MUDIT KUMAR (NPI# 1699202176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699202176 |
Entity Type | Individual |
Full Name | MUDIT KUMAR |
Practice Address |
593 Eddy Street Rhode Island Hospital Providence RI 02903 |
Mailing Address |
Rhode Island Hospital 593 Eddy Street Providence RI 02903 |
Practice Telephone | 4014443762 |
Mailing Telephone | 4014443762 |
Mailing Fax Number | 4014448879 |
Enumeration Date | 2017-05-16 |
Last Update Date | 2020-08-14 |
NPI Deactivation Date | 12/18/2017 |
NPI Reactivation Date | 2018-05-12 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
LP04907 | RI | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Street Address |
593 EDDY STREET RHODE ISLAND HOSPITAL |
City | PROVIDENCE |
State | RI |
Zip Code | 02903 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528065430 | Sandra M Jamieson | Physician Assistant | 593 Eddy Street, Grad Dorms, Providence, RI 02903 | 2005-07-07 |
1447810742 | Lucasjorge Santana De Castro Alves | Internal Medicine | 593 Eddy Street, Rhode Island Hospital, Providence, RI 02903 | 2019-06-18 |
1659935070 | Janine Pedersen | Nurse Practitioner | 593 Eddy Street, Apc Main, Providence, RI 02903 | 2019-05-01 |
1851853972 | Clarence Chow | Anesthesiology | 593 Eddy Street, Davol 129, Providence, RI 02903 | 2019-04-06 |
1083183743 | Alexa Siminsky | Dietitian, Registered | 593 Eddy Street, Providence, RI 02903-1888 | 2018-11-24 |
1134696396 | Danielle Mary White | Physician Assistant | 593 Eddy Street, Apc 4, Providence, RI 02903 | 2018-10-25 |
1669948659 | Meghan Keady | Nurse Practitioner | 593 Eddy Street, Providence, RI 02903 | 2018-10-17 |
1568943538 | Molly Meth | Psychologist | 593 Eddy Street, Potter 1, Providence, RI 02903 | 2018-08-27 |
1437639168 | Priscilla D Ventura-medeiros | Nurse Practitioner | 593 Eddy Street, Jane Brown, 2 South, Providence, RI 02903-4923 | 2018-08-21 |
1427537604 | David Allen Gardner Jr. | Nurse Practitioner | 593 Eddy Street, Apc Main, Providence, RI 02903 | 2018-08-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609475755 | Sarah Fellows | Student in an Organized Health Care Education/Training Program | 350 Eddy Street, Uri Nursing Education Center, Providence, RI 02903 | 2020-10-20 |
1093328262 | Esther Robbins | Social Worker | 290 West Exchange St., Suite 100, Providence, RI 02903 | 2020-08-27 |
1720619489 | Ivy Marie Mcdonald | Behavioral Analyst | 290 W Exchange St #101, Providence, RI 02903 | 2020-01-31 |
1447802707 | Natalie Monaghan, LLC | Social Worker | 545 South Water Street, Providence, RI 02903 | 2019-07-16 |
1760049522 | Daniel Steven Alanko | Pediatrics | 293 Eddy Street, Providence, RI 02903 | 2019-05-28 |
1154894368 | Margaret Emily Dyson | Behavior Technician | 290 W. Exchange St, Providence, RI 02903 | 2019-01-10 |
1497235014 | Yao Zhou Liu | Surgery | 593 Eddy St - Rhode Island Hospital, Providence, RI 02903 | 2018-08-14 |
1558840645 | Tamara Gore | Behavior Technician | 290 W Exchange Street Suite 101, Providence, RI 02903 | 2018-08-09 |
1437642709 | Adrian Cotarelo | Student in an Organized Health Care Education/Training Program | 174 Wickenden St, Apt. 3rd Floor, Providence, RI 02903 | 2018-06-12 |
1356833024 | Natalie Rita Noonan | Clinical Neuropsychologist | 593 Eddy St Ste 430, Providence, RI 02903 | 2018-05-30 |
Find all providers in zip 02903 |
Taxonomy Code | 2084P0804X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Child & Adolescent Psychiatry |
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467893982 | Antra Bami | Psychiatry & Neurology | 593 Eddy St # 122, Providence, RI 02903 | 2013-07-12 |
1558580217 | Pratarnporn Feinstein | Psychiatry & Neurology | 210 8th St, Providence, RI 02906-5001 | 2007-04-24 |
1033270459 | Gregory Paul Stiener | Psychiatry & Neurology | 339 Angell St, Providence, RI 02906-3245 | 2006-12-12 |
1053804625 | Phillip Sojka | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2018-06-08 |
1255719910 | Anish Raj | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2015-05-14 |
1740627702 | Jamie Gainor Dipietro | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903 | 2013-05-31 |
1215371257 | Bonny H Patel | Psychiatry & Neurology | 593 Eddy Street, Hasbro, Providence, RI 02903 | 2013-04-22 |
1043489131 | Lilia Romero-bosch | Psychiatry & Neurology | 101 Dudley St, Providence, RI 02905-2401 | 2008-02-22 |
1962686220 | Aditi Vikas Hajirnis | Psychiatry & Neurology | 593 Eddy St, Providence, RI 02903-4923 | 2007-12-21 |
1902009376 | Marta B. Majczak | Psychiatry & Neurology | 154 Waterman St, Suite 8, Providence, RI 02906-3116 | 2007-06-06 |
Find all providers in PROVIDENCE |
City | PROVIDENCE |
Zip Code | 02903 |
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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.