DR. JOHN DAVID PAULSEN JR. (NPI# 1730567538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730567538 |
| Entity Type | Individual |
| Full Name | DR. JOHN DAVID PAULSEN JR. |
| Credential | M.D. |
| Practice Address |
1468 Madison Avenue Annenberg Suite 15-38a New York NY 10029-6574 |
| Practice Telephone | 2122414107 |
| Mailing Telephone | 2122414107 |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2020-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
296192 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215921234 | John Eric Paulsen | Optometrist | 165 N 3rd Ave, Sturgeon Bay, WI 54235-2415 | 2005-09-06 |
| 1174552681 | John Kevin Paulsen | Surgery | 7303 N Knoxville Ave, Peoria, IL 61614-2017 | 2006-06-30 |
| Street Address |
1468 MADISON AVENUE ANNENBERG SUITE 15-38A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902838030 | Eva A Waite | Internal Medicine | 1468 Madison Avenue, New York, NY 10029 | 2006-07-07 |
| 1679003255 | Msc Oral Surgery PC | Dentist | 1468 Madison Avenue, Annenberg Building 2nd Floor, New York, NY 10029 | 2017-06-15 |
| 1255878427 | Hany Youssef | Physician Assistant | 1468 Madison Avenue, Department of General Surgery, New York, NY 10029 | 2017-01-26 |
| 1245774355 | Jake Kim | Nurse Practitioner | 1468 Madison Avenue, Box 1495, New York, NY 10029-6574 | 2016-12-08 |
| 1275974594 | Danielle Faershtein | Nurse Practitioner | 1468 Madison Avenue, 3rd Floor, New York, NY 10029-6574 | 2013-07-15 |
| 1710229505 | Laura Katherine Stein | Psychiatry & Neurology | 1468 Madison Avenue, Annenberg Building, 2nd Floor, New York, NY 10029 | 2013-03-20 |
| 1962786582 | Andrea Yuzuk | Physician Assistant | 1468 Madison Avenue, New York, NY 10029-6508 | 2011-09-30 |
| 1144547787 | Elaine Patricia Lin | Pediatrics | 1468 Madison Avenue, 4th Floor, New York, NY 10029-6574 | 2010-04-21 |
| 1396905188 | Matthew Clark | Dentist | 1468 Madison Avenue, Annenberg Building 2nd Floor, New York, NY 10029 | 2008-06-15 |
| 1083798300 | Jill Posa | Occupational Therapist | 1468 Madison Avenue, New York, NY 10029 | 2006-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 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 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619359916 | Hamza Numan Gokozan | Pathology | 525 E 68th St Rm F-771a, New York, NY 10065-4870 | 2015-06-23 |
| 1679988612 | Lingxin Zhang | Pathology | 535 East 70th East Street, Department of Pathology and Laboratory Medicine, New York, NY 10021 | 2014-06-29 |
| 1003227737 | Jose Victor Scarpa Carniello | Pathology | 525 E 68th St Rm F-07766b, New York, NY 10065-4870 | 2014-05-15 |
| 1619310810 | Negin Shafizadeh | Pathology | 550 1st Ave # Th461, New York, NY 10016-6402 | 2013-04-08 |
| 1174870679 | Tanu Goyal | Pathology | 1468 Madison Ave # 00296574, New York, NY 10029 | 2012-08-14 |
| 1881955888 | Nina Schatz-siemers | Pathology | 525 E 68th St # 1031e, New York, NY 10065-4870 | 2012-06-06 |
| 1710246764 | Reuben Paul Jacob | Pathology | 327 E 64th St Rm 520, New York, NY 10065-6704 | 2012-05-11 |
| 1609135995 | Dan Lu | Pathology | 1468 Madison Ave Bldg Rm15-265, New York, NY 10029-6508 | 2012-05-08 |
| 1083998108 | Adolfo Firpo-betancourt | Pathology | 1 Gustave L Levy Pl # 1194, New York, NY 10029-6500 | 2011-10-07 |
| 1629366307 | Xiaoqing O'leary | Pathology | 300 E 54th St Apt 9k, New York, NY 10022-5021 | 2011-07-15 |
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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.