DR. SUMON KUMAR DAS (NPI# 1780831867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780831867 |
| Entity Type | Individual |
| Full Name | DR. SUMON KUMAR DAS |
| Credential | M.D. |
| Practice Address |
201 Lyons Ave Ste C5 Newark NJ 07112-2027 |
| Practice Telephone | 9739268267 |
| Practice Fax Number | 9739266452 |
| Mailing Telephone | 9739268267 |
| Mailing Fax Number | 9739266452 |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2014-02-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MD438297 | PA | Allopathic & Osteopathic Physicians |
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
MA08536500 | NJ | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
246038 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0194476 | 05 |
| Street Address |
201 LYONS AVE STE C5 |
| City | NEWARK |
| State | NJ |
| Zip Code | 07112-2027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982607149 | Dong Chen | Anesthesiology | 201 Lyons Ave, Newark, NJ 07112-2027 | 2005-05-23 |
| 1558962100 | Chris Kemen | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-11-02 |
| 1275132904 | Special LLC | Emergency Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-23 |
| 1326646019 | University Medical Associates (om) | Internal Medicine | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1063010742 | University Pediatric Associates (om) | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-10-14 |
| 1932716586 | University Physician Associates of New Jersey, Inc. | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-28 |
| 1225642200 | Cresencia E Leopold | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-09-07 |
| 1538786546 | Uri Netanel Schneider | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-25 |
| 1275158032 | Nneka E Emenaka | Nurse Practitioner | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-06-08 |
| 1447874151 | Sarah Karron | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark, NJ 07112-2027 | 2020-05-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129680 | Kimberly Sjockeia Smith-jones | Massage Therapist | 590 Irvine Turner Blvd, Newark, NJ 07112 | 2020-09-18 |
| 1346880325 | Latifat Olabisi Bamgbose | Licensed Practical Nurse | 233 Lehigh Avenue, #3, Newark, NJ 07112 | 2020-01-08 |
| 1316588122 | Leila Renee Grubbs | Counselor | 140 Chancellor Avenue, 1b, Newark, NJ 07112 | 2019-10-02 |
| 1891347225 | Obeng Pharmacy LLC | Pharmacy | 431-433 Elizabeth Avenue, Newark, NJ 07112 | 2019-07-16 |
| 1124595723 | Patience Marks | Nurse Practitioner | 15 Shaw Avenue, Newark, NJ 07112 | 2018-11-01 |
| 1215425145 | Johnbosco Okpala | Student in an Organized Health Care Education/Training Program | Nbimc 201 Lyons Ave, Newark, NJ 07112 | 2018-04-26 |
| 1700383809 | Big Sam's Services LLC | Home Health | 349 Hawthorne Avenue, Newark, NJ 07112 | 2018-04-06 |
| 1780117325 | Vivien Wai Tung Ku | Student in an Organized Health Care Education/Training Program | 201 Lyons Ave, Newark Beth Israel Medical Center, Department of Dentistry, Newark, NJ 07112 | 2017-04-11 |
| 1265839922 | Bhavinkumar Shah | Pharmacist | 178-180 Lyons Ave, Newark, NJ 07112 | 2014-11-24 |
| 1629377445 | Isaac Abiola Popoola | Registered Nurse | 357 Schley Aptb4, Newark, NJ 07112 | 2011-03-18 |
| Find all providers in zip 07112 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821174558 | Meena Kalyanaraman | Pediatrics | 201 Lyons Ave # C-5, Newark, NJ 07112-2027 | 2006-10-27 |
| 1326198003 | Victor Uduaghan | Pediatrics | 150 Bergen St, Picu, Newark, NJ 07103-2496 | 2007-01-12 |
| 1871658724 | Dianne M. Sinquee | Pediatrics | 150 Bergen St, Picu, Newark, NJ 07103-2496 | 2006-12-22 |
| 1962571661 | Jose Armando Nevado | Pediatrics | 150 Bergen St, Picu, Newark, NJ 07103-2496 | 2006-11-07 |
| 1003914748 | Derrick Mcqueen | Pediatrics | 201 Lyons Ave, Newark, NJ 07112-2027 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376956946 | Rachel Lewis | Pediatrics | 30 Prospect Ave, Picu, Hackensack, NJ 07601-1915 | 2014-06-11 |
| 1568705051 | Maria Luisa Escobar | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2013-04-03 |
| 1528326980 | Amy L. Chirico | Pediatrics | 30 Prospect Ave, Hackensack, NJ 07601 | 2012-04-24 |
| 1134421530 | Abigail Hodges Walsh | Pediatrics | 94 Old Short Hills Rd, Livingston, NJ 07039 | 2010-11-17 |
| 1356671887 | Colin Russell O'reilly | Pediatrics | 200 Somerset St, New Brunswick, NJ 08901-1942 | 2010-01-06 |
| 1396074456 | Michael Keenaghan | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-12-17 |
| 1043449671 | Mario Charles Colletti | Pediatrics | 703 Main St, Paterson, NJ 07503 | 2009-07-02 |
| 1104060102 | Amit C Misra | Pediatrics | 300 Second Avenue, Long Branch, NJ 07740 | 2009-04-22 |
| 1952544272 | Ma. Bernardita Ricafort Gamallo | Pediatrics | 100 Madison Ave, Morristown, NJ 07960-6136 | 2009-04-16 |
| 1083876106 | Hariprem Rajasekhar | Pediatrics | 1 Robert Wood Johnson Pl, Meb 3rd Floor, New Brunswick, NJ 08901-1928 | 2008-06-30 |
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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.