RADIUS TELEMED, LLC (NPI# 1821618968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821618968 |
| Entity Type | Organization |
| Organization Name | RADIUS TELEMED, LLC |
| Practice Address |
2 2nd St Ph 4102 Jersey City NJ 07302-7028 |
| Mailing Address |
21 Lincoln Ave Elmwood Park NJ 07407-1614 |
| Practice Telephone | 2012946209 |
| Mailing Telephone | 8773601122 |
| Enumeration Date | 2020-04-18 |
| Last Update Date | 2020-04-18 |
| Authorized Official Name | DR. DANI KORYA (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 2012946209 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Meadowlands Pkwy, Secaucus, NJ 070942977 | 8773601122 |
| Street Address |
2 2ND ST PH 4102 |
| City | JERSEY CITY |
| State | NJ |
| Zip Code | 07302-7028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518573641 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 396-420 Luis Munoz Marin Blvd., Jersey City, NJ 07302 | 2020-09-23 |
| 1679192728 | Alejo Terrence Degawan Tabur | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2020-04-09 |
| 1982263224 | Yasir Rafique Rajwana | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center, 355 - Grand Street, Jersey City, NJ 07302 | 2019-06-11 |
| 1821653866 | Flear Vaknin | Student in an Organized Health Care Education/Training Program | Jersey City Medical Center - Obgyn, 355 Grand Street, Jersey City, NJ 07302 | 2019-05-06 |
| 1497218044 | Wolf Performance Consulting LLC | Clinic/Center | 150 Bay Street 2nd Floor - Commercial Entrance, Located Inside of 150 Bay Crossfit, Jersey City, NJ 07302 | 2019-04-10 |
| 1841769734 | Jazmin Maria Del Salto | Psychologist | 395 Grand St., Jersey City, NJ 07302 | 2018-11-20 |
| 1376024075 | Rwj Barnabashealth - Jersey City Medical Center | Psychiatric Unit | 1805 Jfk Blvd, Jersey City, NJ 07302 | 2018-08-22 |
| 1134615123 | Judith Roman | Dentist | 349 2nd St Ste B2, Jersey City, NJ 07302 | 2018-07-03 |
| 1144724873 | Banan Mohammad | Chiropractor | 190 Christopher Columbus Dr # 5c, Jersey City, NJ 07302 | 2018-03-19 |
| 1477062347 | Kingsley Ogigi Oyem | Nurse Practitioner | Rwjbarnabas Health, Jersey City Medical Center, 355 Grand Street, Jersey City, NJ 07302 | 2017-09-23 |
| Find all providers in zip 07302 | ||||
| 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 |
|---|---|---|---|---|
| 1659879088 | Colombus Urgent Care PC | Internal Medicine | 3235 John F Kennedy Blvd, Jersey City, NJ 07306-3405 | 2018-01-31 |
| 1912357153 | Vijaya Chellapilla | Internal Medicine | 96 Coles St # 3, Jersey City, NJ 07302-2322 | 2016-06-19 |
| 1205203452 | Anjum Chatha | Internal Medicine | 580 Montgomery Street, Jersey City, NJ 07302 | 2015-08-24 |
| 1669848008 | Hassan I Qureshi | Internal Medicine | 451 Jersey Ave, Jersey City, NJ 07302-4027 | 2015-08-20 |
| 1720484777 | Doney B Jain | Internal Medicine | 751 Bergen Ave, Jersey City, NJ 07306-4705 | 2014-11-18 |
| 1740617240 | Xiaoling Li | Internal Medicine | 241 Erie St, Jersey City, NJ 07310-1303 | 2013-09-30 |
| 1932464047 | Kirit V Gandhi, M.d. P.a. | Internal Medicine | 3665 Kennedy Blvd, Jersey City, NJ 07307-3210 | 2012-07-05 |
| 1275896292 | Anna Sharovetskaya | Internal Medicine | 10 Regent St, #213, Jersey City, NJ 07302-7321 | 2012-06-25 |
| 1760788061 | Anwar Ahmad Rizvi | Internal Medicine | 151 Jewett Ave, Jersey City, NJ 07304-2003 | 2011-02-03 |
| 1891006565 | Atef Mousa | Internal Medicine | 322 Saint Pauls Ave, Apt #3, Jersey City, NJ 07306-5090 | 2010-06-28 |
| Find all providers in JERSEY CITY | ||||
| City | JERSEY CITY |
| Zip Code | 07302 |
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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.