PURNA BINDU NANDIGAM (NPI# 1457619421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457619421 |
Entity Type | Individual |
Full Name | PURNA BINDU NANDIGAM |
Credential | MD |
Practice Address |
246 Hamburg Tpke Suite #207 Wayne NJ 07470-2156 |
Practice Telephone | 9736533366 |
Practice Fax Number | 9736533365 |
Mailing Telephone | 9736533366 |
Mailing Fax Number | 9736533365 |
Enumeration Date | 2012-04-27 |
Last Update Date | 2015-10-15 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25MA09737700 | NJ | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
246 HAMBURG TPKE SUITE #207 |
City | WAYNE |
State | NJ |
Zip Code | 07470-2156 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164413266 | Chnadra B Chandran | Internal Medicine | 246 Hamburg Tpke, Wayne, NJ 07470-2150 | 2005-10-30 |
1174064349 | Cassandra Isca Val | Nurse Practitioner | 246 Hamburg Tpke, Wayne, NJ 07470 | 2017-03-20 |
1245680800 | Georgiette Ameyaw-wordie | Nurse Practitioner | 246 Hamburg Tpke, 208, Wayne, NJ 07470-2156 | 2016-06-14 |
1215397377 | Lauren Ann Letizia | Nurse Practitioner | 246 Hamburg Tpke, Suite 207, Wayne, NJ 07470-2156 | 2016-03-02 |
1578920773 | Performance Orthopaedic Specialists, LLC | Specialist | 246 Hamburg Tpke, Suite 302, Wayne, NJ 07470-2156 | 2016-01-20 |
1710370929 | North Jersey Pediatric Orthopaedic Specialists, LLC | Specialist | 246 Hamburg Tpke, Suite 305, Wayne, NJ 07470-2156 | 2015-03-12 |
1962807933 | Diane Robin Bertone | Physical Therapist | 246 Hamburg Tpke, Wayne, NJ 07470-2156 | 2014-11-03 |
1609289065 | North Jersey Vascular Center, LLC | Clinic/Center | 246 Hamburg Tpke, Suite 207, Wayne, NJ 07470-2156 | 2014-06-03 |
1104162635 | North Jersey Physical Therapy Group LLC | Clinic/Center | 246 Hamburg Tpke, Suite 303, Wayne, NJ 07470-2156 | 2013-01-03 |
1205183993 | Richard B Adams | Nurse Practitioner | 246 Hamburg Tpke, Suite 201, Wayne, NJ 07470-2156 | 2012-08-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669073086 | Brightview Hamburg, LLC | Alzheimer Center (Dementia Center) | 1139 Hamburg Turnpike, Wayne, NJ 07470 | 2020-11-03 |
1912536301 | Stevenson Dominique | Physician Assistant | 1700 Nj-23 # 170, Wayne, NJ 07470 | 2020-04-07 |
1710524087 | Engel Burman At Wayne, LLC | Assisted Living Facility | 1440 Hamburg Turnpike, Wayne, NJ 07470 | 2019-12-05 |
1508412669 | Jessie Diana Dunitz | Technician | 66 Sandra Lane, Wayne, NJ 07470 | 2019-08-14 |
1447737234 | Meza Behavioral Health, Inc. | Psychologist | 40 Edgemont Crescent, Wayne, NJ 07470 | 2018-07-24 |
1881188076 | Christine Nolan | Occupational Therapist | 1 Pike Drive, Wayne, NJ 07470 | 2018-06-20 |
1033612403 | County of Passaic Department of Finance | Skilled Nursing Facility | 305 Oldham Road, Wayne, NJ 07470 | 2018-03-13 |
1144739590 | Broadway Respite and Home Care | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7 Allen Drive, Wayne, NJ 07470 | 2017-09-28 |
1679096697 | Wafaa Saad | Counselor | 1009 Valley Rd, Wayne, NJ 07470 | 2017-07-21 |
1659803138 | Allison Nicole Diangelo | Nurse Practitioner | 1578 Rte 23, Wayne, NJ 07470 | 2017-04-03 |
Find all providers in zip 07470 |
Taxonomy Code | 207RN0300X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Nephrology |
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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 |
---|---|---|---|---|
1104008994 | Robert Edward Gerhardt | Internal Medicine | 57 Crestline Rd, Wayne, PA 19087-2672 | 2007-12-04 |
1568564102 | Manuel Joaquin Moquete | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2006-09-03 |
1801906896 | North Jersey Nephrology Assoc. Pa | Internal Medicine | 246 Hamburg Turnpike, Suite#207, Wayne, NJ 07470 | 2006-08-30 |
1831176189 | Shazia Raza | Internal Medicine | 4020 Venoy Rd Ste 700, Wayne, MI 48184-1891 | 2005-12-28 |
1164413266 | Chnadra B Chandran | Internal Medicine | 246 Hamburg Tpke, Wayne, NJ 07470-2150 | 2005-10-30 |
1598762148 | Kevin Edwin Vitting | Internal Medicine | 342 Hamburg Tpke, Ste 201, Wayne, NJ 07470-2162 | 2005-06-28 |
1942676267 | Vipulkumar M. Bhalara | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2015-08-20 |
1417351487 | Maya Fakhoury | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2014-10-20 |
1982028726 | George C. Bonifant | Internal Medicine | 246 Hamburg Tpke Ste 207, Wayne, NJ 07470-2160 | 2014-02-14 |
1811285570 | Anjali Narain Masand | Internal Medicine | 246 Hamburg Tpke, Suite #207, Wayne, NJ 07470-2156 | 2011-07-15 |
Find all providers in WAYNE |
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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.