JAMES DAVID KELLEHER JR. (NPI# 1669738571) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669738571 |
| Entity Type | Individual |
| Full Name | JAMES DAVID KELLEHER JR. |
| Credential | M.D. |
| Practice Address |
100 Port Washington Blvd New York Cardiovascular Anesthesiologists, P.C. Roslyn NY 11576-1347 |
| Practice Telephone | 6093132072 |
| Mailing Telephone | 6093132072 |
| Enumeration Date | 2012-04-04 |
| Last Update Date | 2016-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 282852-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700834850 | James P Kelleher IIi | Counselor | 99 E. Virginia Ave, Suite #170, Phoenix, AZ 85004 | 2006-05-04 |
| 1124168893 | James Patrick Kelleher | Psychiatry & Neurology | 275 North St, Harrison, NY 10528-1524 | 2007-02-08 |
| 1699815100 | James A Kelleher | Physical Therapist | 70 Manheim Ave, Suite 3, Bridgeton, NJ 08302-2136 | 2007-02-07 |
| 1770552663 | James Kelleher | Family Medicine | 601 Fall Creek Hwy, Granbury, TX 76049-7960 | 2006-03-14 |
| Street Address |
100 PORT WASHINGTON BLVD NEW YORK CARDIOVASCULAR ANESTHESIOLOGISTS, P.C. |
| City | ROSLYN |
| State | NY |
| Zip Code | 11576-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768624 | Jack Soterakis | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2005-05-23 |
| 1700499779 | Olivia Paige Omage | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-08-28 |
| 1871101006 | Mark Granados | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-07-14 |
| 1871110692 | Nicole Amanda Waxner | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-06-27 |
| 1710509062 | Allison L Chan | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-05-09 |
| 1730715269 | Sreeja Nair | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-03-16 |
| 1871127027 | Laura Grace Krukowski | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576 | 2020-02-26 |
| 1518591015 | Punam Patel | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-02-24 |
| 1306486196 | Brendan Heitz | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-01-09 |
| 1740829613 | Johanna Eve Schwartz | Social Worker | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-12-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075998 | Haley W Feit | Optometrist | 1085 Northern Blvd, Roslyn, NY 11576 | 2019-10-25 |
| 1346765187 | Fern Wendi Schanback | Counselor | 24 Mackay Way, Roslyn, NY 11576 | 2017-08-12 |
| 1932577574 | Soma Fit Physical Therapy Pllc | Physical Therapist | 55 Lumber Rd, Suite 105, Roslyn, NY 11576 | 2015-09-14 |
| 1679953699 | Linda D.r. Miller | Speech-Language Pathologist | 7 Woodland Road, Roslyn, NY 11576 | 2015-06-04 |
| 1629463450 | Angela Maria Taveras | Social Worker | 141 Old Northern Blvd, Rosalyn, NY 11576 | 2015-03-30 |
| 1043594922 | Robin Hananel | Speech-Language Pathologist | 29 The Oaks, Roslyn, NY 11576 | 2011-10-10 |
| 1073838207 | Lucille A Barker | Occupational Therapist | 1441old Northern Blvd, Roslyn, NY 11576 | 2010-03-31 |
| 1518100163 | Robert Eugene Goldberger | Surgery | 4 The Birches, Roslyn, NY 11576 | 2009-04-13 |
| 1336388461 | Sarah Lamattina | Counselor | 1441 Old Northern Boulevard, Roslyn, NY 11576 | 2009-02-12 |
| 1508001553 | Leslie Jane Brownstein | Speech-Language Pathologist | 174 Mimosa Drive, Roslyn, N.y 11576, New York City, NY 11576 | 2008-12-04 |
| Find all providers in zip 11576 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912131947 | Ralph Phillip Dilisio | Anesthesiology | New York Cardiovascular Anesthesiologists, 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2009-05-05 |
| 1497916209 | Kavitha Bareddy | Anesthesiology | New York Cardiovascular Anesthesiologists, P.C., 100 Port Washington Blvd, Roslyn, NY 11576 | 2008-06-24 |
| 1528233079 | Parviz Soomekh | Anesthesiology | 8 Verity Ln, Roslyn, NY 11576 | 2008-04-25 |
| 1932294139 | Svetlana Granik | Anesthesiology | 95 Heather Dr, Roslyn, NY 11576-2210 | 2006-10-04 |
| 1992806756 | Shirley Anne Mayo | Anesthesiology | 100 Washington Blvd, Roslyn, NY 11576 | 2006-09-26 |
| 1306868567 | Muhammad Iqbal | Anesthesiology | 193 Dogwood Rd, Roslyn, NY 11576-3005 | 2006-07-24 |
| 1992794499 | Maria Flaviana Lee | Anesthesiology | 89 Hamilton Drive, Roslyn, NY 11576-3128 | 2005-10-18 |
| 1417334400 | Muhammad Iqbal Medical Services, P.c | Anesthesiology | 193 Dogwood Rd, Roslyn, NY 11576 | 2015-04-29 |
| 1568882975 | Joseph William Woo | Anesthesiology | 100 Port Washington Blvd, New York Cardiovascular Anesthesiologists, P.C., Roslyn, NY 11576 | 2014-04-24 |
| 1184992471 | Wayne Cohen Md Pllc | Anesthesiology | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2011-12-01 |
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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.