SURRIAYA KHANUM (NPI# 1508947797) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508947797 |
| Entity Type | Individual |
| Full Name | SURRIAYA KHANUM |
| Practice Address |
103 Timberline Dr Wayne NJ 07470-5558 |
| Practice Telephone | 9736960710 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-06-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 25MA03962000 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
103 TIMBERLINE DR |
| City | WAYNE |
| State | NJ |
| Zip Code | 07470-5558 |
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154451771 | Gregory Golicz | Emergency Medicine | 37625 Michigan Ave, Fmc-wayne Medical Dept, Wayne, MI 48184-1070 | 2007-03-06 |
| 1891739025 | Joseph Testa | Emergency Medicine | St.. Joseph's Wayne Hospital, 224 Hamburg Turnpike, Wayne, NJ 07470 | 2006-06-16 |
| 1578507158 | Ann-lee Yuan | Emergency Medicine | St. Joseph's Wayne Hospital (emergency Department), 224 Hamburg Turnpike, Wayne, NJ 07470 | 2006-06-15 |
| 1407813074 | James Thomas | Emergency Medicine | 24 Ashburn Rd, Wayne, NJ 07470-2642 | 2006-04-27 |
| 1952389421 | Heather E Rice | Emergency Medicine | 33155 Annapolis, Wayne, MI 48184 | 2006-01-05 |
| 1033117171 | Joseph Duffy | Emergency Medicine | 220 Hamburg Tpke, Suite 14, Wayne, NJ 07470-2110 | 2005-07-12 |
| 1558778811 | Emc Healthcare Services LLC | Emergency Medicine | 24 Ashburn Rd, Wayne, NJ 07470 | 2014-07-18 |
| 1437562345 | Nathan Roelant | Emergency Medicine | 33155 Annapolis St, Wayne, MI 48184-2405 | 2014-06-09 |
| 1710399860 | Nouh Mazloum | Emergency Medicine | 33155 Annapolis St, Wayne, MI 48184 | 2014-05-23 |
| 1972943652 | Joseph Bove | Emergency Medicine | 224 Hamburg Tpke, Wayne, NJ 07470-2149 | 2013-06-26 |
| 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.