DR. SAN KYAW KHINE (NPI# 1457734642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457734642 |
| Entity Type | Individual |
| Full Name | DR. SAN KYAW KHINE |
| Credential | M.D. |
| Practice Address |
870 Palisade Ave Ste 202 Teaneck NJ 07666-3445 |
| Mailing Address |
800 Park Ave Apt 3910 Fort Lee NJ 07024-3783 |
| Practice Telephone | 5519969189 |
| Practice Fax Number | 2018368042 |
| Mailing Telephone | 3475675055 |
| Enumeration Date | 2015-07-07 |
| Last Update Date | 2020-08-31 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
25MA10909800 | NJ | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | NY | Student, Health Care | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1545 Atlantic Ave, Brooklyn, NY 112131122 | 7186134000 |
| Street Address |
870 PALISADE AVE STE 202 |
| City | TEANECK |
| State | NJ |
| Zip Code | 07666-3445 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982830329 | Subhan Ahmed | Internal Medicine | 870 Palisade Ave Ste 202, Teaneck, NJ 07666-3445 | 2009-05-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265047096 | Erica Marie Edmondson | Massage Therapist | 780 New Bridge Rd., Teaneck, NJ 07666 | 2020-09-09 |
| 1609489772 | Bushra Ali | Specialist/Technologist, Other | 1086 Teaneck Road, Suite 4a, Teaneck, NJ 07666 | 2020-08-28 |
| 1043870108 | Etti Miriram Hochberg Schaap | Social Worker | Jewish Family & Children's Services of Northern New Jer, 1485 Teaneck Road, Teaneck, NJ 07666 | 2019-06-19 |
| 1003309428 | Holy Name Medical Center Inc | Pharmacy | 718 Teaneck Rd Ste 2, Teaneck, NJ 07666 | 2018-06-11 |
| 1619494150 | Synergy Homecare of Bergen County | In Home Supportive Care | 1029 Teaneck Road, Suite 3d, Teaneck, NJ 07666 | 2017-08-25 |
| 1811419278 | Genara O Ortiz | Specialist | 195 Sherman Ave., Teaneck, NJ 07666 | 2017-07-07 |
| 1689103061 | Carmeliza Ronquillo Gonzalo | Specialist | 836 Williams Avenue, Teaneck, NJ 07666 | 2017-06-08 |
| 1356875934 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1014 Palisade Avenue, Teaneck, NJ 07666 | 2017-04-20 |
| 1902358427 | Tamar Danzger | Social Worker | 530 Ogden Ave, Teaneck, NJ 07666 | 2016-11-01 |
| 1376093724 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 520 Cedar Ln, Teaneck, NJ 07666 | 2016-10-10 |
| Find all providers in zip 07666 | ||||
| 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 |
|---|---|---|---|---|
| 1801125265 | Clenton Coleman Md PC | Internal Medicine | 222 Cedar Ln Ste 111, Teaneck, NJ 07666-4311 | 2009-12-14 |
| 1982830329 | Subhan Ahmed | Internal Medicine | 870 Palisade Ave Ste 202, Teaneck, NJ 07666-3445 | 2009-05-29 |
| 1013262450 | Joseph Frascino | Internal Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2012-07-23 |
| 1598961914 | Vaqar Ahmed | Internal Medicine | 870 Palisade Ave, Teaneck, NJ 07666-3419 | 2007-06-22 |
| 1427172725 | Nephrology Associates,pa | Internal Medicine | 870 Palisade Ave, Teaneck, NJ 07666-3419 | 2007-03-19 |
| 1679529945 | Renal Medicine Associates, Pa | Internal Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2006-05-26 |
| 1689641292 | Hiie Marie Gussak | Internal Medicine | 870 Palisade Ave, Teaneck, NJ 07666-3419 | 2006-03-02 |
| 1326015199 | David Noah Levin | Internal Medicine | 870 Palisade Ave, Teaneck, NJ 07666 | 2006-03-01 |
| 1922075878 | Benjamin W Aronoff | Internal Medicine | 870 Palisade Ave, Teaneck, NJ 07666-3419 | 2006-02-28 |
| 1235139957 | Ananea Adamidis | Internal Medicine | 718 Teaneck Rd, Teaneck, NJ 07666-4245 | 2005-07-22 |
| Find all providers in TEANECK | ||||
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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.