MS. SHARON LEELA PATIBANDLA (NPI# 1760044796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1760044796 |
Entity Type | Individual |
Full Name | MS. SHARON LEELA PATIBANDLA |
Credential | PHYSICIAN ASSISTANT |
Practice Address |
246 Clifton Ave Ste 4 Clifton NJ 07011-1953 |
Mailing Address |
3111 Gates Ct Morris Plains NJ 07950-3472 |
Practice Telephone | 9739282715 |
Mailing Telephone | 8622227234 |
Enumeration Date | 2019-06-29 |
Last Update Date | 2019-06-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
25MP00493500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
246 CLIFTON AVE STE 4 |
City | CLIFTON |
State | NJ |
Zip Code | 07011-1953 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750538609 | Vikram Gupta | Family Medicine | 246 Clifton Ave Ste 4, Clifton, NJ 07011-1953 | 2008-08-22 |
1568988665 | Jancy Roensa Tejada Acosta | Nurse Practitioner | 246 Clifton Ave Ste 4, Clifton, NJ 07011 | 2017-08-21 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285101980 | Trucare Adult Medical Day Care | Clinic/Center | 111 Paulison Avenue, Clifton, NJ 07011 | 2018-10-31 |
1801389903 | Sonja Abbassi Md | Internal Medicine | 1618 Main Avenue, 1618 Main Avenue, Clifton, NJ 07011 | 2018-06-13 |
1346747003 | Laquanda Kiera Turner | Social Worker | 139 Lake Avenue, Clifton, NJ 07011 | 2018-04-10 |
1083120414 | Castellaro Chiropractic | Chiropractor | 385 Lakeview Avenue, Clifton, NJ 07011 | 2017-12-21 |
1982124707 | Rana Garris | Student in an Organized Health Care Education/Training Program | 327 Luddington Avenue, 1st Floor, Clifton, NJ 07011 | 2017-06-22 |
1528501335 | Mental Health Association In Passaic County | Clinic/Center | 404 Clifton Ave., Clifton, NJ 07011 | 2016-11-28 |
1346694114 | Desjet LLC | Emergency Medicine | 35 Ackerman Avenue, Clifton, NJ 07011 | 2016-04-19 |
1437524493 | Pooja Jainish Vashi | Physical Therapist | 246 Clifton Ave Ste 5, Clifton, NJ 07011 | 2015-12-02 |
1093122830 | Truecare | Ambulance | 135 Demott Ave, 135, Clifton, NJ 07011 | 2014-07-14 |
1952641391 | Y.a.f.a. Group LLC | Ambulance | 11 Richmond St, Clifton, NJ 07011 | 2013-02-21 |
Find all providers in zip 07011 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194069112 | Ke Yan Tang | Physician Assistant | 1355 Broad Street, Clifton, NJ 07013 | 2012-11-15 |
1851653125 | Jesse Barrown Hozey | Physician Assistant | 110 Hill St, Clifton, AZ 85533 | 2012-06-13 |
1740421353 | Florence Kramer | Physician Assistant | 1300 Main Ave Ste 2c, Clifton, NJ 07011-2266 | 2009-03-11 |
1518140367 | Minesh Patel | Physician Assistant | 1117 Route 46 Ste 206, Garden State Pain Control Center, Clifton, NJ 07013-2450 | 2007-12-14 |
1952739518 | Lori Jackson-bogle | Physician Assistant | 1300 Main Ave, 2c, Clifton, NJ 07011-2266 | 2013-10-17 |
1669792172 | Allison Jessica Sems | Physician Assistant | 124 Main St, Clifton, TN 38425-5544 | 2010-06-07 |
1891935524 | Liya Ye | Physician Assistant | 1117 Route 46 East, Suite 206, Clifton, NJ 07013 | 2009-02-20 |
1770769903 | Christina Sue Free | Physician Assistant | 207 Main St, Clifton, TN 38425-5547 | 2008-01-17 |
1992720270 | Michael R Mc Master | Physician Assistant | 1033 Clifton Ave, Clifton, NJ 07013-3517 | 2006-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891300612 | Heather C. Williamson | Physician Assistant | 57 Willis Dr, West Trenton, NJ 08628 | 2020-09-09 |
1427660810 | Lauren Colacicco | Physician Assistant | 406 Nj-23 North, Franklin, NJ 07416 | 2020-08-18 |
1912525353 | Thy T Pham | Physician Assistant | 2 Capital Way Ste 407, Pennington, NJ 08534-2521 | 2020-07-13 |
1982226270 | Alexandra Bellisario | Physician Assistant | 7 Normandy Pl, Colts Neck, NJ 07722-1174 | 2020-05-11 |
1497394266 | Trevor Paul | Physician Assistant | 167 Us Highway 9 Ste 5, Englishtown, NJ 07726-9215 | 2019-12-27 |
1295371003 | Sujin Kim | Physician Assistant | 500 Grand Ave Ste 201, Englewood, NJ 07631-4968 | 2019-11-27 |
1811531767 | Kaceyanne Lynn Cerankowski | Physician Assistant | 3131 Princeton Pike Bldg 4a, Lawrenceville, NJ 08648-2201 | 2019-11-04 |
1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
1245871334 | Terrell Amanda Collins | Physician Assistant | 76 W Jimmie Leeds Rd Ste 201, Galloway, NJ 08205-9417 | 2019-10-01 |
1013561422 | Adrienne Lauren Rinaldi | Physician Assistant | 1400 State Highway 70, Relievus, Cherry Hill, NJ 08034-0000 | 2019-07-25 |
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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.