UTHRA KODIYALAM (NPI# 1770545501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770545501 |
| Entity Type | Individual |
| Full Name | UTHRA KODIYALAM |
| Credential | M.D., |
| Practice Address |
55 Morris Ave Suite 300 Springfield NJ 07081-1426 |
| Mailing Address |
21 Princeton Dr New Providence NJ 07974-1219 |
| Practice Telephone | 9733799601 |
| Practice Fax Number | 9734676779 |
| Mailing Telephone | 9082860265 |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2010-09-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MA066933 | NJ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | LICENSE | MA066933 | 01 |
| Street Address |
55 MORRIS AVE SUITE 300 |
| City | SPRINGFIELD |
| State | NJ |
| Zip Code | 07081-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144295668 | Daniel Joseph Preston | Internal Medicine | 55 Morris Ave, Suite 300, Springfield, NJ 07081-1426 | 2006-02-19 |
| 1518260512 | Mark Lichtenberg, Md | Dermatology | 55 Morris Ave, Springfield, NJ 07081-1426 | 2010-12-13 |
| 1215262092 | Michael Andrew Farris | Psychologist | 55 Morris Ave, Suite 108, Springfield, NJ 07081-1426 | 2009-10-12 |
| 1053549907 | Diane Chazen, LLC | Internal Medicine | 55 Morris Ave, Suite 216, Springfield, NJ 07081-1426 | 2009-06-30 |
| 1649303553 | Leslie John Williams | Psychologist | 55 Morris Ave, Suite 108, Springfield, NJ 07081-1426 | 2007-03-13 |
| 1457454266 | Mark Steven Lichtenberg | Specialist | 55 Morris Ave, Springfield, NJ 07081-1426 | 2006-09-07 |
| 1699702019 | Mark R Schoenfeld | Anesthesiology | 55 Morris Ave, Suite 204, Springfield, NJ 07081-1426 | 2006-06-28 |
| 1982643045 | Jose J. Pinto | Obstetrics & Gynecology | 55 Morris Ave, Suite 204, Springfield, NJ 07081-1426 | 2006-06-05 |
| 1336190560 | Diane Robin Chazen | Internal Medicine | 55 Morris Ave, Suite 216, Springfield, NJ 07081-1426 | 2006-05-12 |
| 1356301568 | Malcolm Guy Coblentz | Surgery | 55 Morris Ave, Suite 304, Springfield, NJ 07081-1426 | 2006-03-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508408493 | Amrit Justin Jhauj | Chiropractor | 355 Us-22 East, Springfield, NJ 07081 | 2019-10-11 |
| 1760024665 | Paula Kolodynski | Physician Assistant | 355 Us Route 22, Springfield Township, NJ 07081 | 2019-10-11 |
| 1447722061 | Arielle Coutinho | Social Worker | 343 Milltown Rd, Springfield, NJ 07081 | 2018-12-20 |
| 1265948699 | Brighter Dental Care (springfield) | Dentist | 901 Mountain Avenue, Suite Sc-13, Springfield, NJ 07081 | 2017-12-21 |
| 1477080166 | Maira Gomez | Specialist | 1017 Burnet Ave, Union, NJ 07081 | 2017-05-12 |
| 1215472980 | Kara S Jablonka, LLC | Social Worker | 28 Millburn Avenue (suite #7), Springfield, NJ 07081 | 2017-01-04 |
| 1467813188 | Therapyworks LLC | Health Maintenance Organization | 74 Madison Terrace, Springfield, NJ 07081 | 2016-03-08 |
| 1942677893 | Jody Fenelon | Pharmacist | 50 Lawrence Road, Springfield, NJ 07081 | 2015-08-26 |
| 1013336601 | Exceptional Eye Care Group of Springfield L.L.C. | Optometrist | 55-d Route 22 East, Springfield, NJ 07081 | 2014-04-10 |
| 1790116424 | Kara Simon Jablonka | Social Worker | 28 Millburn Ave (suite 7), Springfield, NJ 07081 | 2013-12-05 |
| Find all providers in zip 07081 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639675077 | Anand Kanjolia, M.d. LLC | Internal Medicine | 222 Carew St Fl 4, Springfield, MA 01104-4109 | 2018-04-04 |
| 1376068817 | Personal Primary Care and Weight Management, LLC | Internal Medicine | 299 Carew St Ste 234, Springfield, MA 01104-2368 | 2017-08-05 |
| 1184145682 | Basma Al-bast | Internal Medicine | 701 N 1st St Ste 434, Springfield, IL 62702-3757 | 2017-07-05 |
| 1689124604 | John Duff | Internal Medicine | 2909 S Camber Ave, Springfield, MO 65809-3547 | 2016-10-13 |
| 1669834941 | Siddhi Joshi | Internal Medicine | 5501 Backlick Rd Ste 105, Springfield, VA 22151-3940 | 2016-03-24 |
| 1265898936 | Mohammad Rahimuddin | Internal Medicine | 2556 Snyder Domer Rd, Springfield, OH 45502-8161 | 2016-01-11 |
| 1376908913 | Abdul Hannan | Internal Medicine | 315 W Carpenter St # B, Springfield, IL 62702 | 2015-12-28 |
| 1033589304 | Hshs Medical Group Inc | Internal Medicine | 3215 Executive Park Dr, Springfield, IL 62703-4514 | 2015-09-30 |
| 1679992895 | Ahlam Elbadri | Internal Medicine | 2115 S Fremont Ave Ste 2300, Springfield, MO 65804-2233 | 2014-04-15 |
| 1528487543 | Barbara Vinci | Internal Medicine | 2443 Troy Rd, Springfield, OH 45504-4233 | 2014-04-08 |
| Find all providers in SPRINGFIELD | ||||
| City | SPRINGFIELD |
| Zip Code | 07081 |
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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.