KS MEDICAL, LLC (NPI# 1801295696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801295696 |
Entity Type | Organization |
Organization Name | KS MEDICAL, LLC |
Practice Address |
One Robert Wood Johnson Place Robert Wood Johnson Hospital New Brunswick NJ 08901-1966 |
Mailing Address |
5118 Silver Fox Trl Rockford IL 61114-7010 |
Practice Telephone | 3302899891 |
Mailing Telephone | 3302899891 |
Enumeration Date | 2014-08-18 |
Last Update Date | 2014-08-18 |
Authorized Official Name | KIANOUSH SHEYKHOLESLAMI (PRESIDENT) |
Authorized Official Telephone | 3302899891 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207YS0012X |
Otolaryngology Specialization: Sleep Medicine |
Allopathic & Osteopathic Physicians | ||
Y | 207YS0123X |
Otolaryngology Specialization: Facial Plastic Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
ONE ROBERT WOOD JOHNSON PLACE ROBERT WOOD JOHNSON HOSPITAL |
City | NEW BRUNSWICK |
State | NJ |
Zip Code | 08901-1966 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174586739 | Sridhar Kaushik | Pediatrics | One Robert Wood Johnson Place, Robert Wood Johnson Medical Group, Dept of Pediatrics, New Brunswick, NJ 08901 | 2006-04-06 |
1538791504 | Vincent Trinidad | Nurse Practitioner | One Robert Wood Johnson Place, Medical Education Building -2nd Floor, New Brunswick, NJ 08901-0890 | 2020-02-07 |
1720516339 | Linle Hou | Student in an Organized Health Care Education/Training Program | One Robert Wood Johnson Place, New Brunswick, NJ 08903 | 2017-05-25 |
1669809760 | Crystal Hardie | Registered Nurse | One Robert Wood Johnson Place, Robert Wood Johnson University Hospital, New Brunswick, NJ 08901-1928 | 2013-10-03 |
1174817985 | Umdnj-rwj Hospital | General Acute Care Hospital | One Robert Wood Johnson Place, New Brunswick, NJ 08903-0019 | 2011-06-09 |
1558664599 | Justin William Ady | Surgery | One Robert Wood Johnson Place, Medical Education Building 541, New Brunswick, NJ 08901 | 2010-12-14 |
1598925026 | Christopher Lenza | Internal Medicine | One Robert Wood Johnson Place, Meb 478, New Brunswick, NJ 08903-0019 | 2008-06-09 |
1922280486 | Kathryne A. Cappucci | Clinical Nurse Specialist | One Robert Wood Johnson Place, Adult Cardiac Catheterization Laboratory, New Brunswick, NJ 08903-2601 | 2007-11-27 |
1528265279 | Joelle Pierre | Surgery | One Robert Wood Johnson Place, Department of Pediatric Surgery, New Brunswick, NJ 08903 | 2007-06-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083242622 | Daniel Kareem Haddad | Student in an Organized Health Care Education/Training Program | 1 Robert Wood Johnson Place, Meb 422a, New Brunswick, NJ 08901 | 2020-03-30 |
1922636588 | Neil Anjan Basumallik | Student in an Organized Health Care Education/Training Program | Rutgers Rwjms, Department of Medicine, 125 Paterson Street. Cab 7300, New Brunswick, NJ 08901 | 2020-03-30 |
1922636406 | Naveena Lall | Student in an Organized Health Care Education/Training Program | Rutgers Robert Wood Johnson Internal Medicine Residency, 125 Paterson Street, New Brunswick, NJ 08901 | 2020-03-30 |
1801444047 | Swati Vijay Dhobale | Student in an Organized Health Care Education/Training Program | Saint Peter's University Hospital, 254 Easton Avenue, 4th Floor, Cares Room 4014, New Brunswick, NJ 08901 | 2019-08-30 |
1962974329 | Lauren Burgstresser | Nurse Practitioner | 181 Somerset Street, 3rd Floor, New Brunswick, NJ 08901 | 2018-12-26 |
1851874291 | Damon House Inc. | Substance Abuse Rehabilitation Facility | 105 Joyce Kilmer Ave, New Brunswick, NJ 08901 | 2018-09-12 |
1245718204 | Leah Dinardo | Psychologist | 61 Nichol Ave, New Brunswick, NJ 08901 | 2018-08-01 |
1730667130 | Keshav Bhandari | Student in an Organized Health Care Education/Training Program | Saint Peters University Hospital, 254 Easton Avenue, 4th Floor Cares, Rm 4014, New Brunswick, NJ 08901 | 2018-07-30 |
1942787486 | Mehak Bassi | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-27 |
1063908754 | Oluwatoba Opeyemi Moninuola | Student in an Organized Health Care Education/Training Program | 4th Floor Cares, Rm 4014, 240 Easton Avenue, New Brunswick, NJ 08901 | 2018-07-05 |
Find all providers in zip 08901 |
Taxonomy Code | 207YS0123X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
Specialization | Facial Plastic Surgery |
An otolaryngologist who specializes in facial plastic surgery. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate was, but is no longer issued by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073888434 | Joseph Bayer Vella | Otolaryngology | Rutgers - Robert Wood Johnson University, 10 Plum Street, New Brunswick, NJ 08901 | 2012-03-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1881027308 | Hb Group, Inc | Otolaryngology | 100 Commons Way Ste 701, Holmdel, NJ 07733-2935 | 2013-08-20 |
1861780173 | Ruslan Zhuravsky | Otolaryngology | 1001 Hwy 9 Ste 107, Howell, NJ 07731-3301 | 2011-07-20 |
1013209626 | Mitchell Josef Faktor | Otolaryngology | 2528 River Rd, Manasquan, NJ 08736-2130 | 2011-05-15 |
1760698716 | Jeffrey Bruce Wise | Otolaryngology | 1680 Route 23 Ste 120, Wayne, NJ 07470-7520 | 2007-05-15 |
1184843971 | Kenneth S Rosen | Otolaryngology | 1811 Country Club Dr, Cherry Hill, NJ 08003-3313 | 2007-04-24 |
1487790085 | Francis Tsao | Otolaryngology | 311 Lexington Ave, Paterson, NJ 07502-1010 | 2007-01-30 |
1215032768 | Edmund S. Liu | Otolaryngology | 207 Pompton Ave, Verona, NJ 07044-3018 | 2006-09-13 |
1700808938 | David Lewis | Otolaryngology | 216 Engle St Ste 101, Englewood, NJ 07631-2428 | 2006-07-24 |
1063482651 | Mark Karolak | Otolaryngology | 208 Jack Martin Blvd, Brick, NJ 08724-7770 | 2006-01-25 |
1558347351 | Ear, Nose, Throat and Facial Plastic Surgeons, P.a. | Otolaryngology | 51 Rt 23 South, Floor 2, Riverdale, NJ 07457 | 2005-12-22 |
Find all providers with the same taxonomy |
City | NEW BRUNSWICK |
Zip Code | 08901 |
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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.