DR. VANAJAKSHI PATURU (NPI# 1598876369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598876369 |
Entity Type | Individual |
Full Name | DR. VANAJAKSHI PATURU |
Credential | M.D |
Practice Address |
15-01 Broadway Ste 10b Fair Lawn NJ 07410-6006 |
Mailing Address |
15 La Rosa Dr Little Ferry NJ 07643-1724 |
Practice Telephone | 2017947733 |
Practice Fax Number | 2017946039 |
Mailing Telephone | 2012299589 |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
MA070341 | NJ | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NJ | 8787808 | 05 |
Street Address |
15-01 BROADWAY STE 10B |
City | FAIR LAWN |
State | NJ |
Zip Code | 07410-6006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669093316 | Sheila Robinson-kiss LLC | Counselor | 0-178 Tunbridge Road, Fair Lawn, NJ 07410 | 2020-05-05 |
1750902813 | Pine Group LLC | Point of Service | 0-39 Pine Ave, Fair Lawn, NJ 07410 | 2020-04-29 |
1073133153 | Maria Jidriska Myers | Nurse Practitioner | 23-00 Nj-208, Fair Lawn, NJ 07410 | 2020-04-20 |
1508350869 | Jill Marie Deperi | Counselor | 22-08 Route 208 South, Fair Lawn, NJ 07410 | 2018-06-20 |
1952895419 | Laurel Olson | Counselor | Care Plus Nj Children and Family Services, 17-07 Romaine Street, Fair Lawn, NJ 07410 | 2018-06-19 |
1851896583 | Janelle Frazier | Social Worker | Care Plus New Jersey, 17-07 Romaine St, Fair Lawn, NJ 07410 | 2018-03-26 |
1457876260 | Daniella Suric | Behavioral Analyst | 2-08 Morlot Avenue, Fair Lawn, NJ 07410 | 2017-08-14 |
1912453549 | Marcia Gurfield | Social Worker | 33-03 Ryan Road, Fair Lawn, NJ 07410 | 2016-09-01 |
1417330721 | The Arc of Bergen and Passaic Counties, Inc | Day Training, Developmentally Disabled Services | 17-03a Broadway, Fair Lawn, NJ 07410 | 2015-07-06 |
1275914228 | Julius Iratagotia | Occupational Therapist | 0-53 26th St, Fair Lawn, NJ 07410 | 2015-06-16 |
Find all providers in zip 07410 |
Taxonomy Code | 2084P0805X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Geriatric Psychiatry |
Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053320275 | Sailaja Devi Valiveti | Psychiatry & Neurology | 15-01 Broadway, Fair Lawn, NJ 07410-6003 | 2006-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699298687 | Nj Tms Institute LLC | Psychiatry & Neurology | 575 Route 28 Ste 2108, Raritan, NJ 08869-1354 | 2017-07-21 |
1063811156 | Bergen Geri-psych Institute | Psychiatry & Neurology | 20 Julia Ct, Township of Washington, NJ 07676-5108 | 2014-08-14 |
1679914386 | Christ L Zois | Psychiatry & Neurology | 712 Morven Ter, Sea Girt, NJ 08750-3205 | 2013-07-10 |
1922377258 | Pooja Tandon | Psychiatry & Neurology | 20 Hospital Dr Ste 12, Toms River, NJ 08755-6434 | 2011-12-15 |
1083946966 | Martin Freimer M.d., PC | Psychiatry & Neurology | 254b Mountain Avenue, Suite 306, Hackettstown, NJ 07840 | 2010-02-03 |
1083872154 | Hanny S Mabrouk | Psychiatry & Neurology | 671 Hoes Ln W Rm C-205, Piscataway, NJ 08854-8021 | 2008-05-27 |
1881882082 | David R. Mccomb, Do, LLC | Psychiatry & Neurology | 239 Taunton Blvd, A-2, Medford, NJ 08055-3471 | 2007-10-12 |
1679623797 | Steven Samuels | Psychiatry & Neurology | 350 Engle Street, 4 East, C/o Dept of Psychiatry, Englewood Hosp & Medical Ctr, Englewood, NJ 07631 | 2007-01-11 |
1912079070 | Robert Michael Greenberg | Psychiatry & Neurology | 535 Morris Ave, Springfield, NJ 07081-1038 | 2006-11-14 |
1750464491 | Shailaja K. Shah | Psychiatry & Neurology | 407 Omni Dr, Hillsborough, NJ 08844-4527 | 2006-10-24 |
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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.