DR. KOUSTAV MUKHERJEE (NPI# 1538305248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538305248 |
| Entity Type | Individual |
| Full Name | DR. KOUSTAV MUKHERJEE |
| Credential | M.D. |
| Practice Address |
1650 Selwyn Ave Bronx NY 10457-7626 |
| Mailing Address |
60 W 66th St #9i New York NY 10023-6214 |
| Practice Telephone | 7189601400 |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2009-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 252331 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1650 SELWYN AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10457-7626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174523021 | Srinivasan Krishna | Otolaryngology | 1650 Selwyn Ave, 11c, Bronx, NY 10457-7626 | 2005-07-21 |
| 1831705391 | Neeti Prasai | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Ave, Bronx, NY 10457-7626 | 2020-09-21 |
| 1467061234 | Jorge Luis Mosquera Zavaleta | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Ave, Bronx, NY 10457-7626 | 2020-07-28 |
| 1740899939 | Surita Banerjee | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Ave, Bronx, NY 10457-7626 | 2020-07-24 |
| 1285259564 | Sneha George Teressa | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Ave, Ste 4a, Bronx, NY 10457 | 2020-06-11 |
| 1538721295 | Armen Sanosyan | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Ave, Bronx, NY 10457-7626 | 2019-07-02 |
| 1992365415 | Anthony Dai Nguyen | Optometrist | 1650 Selwyn Ave, Bronx, NY 10457-7626 | 2019-06-17 |
| 1356828404 | Susel Rodriguez Ortega | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Ave, Bronx, NY 10457-7626 | 2018-07-22 |
| 1467939512 | Miguel Angel Oquendo Guerra | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Ave, Bronx, NY 10457-7626 | 2018-07-22 |
| 1467938068 | Hitesh Gurjar | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Ave, Bronx, NY 10457-7626 | 2018-07-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
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| 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 |
|---|---|---|---|---|
| 1679927701 | Darnell Cain | Emergency Medicine | 3411 Wayne Ave Fl 6, Bronx, NY 10467-2552 | 2016-04-14 |
| 1114389780 | David Jan Moore | Emergency Medicine | 6015 Tyndall Ave, Bronx, NY 10471-1812 | 2016-03-23 |
| 1295117950 | Neil Flannery Haidorfer | Emergency Medicine | 3450 Wayne Ave Apt 9c, Bronx, NY 10467-2511 | 2015-06-18 |
| 1619310125 | Adelle Sharon Iusim | Emergency Medicine | 1400 Pelham Pkwy S Bldg 6, Bronx, NY 10461 | 2013-04-15 |
| 1174882757 | Mary Agnes Newell | Emergency Medicine | 183rd St. and Third Ave., St. Barnabas Hospital Emergency Department, Bronx, NY 10457 | 2012-05-16 |
| 1407120645 | Andrew Roy Williams | Emergency Medicine | 1400 Pelham Pkwy South. Building 6 Suite 1b25, Jacobi Medical Center Emergency Dept., Bronx, NY 10461-1138 | 2012-03-06 |
| 1336427517 | Jeremy Moriarty | Emergency Medicine | 600 E 233rd St Dept of Emergency Medicine, Bronx, NY 10466-2604 | 2011-07-22 |
| 1154618353 | Jordana Kritzer | Emergency Medicine | 600 E 233rd St Fl 2, Bronx, NY 10466-2604 | 2011-07-07 |
| 1013211168 | Jason Peter Boulware | Emergency Medicine | 2353 Hughes Ave, Apt 1a, Bronx, NY 10458-8267 | 2011-01-04 |
| 1568774313 | Carol Gleeson | Emergency Medicine | 4238 Vireo Ave, Bronx, NY 10470-2412 | 2010-07-09 |
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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.