MR. JUSTIN KELVIN HALL


Address: 630 W 168th St, Vanderbilt Clinic 7th Floor, New York, NY 10032-3725
Phone: 2123056100

MR. JUSTIN KELVIN HALL (NPI# 1699136267) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699136267
Entity Type Individual
Full Name MR. JUSTIN KELVIN HALL
Credential BA
Practice Address 630 W 168th St
Vanderbilt Clinic 7th Floor
New York
NY 10032-3725
Mailing Address 333 29th Ave
San Francisco
CA 94121-1702
Practice Telephone 2123056100
Mailing Telephone 4159994009
Enumeration Date 2016-03-10
Last Update Date 2016-03-10
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers JUSTIN HALL

NPI Name Taxonomy Address Enumeration
1295363612 Justin Alexander Hall Student in an Organized Health Care Education/Training Program Medical Center Boulevard Department of Otolaryngology, Winston Salem, NC 27157-0001 2020-03-31
1174037949 Justin Byron Hall Radiology 3452 Milam Ln, Lexington, KY 40502-3652 2017-11-30
1386738029 Justin Hall Psychiatry & Neurology 110 Veterans Blvd., Suite 425, Metairie, LA 70005 2006-10-03
1669002887 Justin Hall Peer Specialist 125 S Main Cross St, Louisa, KY 41230-1065 2020-01-16
1710532411 Justin D Hall Occupational Therapy Assistant 1525 E 6th St Ste B, Weslaco, TX 78596-4667 2019-08-08
1578033817 Justin Herbert Hall Case Manager/Care Coordinator 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 2018-11-29
1477021426 Justin Thomas Hall Nurse Practitioner 1501 N Cambell Ave, Tucson, AZ 85724-0001 2018-11-07
1700306677 Justin Tyler Hall Behavior Technician 2035 Sw 75th St, Gainesville, FL 32607-3425 2017-06-22
1134599152 Justin Hall Occupational Therapist 2100 Exeter Rd, Germantown, TN 38138-3966 2015-10-02
1295105476 Justin Hall Physician Assistant 5 Neponset St, Worcester, MA 01606-2714 2015-10-01

Office Location

Street Address 630 W 168TH ST
VANDERBILT CLINIC 7TH FLOOR
City NEW YORK
State NY
Zip Code 10032-3725

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760486377 Angela Jiyeon Yoon Dentist 630 W 168th St, Ph 1562, New York, NY 10032-3702 2005-06-10
1528669793 Chrissa Pantazis Physician Assistant 630 W 168th St, New York, NY 10032-3725 2020-11-04
1942801410 Rozalina Abramov Pharmacist 630 W 168th St, New York, NY 10032-3725 2020-11-02
1235742438 Lindsey Root Kus Physician Assistant 630 W 168th St, New York, NY 10032-3725 2020-08-26
1144833344 William Tyler Marshall Physician Assistant 630 W 168th St, New York, NY 10032-3725 2020-08-26
1619589868 Swen D Paguia Student in an Organized Health Care Education/Training Program 630 W 168th St, New York, NY 10032-3725 2020-08-19
1821600214 Kirsten Michele Gutlay Nurse Practitioner 630 W 168th St, New York, NY 10032-3725 2020-08-18
1356950323 Emily Russo Physician Assistant 630 W 168th St, New York, NY 10032-3725 2020-07-27
1780202853 Cassandra Caroline Johnson Physician Assistant 630 W 168th St, New York, NY 10032-3725 2020-07-06
1831715572 Nicole Marie Monnecka Physician Assistant 630 W 168th St, New York, NY 10032-3725 2020-06-18
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427658301 Julia Sophia White Registered Nurse 622 W 168th St, New York, Ny, New York, NY 10032 2020-10-29
1326653411 Simbarashe S Mudiwa Massage Therapist 615 W 165th St, Apt 1b, New York, NY 10032 2020-09-15
1063021335 Margaret E O'neil Physical Therapist 180 Fort Washington St, Harkness 1-164, New York, NY 10032 2020-07-23
1780207480 Bing Mei Teh Student in an Organized Health Care Education/Training Program 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 2020-05-28
1295354116 Kavin Fatehchand Student in an Organized Health Care Education/Training Program 630 West 168th Street, New York, Ny 10032, New York, NY 10032 2020-04-10
1417584020 Laura Faye Willard Student in an Organized Health Care Education/Training Program 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 2020-03-24
1356976641 Thomas Joseph Cahill Student in an Organized Health Care Education/Training Program Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 2020-03-06
1346874765 Paulo Roberto De Paula Selber Orthopaedic Surgery Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 2020-02-25
1720611312 Rachel Dawn Vanderlaan Thoracic Surgery (Cardiothoracic Vascular Surgery) Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 2020-02-21
1881225928 Daniel Molina Garcia Social Worker 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 2020-01-28
Find all providers in zip 10032

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740881671 Celeste Finelli Student in an Organized Health Care Education/Training Program 255 W 36th St Rm 201, New York, NY 10018-7700 2020-11-06
1407457310 Omri Sulimani Student in an Organized Health Care Education/Training Program 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 2020-11-06
1215537931 Gloria Helena Gomez Arenas Student in an Organized Health Care Education/Training Program 220 East 57th Street, Apt 5c, New York, NY 10022 2020-10-30
1033719216 Vanessa Tee-ting Ng Student in an Organized Health Care Education/Training Program 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 2020-10-28
1457959652 Marwan Nihad Abdel Rauf Yusuf Student in an Organized Health Care Education/Training Program Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 2020-10-12
1558968537 Yiyang Zhang Student in an Organized Health Care Education/Training Program 1000 10th Ave Fl 2, New York, NY 10019-1147 2020-10-03
1699372706 Anna Jane Dare Student in an Organized Health Care Education/Training Program 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 2020-10-02
1285241018 Grace A Forrester Student in an Organized Health Care Education/Training Program 517 W 121st St Apt 604s, New York, NY 10027-5901 2020-09-25
1235746199 Christopher Alexis Perez Lizardo Student in an Organized Health Care Education/Training Program 515 W 59th St Apt 29b, New York, NY 10019-1042 2020-09-24
1568077014 Toshihide Kuroe Student in an Organized Health Care Education/Training Program 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 2020-09-11
Find all providers in NEW YORK

Competitor

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City NEW YORK
Zip Code 10032

Improve Information

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Dataset Information

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.

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