KEJAL AMIN (NPI# 1417509225) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417509225 |
| Entity Type | Individual |
| Full Name | KEJAL AMIN |
| Credential | PHARMD |
| Practice Address |
111 Goose Ln Guilford CT 06437-5101 |
| Mailing Address |
64 Golden Hill Dr Guilford CT 06437-2191 |
| Practice Telephone | 5166611385 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1835X0200X |
Pharmacist Specialization: Oncology |
PCT.0011338 | CT | Pharmacy Service Providers |
| Street Address |
111 GOOSE LN |
| City | GUILFORD |
| State | CT |
| Zip Code | 06437-5101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982692794 | Thomas E Verdone | Specialist | 111 Goose Ln, Guilford, CT 06437-5101 | 2005-10-06 |
| 1841462488 | Ssc II LLC | Clinic/Center | 111 Goose Ln, Guilford, CT 06437-5101 | 2008-03-24 |
| 1124299664 | Sarah Elizabeth Rogers | Physical Therapist | 111 Goose Ln, Suite 2500, Guilford, CT 06437-5101 | 2008-03-12 |
| 1861673691 | Daniel M Greif | Internal Medicine | 111 Goose Ln, Guilford, CT 06437-5101 | 2007-11-20 |
| 1386836849 | Alvin Donald Greenberg | Specialist | 111 Goose Ln, Ste 2300, Guilford, CT 06437-5101 | 2007-08-17 |
| 1124247325 | Cheryl Lea Robaczynski | Dietitian, Registered | 111 Goose Ln, Ynhh Shoreline Medical Center, Guilford, CT 06437-5101 | 2007-04-25 |
| 1538388350 | Susann Caroline Boroczky | Dietitian, Registered | 111 Goose Ln, Guilford, CT 06437-5101 | 2007-04-24 |
| 1891918850 | Yale New Haven Hospital | Dietitian, Registered | 111 Goose Ln, Office #1806, Guilford, CT 06437-5101 | 2007-04-10 |
| 1043305402 | Jody Heffernan | Nurse Practitioner | 111 Goose Ln, Guilford, CT 06437-5101 | 2006-10-03 |
| 1871548768 | Physiotherapy Associates Inc | Clinic/Center | 111 Goose Ln, Suite 2500, Guilford, CT 06437-5101 | 2006-05-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275012148 | Guilford Holistic Health Practitioners, LLC | Clinic/Center | 5 Durham Rd Ste B6, Guilford, CT 06437 | 2018-08-10 |
| 1043738594 | Stephanie Rose Weady | Physical Therapist | 753 Boston Post Road Suite 101, Guilford, CT 06437 | 2017-09-05 |
| 1104221019 | Holistic Psychotherapy | Social Worker | 35 Boston St., Guilford, CT 06437 | 2014-11-04 |
| 1083030332 | Frank Edward West | Marriage & Family Therapist | 17 E. River Rd, Guilford, CT 06437 | 2014-03-11 |
| 1063845188 | Stephanie Gerrish O'sullivan | Health Educator | 623 Village Walk, Guilford, CT 06437 | 2013-08-13 |
| 1205279247 | Jared Macklin | Internal Medicine | 800 Boston Post Rd Ste 201, Guilford, CT 06437 | 2013-04-09 |
| 1821364019 | Elan Gorshein | Internal Medicine | Yale-new Haven Shoreline Medical Center, 111 Goose Lane, Suite 1300, Guilford, CT 06437 | 2012-04-01 |
| 1740411396 | Denise Lewis Roberts | Social Worker | 2 Guile Road, Guilford, CT 06437 | 2009-07-30 |
| 1487882437 | Bryce E Mcmanus | Chiropractor | 133 State Street, Guilford, CT 06437 | 2009-06-29 |
| 1215139654 | Eleanor D Weissberg | Pediatrics | 64 Prospect Ave, Guilford, CT 06437 | 2007-06-05 |
| Find all providers in zip 06437 | ||||
| Taxonomy Code | 1835X0200X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacist |
| Specialization | Oncology |
| A licensed pharmacist who has demonstrated specialized knowledge and skill in developing, recommending, implementing, monitoring, and modifying pharmacotherapeutic plans to optimize outcomes in patients with malignant diseases. |
| Notes: Source: Specialty certification and recertification program administered by Board of Pharmaceutical Specialties, www.bpsweb.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568018372 | Man Yee Merl | Pharmacist | 53 Sweet Briar Rd, Stamford, CT 06905-1513 | 2019-08-16 |
| 1760041545 | Nancy Jane Beaulieu | Pharmacist | 19 Lunar Dr, Woodbridge, CT 06525-2320 | 2019-06-06 |
| 1922667732 | Robert James Marussich | Pharmacist | 77 Lafayette Pl Ste 200, Greenwich, CT 06830-5426 | 2019-06-06 |
| 1356974471 | Jason Jesus Casazola | Pharmacist | 35 Park St, New Haven, CT 06519-1110 | 2020-02-17 |
| 1699324897 | Laura Holley | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-09-10 |
| 1487208468 | Katherine Joyce Lin | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-07-29 |
| 1821642703 | Jamie M Blanck | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-07-29 |
| 1164075693 | Jessica Noel Leclair | Pharmacist | 55 Park Street, Yale New Haven Hospital, New Haven, CT 06511 | 2019-07-23 |
| 1821641598 | Rebecca Abramovitz | Pharmacist | 55 Park St, Smilow Oncology Pharmacy, New Haven, CT 06511-5474 | 2019-07-22 |
| 1194378778 | Arkadiusz W Stobierski | Pharmacist | 55 Park St, New Haven, CT 06511-5474 | 2019-07-22 |
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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.