PRANEETHA CHAGANTI (NPI# 1467848622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467848622 |
| Entity Type | Individual |
| Full Name | PRANEETHA CHAGANTI |
| Other Name | DR. PRANEETHA CHAGANTI |
| Practice Address |
30 Prospect Ave Hackensack NJ 07601 |
| Mailing Address |
311 Forest Dr S Short Hills NJ 07078-2310 |
| Practice Telephone | 2066018505 |
| Mailing Telephone | 2066018505 |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2019-07-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
25MA10640400 | NJ | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 110 Somerset St, Apt 2205, New Brunswick, NJ 089014800 | 2066018505 |
| Street Address |
30 PROSPECT AVE |
| City | HACKENSACK |
| State | NJ |
| Zip Code | 07601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417955279 | Despee Bockarie Konneh | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2005-07-14 |
| 1629675616 | Jena Marie Ahmed | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-10-03 |
| 1114532173 | Caroline Castro | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-15 |
| 1013521244 | Stephanie Akanbi | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-09-04 |
| 1639781388 | Caitlin Brianna Powers | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-08-22 |
| 1457960270 | Neha Bhasin | Registered Nurse | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-28 |
| 1083232375 | James Robert Hoff IIi | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-07-13 |
| 1043834336 | Daniel Sheldon | Physician Assistant | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-06-02 |
| 1710500780 | Ferdinand Pontejos | Nurse Practitioner | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| 1972126969 | Eric Hugenberg | Pharmacist | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2020-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
| 1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
| 1649825233 | Rachel Korenblit | Social Worker | 235 Main St Ste 203, Hackensack, NJ 07601 | 2019-08-09 |
| 1740846567 | Samantha Pirnat | Counselor | 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 | 2019-05-16 |
| 1881258499 | Tara Lynn Smith | Social Worker | 160 South River Street, Hackensack, NJ 07601 | 2019-04-29 |
| 1922569318 | Solomon Isakov | Dentist | 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 | 2019-03-27 |
| 1114403409 | Mildred Lopez Vasquez | Home Health Aide | 12 Rowland Avenue, Hackensack, NJ 07601 | 2018-07-19 |
| 1538656582 | Zara Pharmacy LLC | Pharmacy | 57 Linden St, Hackensack, NJ 07601 | 2018-04-16 |
| 1447759048 | Maryann Hom | Social Worker | 307 Prospect Avenue, 14e, Hackensack, NJ 07601 | 2018-02-08 |
| 1699274258 | Kirsten Byrnes | Psychologist | Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 | 2018-02-08 |
| Find all providers in zip 07601 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588084404 | Nisha Polavarapu | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2014-04-17 |
| 1174966816 | Sondra Maureen Nemetski | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2013-04-11 |
| 1801983796 | Rytza Lamour | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1915 | 2006-10-10 |
| 1417987553 | Karen Eigen | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-07-04 |
| 1871533695 | Ruth Borgen | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601-1914 | 2006-06-08 |
| 1326091562 | Nina Aviva Gold | Pediatrics | 30 Prospect Avenue, Hackensack University Medical Center Pediatric Ed, Hackensack, NJ 07601 | 2006-05-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225371404 | Prerna Trivedy | Pediatrics | 1 Robert Wood Johnson Pl # Place342, New Brunswick, NJ 08901-1928 | 2013-04-05 |
| 1003038027 | Catherine Anne Scarfi | Pediatrics | Newark Beth Israel Medical Center- Emergency Medicine, 201 Lyons Ave. Dept. D11 (emergency Medicine), Newark, NJ 07112-0000 | 2007-05-02 |
| 1023433794 | Minh-tu Do | Pediatrics | 1 Robert Wood Johnson Pl, Meb 342, New Brunswick, NJ 08901 | 2014-03-04 |
| 1124361878 | Tina Dhebaria | Pediatrics | 1945 Route 33, Neptune, NJ 07753 | 2013-04-01 |
| 1679812630 | Kpuc, LLC | Pediatrics | 530 Green St, Suite 100, Iselin, NJ 08830-2654 | 2013-02-11 |
| 1427315068 | Christina Melchionne Miseo | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2012-04-20 |
| 1477844827 | Uchechi Azubuine | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2011-04-20 |
| 1750508149 | Maria Theresa Alvarez-ballway | Pediatrics | 150 Bergen St, Pediatric E.r, Newark, NJ 07103-2496 | 2007-04-19 |
| 1831227875 | Ambrin Hussain-rizvi | Pediatrics | 703 Main St, Paterson, NJ 07503-2621 | 2007-03-01 |
| 1033246897 | Ellen Monahan | Pediatrics | 150 Bergen St, Pediatric E.r., Newark, NJ 07103-2496 | 2007-02-28 |
| Find all providers with the same taxonomy | ||||
| City | HACKENSACK |
| Zip Code | 07601 |
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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.