-3120 | 2019-02-26 |
| 1194297614 | Childpsych Services, LLC | Psychiatry & Neurology | 940 Cedar Bridge Ave Fl 2, Brick, NJ 08723-4170 | 2018-12-21 |
| 1003279308 | Medisol, LLC | Psychiatry & Neurology | 226 Fisher Ave, Piscataway, NJ 08854-4833 | 2016-04-04 |
| 1043637465 | Jason Dean | Psychiatry & Neurology | 400 Frank W Burr Blvd # 6, Teaneck, NJ 07666-6839 | 2014-03-24 |
| 1184963837 | Prospect Psychiatric Services Limited Liability Company | Psychiatry & Neurology | 344 Prospect Ave Apt 1a, Hackensack, NJ 07601-2602 | 2013-01-31 |
| 1174870034 | Naomi Ambalu | Psychiatry & Neurology | 266 King George Rd Ste G, Warren, NJ 07059-5187 | 2012-08-10 |
| 1699022558 | Nanda Muthusawmy | Psychiatry & Neurology | 210 Malapardis Rd Ste 205, Cedar Knolls, NJ 07927 | 2012-08-10 |
| 1144512674 | Magalie Saint-lot Jacques | Psychiatry & Neurology | 31 Bridgewater Ct, Jackson, NJ 08527-4030 | 2011-05-03 |
| 1043501265 | Kathreen Tharwat Tadrous | Psychiatry & Neurology | 655 E. Jersey Sreet, Trinitas Regional Medical Center, Elizabeth, NJ 07206 | 2011-04-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. WATUTANTRIGE TAKSHAN DEALWIS.
| 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.