ACADEMIC ICU DOC, PA (NPI# 1558730705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558730705 |
Entity Type | Organization |
Organization Name | ACADEMIC ICU DOC, PA |
Practice Address |
5 Rushton Ct West Windsor NJ 08550-3320 |
Practice Telephone | 9084643636 |
Practice Fax Number | 9084646711 |
Mailing Telephone | 9084643636 |
Mailing Fax Number | 9084646711 |
Enumeration Date | 2015-09-17 |
Last Update Date | 2016-02-17 |
Authorized Official Name | SRI SUJANTHY RAJARAM (PRESIDENT) |
Authorized Official Telephone | 9084643636 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | STATE ID | 0450016696 | 01 |
Street Address |
5 RUSHTON CT |
City | WEST WINDSOR |
State | NJ |
Zip Code | 08550-3320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548874605 | Komal Gulab Khattak | Chiropractor | 3b, 186 Princeton Hightstown Rd, #104, West Windsor Township, NJ 08550 | 2020-09-04 |
1073021069 | Deborah Silver | Behavioral Analyst | 329 Village Road East, The Success Center, Princeton Junction, NJ 08550 | 2018-01-12 |
1396267217 | Mary Joan Goepfert | Social Worker | 4065 Quakerbridge Road, Princeton Junction, NJ 08550 | 2017-07-12 |
1164807459 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3 Wood Hollow Road, West Windsor, NJ 08550 | 2015-07-28 |
1144605445 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 694 Village Road West, West Windsor, NJ 08550 | 2015-07-28 |
1134504434 | Eden Autism Services. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 694a Village Road West, West Windsor, NJ 08550 | 2015-07-28 |
1407237837 | Allies, Inc. | Day Training, Developmentally Disabled Services | 1072 Old Trenton Road, West Windsor, NJ 08550 | 2015-06-11 |
1366755571 | Steven Broderson | Pharmacist | 64a Princeton Hightstown Rd, Princeton Jct, NJ 08550 | 2010-07-16 |
1588811012 | Randall S Krakauer | Internal Medicine | 29 Lorrie Lane, Princeton Junction, NJ 08550 | 2008-08-27 |
1932229101 | Stephen Pike Rounds Jr. | Dentist | 44 Princeton Hightstown Rd, Princeton Jct, NJ 08550 | 2007-03-30 |
Find all providers in zip 08550 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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 |
---|---|---|---|---|
1003455072 | J Medical Practice LLC | Internal Medicine | 668 N Forest Dr, Teaneck, NJ 07666-2047 | 2019-12-23 |
1265944946 | Hari Brundavanam Md Pa | Internal Medicine | 1 Dumont Ct, Lawrenceville, NJ 08648-1334 | 2017-11-02 |
1548712847 | Magdy Wahba, Md | Internal Medicine | 401 Hamburg Tpke Ste 310, Wayne, NJ 07470-2139 | 2016-11-03 |
1396150082 | Howard Levy | Internal Medicine | 65 Van Dyke Rd, Hopewell, NJ 08525-1203 | 2014-06-22 |
1881011237 | Hany Abdallah | Internal Medicine | 27 Elm St Apt 3, Madison, NJ 07940-1553 | 2014-03-24 |
1952723132 | Deborah Kim | Internal Medicine | 51 French St # 491b, New Brunswick, NJ 08901 | 2014-01-07 |
1225459969 | Aloke Chakravarti | Internal Medicine | 1200 E Ridgewood Ave Ste 303, Ridgewood, NJ 07450-3937 | 2013-12-24 |
1184962227 | Salem Pulmonary, Critical Care and Sleep Medicine, LLC | Internal Medicine | 18 Lansbrook Ct, Sewell, NJ 08080-4113 | 2013-01-24 |
1194086694 | Kristen Denise Scatliffe | Internal Medicine | 5665 Kennedy Blvd, Apt 522, North Bergen, NJ 07047-3223 | 2012-05-31 |
1154682680 | Critical Care Physicians of New Jersey PC | Internal Medicine | 454 Hurffville Cross Keys Rd, Turnersville, NJ 08012-2448 | 2012-05-31 |
Find all providers with the same taxonomy |
City | WEST WINDSOR |
Zip Code | 08550 |
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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.