JAYARAJU PASMATHOOR RAJU (NPI# 1538298963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538298963 |
| Entity Type | Individual |
| Full Name | JAYARAJU PASMATHOOR RAJU |
| Other Name | DR. JAYARAJU PASMATHOOR RAJU |
| Credential | M.D |
| Practice Address |
1400 Noyes St Utica NY 13502-3854 |
| Mailing Address |
11 Chestnut Hls New Hartford NY 13413-2912 |
| Practice Telephone | 3157384405 |
| Mailing Telephone | 3157905757 |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2008-12-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
238041 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAL LICENSE | 238041 | 01 |
| Street Address |
1400 NOYES ST |
| City | UTICA |
| State | NY |
| Zip Code | 13502-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295795193 | Michael David Gribetz | Psychiatry & Neurology | 1400 Noyes St, Utica, NY 13502-3854 | 2006-03-24 |
| 1487288569 | Maurice Luck IIi | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-27 |
| 1366075046 | Amanda Krzyzanowski | Registered Nurse | 1400 Noyes St, Utica, NY 13502 | 2020-02-20 |
| 1336772300 | Ann Margaret Flood | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-19 |
| 1326671488 | James Ernest Watts | Clinical Nurse Specialist | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-18 |
| 1568094654 | Janine Marie Little | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-02-07 |
| 1417588898 | Joanna Lakata | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3852 | 2020-02-04 |
| 1619507498 | Ashley Dackowsky | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2020-01-22 |
| 1407407711 | Paula June Vetrone | Registered Nurse | 1400 Noyes St, Utica, NY 13502-3854 | 2019-09-27 |
| 1316410442 | Shobha Rao | Social Worker | 1400 Noyes St, Utica, NY 13502-3854 | 2019-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152627 | Mary Imogene Bassett Hospital | Pharmacy | 231 N Genesee St Fl 2, Utica, NY 13502 | 2020-10-20 |
| 1922635002 | Beth Ann Laporte | Social Worker | Drn Counseling & Consulting Services, 2621 Genesee Street, Utica, NY 13502 | 2020-03-26 |
| 1689216038 | Mary Ann Stockhauser | Dietitian, Registered | 917 Newport Rd, Utica, NY 13502 | 2019-10-16 |
| 1538659719 | Brenda Ann Cruse-malone | Social Worker | Mohawk Valley Psychiatric Center, Community Services Building 1400 Noyes St, Utica, NY 13502 | 2018-05-14 |
| 1184138265 | Genesee Street Medical Health | Psychiatry & Neurology | 286 Genesee St Ste 5, Utica, NY 13502 | 2017-11-28 |
| 1518470244 | Jeff Rohacek | Counselor | 1213 Court St., Suite 100, Utica, NY 13502 | 2017-11-16 |
| 1275044281 | Adam C Schwartz | Counselor | 122 Business Park Drive, Suite 1, Utica, NY 13502 | 2017-10-17 |
| 1346767175 | Jordynn Lynn Lee | Licensed Practical Nurse | 910 Mildred Ave, Utica, NY 13502 | 2017-08-23 |
| 1942751391 | Amanda Karla | Counselor | 502 Court Street Suite 210, Utica, NY 13502 | 2016-10-20 |
| 1407229974 | Hayley Hunt | Physician Assistant | 1658 Champlin Ave, Suite 335, Utica, NY 13502 | 2015-11-05 |
| Find all providers in zip 13502 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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| 1598306441 | Place of Mind Child, Adolescent, and Adult Psychiatry P.C. | Psychiatry & Neurology | 240 Central Park S Apt 2h, New York, NY 10019-1435 | 2019-10-02 |
| 1881102267 | Park Avenue Physicians PC | Psychiatry & Neurology | 5 W 86th St Apt 1b, New York, NY 10024-3663 | 2018-01-19 |
| 1518478080 | Diego G. Calabria Physician P.C. | Psychiatry & Neurology | 366 N Broadway Ste 304, Jericho, NY 11753-2000 | 2017-10-23 |
| 1013426865 | Bebsy Estefan Md PC | Psychiatry & Neurology | 3050 Corlear Ave # Phb, Bronx, NY 10463-5180 | 2017-09-25 |
| 1902281629 | Derek Rudge | Psychiatry & Neurology | 1051 Riverside Dr Rm 235, New York, NY 10032-1007 | 2015-07-23 |
| 1275918096 | Dr Omar Bashayan Physician Pllc | Psychiatry & Neurology | 155 W 68th St Apt 1102, New York, NY 10023-5816 | 2015-07-22 |
| 1740676766 | Maura E Tappen | Psychiatry & Neurology | 1860 South Ave, Rochester, NY 14620-4229 | 2015-04-07 |
| 1194119560 | Krishen Persaud | Psychiatry & Neurology | Stony Brook Psychiatric Associates, Ufpc, Sbumc, Hsc Level 10, Rm.020, Stony Brook, NY 11794-8101 | 2015-03-24 |
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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.