VIJAYA LAKSHMI ATLURU (NPI# 1699712521) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699712521 |
| Entity Type | Individual |
| Full Name | VIJAYA LAKSHMI ATLURU |
| Credential | M.D. |
| Practice Address |
530 Hicksville Rd Bethpage NY 11714-3415 |
| Practice Telephone | 5169373511 |
| Practice Fax Number | 5169371011 |
| Mailing Telephone | 5169373511 |
| Mailing Fax Number | 5169371011 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2012-10-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
129920 | NY | Allopathic & Osteopathic Physicians |
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
129920 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICARE PTAN | A400042615 | 01 |
| NY | 01199917 | 05 |
| Street Address |
530 HICKSVILLE RD |
| City | BETHPAGE |
| State | NY |
| Zip Code | 11714-3415 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336148527 | Anthony Arcati | Family Medicine | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2005-07-19 |
| 1023676772 | Nyu Langone Hospitals | Clinic/Center | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2019-05-29 |
| 1891150553 | Winthrop Community Medical Affiliates | Family Medicine | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2015-12-23 |
| 1104864263 | Chaula Sunil Kharode | Psychiatry & Neurology | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2006-06-02 |
| 1295780716 | Long Island Primary Medical Care | Family Medicine | 530 Hicksville Rd, Bethpage, NY 11554 | 2006-05-23 |
| 1699741793 | Yelena Matlin Stone | Family Medicine | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2006-02-27 |
| 1346221546 | Harvey Weber | Family Medicine | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2005-11-07 |
| 1508851668 | Christine Jankowski | Internal Medicine | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2005-09-14 |
| 1780679845 | Diane Linzer | Internal Medicine | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2005-09-14 |
| 1184623324 | Robert Arcati | Family Medicine | 530 Hicksville Rd, Bethpage, NY 11714-3415 | 2005-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023466208 | Angelika Cataldo | Physician Assistant | 96 Farmers Ave, Bethpage, NY 11714 | 2016-05-30 |
| 1215390240 | Jessica Cohen Micciulli | Counselor | 1211 Stewart Ave., Suite 100, Bethpage, NY 11714 | 2016-03-29 |
| 1295119329 | Van Tu | Physician Assistant | 72 Roosevelt Dr, Bethpage, NY 11714 | 2015-07-18 |
| 1124400072 | Nicole Simon | Speech-Language Pathologist | 28 Lee Avenue, Bethpage, NY 11714 | 2015-06-26 |
| 1083001556 | Gagandeep Sharma | Podiatrist | 255 Stewart Ave, Bethpage, NY 11714 | 2015-04-22 |
| 1245631399 | All About Kids | Local Education Agency (LEA) | 152 Sycamore Avenue, Bethpage, NY 11714 | 2014-09-09 |
| 1568871440 | Christina Healy | Home Health Aide | 49 West Millpage Drive, Bethpage, NY 11714 | 2014-08-05 |
| 1225444656 | Ryan Vincent Costello | Registered Nurse | 68 S. 2nd St., Apt A, Bethpage, NY 11714 | 2014-07-07 |
| 1598195125 | Lori-ann Perez | Case Manager/Care Coordinator | 18 Ellen Street, Bethpage, NY 11714 | 2013-11-18 |
| 1306195482 | Lisa Kozlowsky | Behavioral Analyst | 420 Kensington Lane, Bethpage, NY 11714 | 2012-09-05 |
| Find all providers in zip 11714 | ||||
| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early 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 |
|---|---|---|---|---|
| 1538665971 | Kristen Barbour | Psychiatry & Neurology | 505 E 70th St # 611, New York, NY 10021-4872 | 2018-04-04 |
| 1164940490 | Kashyar Khodabakhsh M.d.p.c. | Psychiatry & Neurology | 260 Middle Neck Rd Apt 1e, Great Neck, NY 11021-1159 | 2017-09-07 |
| 1629452685 | Inge Anita Meijer | Psychiatry & Neurology | 10 Union Sq E Fl 5, Suite 5k, New York, NY 10003-3314 | 2015-07-18 |
| 1457770620 | Rolla Nuoman | Psychiatry & Neurology | 755 N Broadway Ste 540, Sleepy Hollow, NY 10591 | 2014-04-15 |
| 1689093445 | Evelyn Olga Berman | Psychiatry & Neurology | 200 East River Rd, Rochester, NY 14623 | 2014-04-09 |
| 1760809719 | Danielle Brigham | Psychiatry & Neurology | 710 W 168th St Fl 7, New York, NY 10032-3726 | 2014-03-27 |
| 1861767931 | Pascal Saremsky | Psychiatry & Neurology | 2965 Long Beach Rd Ste 200, Oceanside, NY 11572-3255 | 2012-03-21 |
| 1316246978 | Leslie Diane Delfiner | Psychiatry & Neurology | 3415 Bainbridge Ave Fl 4, Bronx, NY 10467-2403 | 2011-03-22 |
| 1104132778 | Prokhorov's Pediatrics and Child Neurology PC | Psychiatry & Neurology | 9817 Queens Blvd, Ll2, Rego Park, NY 11374-3336 | 2010-08-20 |
| 1457679706 | Vijay Vishwanath | Psychiatry & Neurology | 391 Myrtle Ave Ste 1a, Albany, NY 12208-3797 | 2010-05-11 |
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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.