DR. KERRIN C DEPETER (NPI# 1831358472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831358472 |
| Entity Type | Individual |
| Full Name | DR. KERRIN C DEPETER |
| Credential | MD |
| Practice Address |
1400 Pelham Pkwy S Bronx NY 10461-1138 |
| Practice Telephone | 7189185875 |
| Mailing Telephone | 7199185875 |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2011-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0204X |
Pediatrics Specialization: Pediatric Emergency Medicine |
261076 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1400 PELHAM PKWY S |
| City | BRONX |
| State | NY |
| Zip Code | 10461-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417942202 | Hale I Perlmutter | Physician Assistant | 1400 Pelham Pkwy S, Building 1 Psychiatry, Bronx, NY 10461-1138 | 2005-09-16 |
| 1992305213 | Heesun Huh | Pharmacist | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-10-27 |
| 1366059461 | Lifan Liang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-09-23 |
| 1891301792 | Felipe Jorge Simoes Jones | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Jacobi Medical Center, Bronx, NY 10461 | 2020-09-17 |
| 1700491875 | Amr Walid Aljaerh | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-09-15 |
| 1669087508 | Ahmad Anjum | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-09-08 |
| 1144831744 | Paras Malik | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-17 |
| 1508477167 | Maria Gabriela Rubianes Guerrero | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2020-08-16 |
| 1215548763 | Sneha Nandy | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-10 |
| 1801406368 | Ajita Naik | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2020-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427665975 | Zhanna Kleynerman | Pharmacist | R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 | 2020-09-29 |
| 1245867738 | Dalia Duzdar | Student in an Organized Health Care Education/Training Program | 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 | 2020-03-24 |
| 1306486667 | Alvin Antony Mathew | Physical Therapist | 1500 Blondell Ave., Bronx, NY 10461 | 2020-01-14 |
| 1295374007 | Felicia Bowman | Peer Specialist | 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 | 2019-12-26 |
| 1477191161 | Todd Benevento Jr. | Physical Therapist | 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 | 2019-12-13 |
| 1073173845 | Harriet Sarpong-blankson | Pharmacist | Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 | 2019-06-14 |
| 1396300166 | Victoria Sliva | Psychologist | 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 | 2019-05-07 |
| 1538723366 | Shuai Wang | Student in an Organized Health Care Education/Training Program | 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 | 2019-04-26 |
| 1457810079 | Morpheus Sleep Solutions Inc | Durable Medical Equipment & Medical Supplies | 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 | 2019-03-13 |
| 1922565118 | Metro Care Management LLC | Case Management | 2481 Rowe St, Bronx, NY 10461 | 2019-02-25 |
| Find all providers in zip 10461 | ||||
| Taxonomy Code | 2080P0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Emergency Medicine |
| A pediatrician who has special qualifications to manage emergencies in infants and children. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518043884 | Waseem Hafeez | Pediatrics | Mmc - Emergency Medicine, 111 East 210th Street, Bronx, NY 10467 | 2006-10-30 |
| 1366528630 | Paul Chambers | Pediatrics | Mmc - Peds. Emergency Medicine, 111 East 210th Street, Bronx, NY 10467 | 2006-10-30 |
| 1851350730 | Carmen Lazala | Pediatrics | 2676b Grand Concourse, Bronx, NY 10458-4962 | 2006-03-21 |
| 1821507799 | Albert Abraham Mitta | Pediatrics | 234 E 149th St, Bronx, NY 10451-5504 | 2017-09-23 |
| 1649538968 | Nicole Constance O'connell | Pediatrics | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2012-04-24 |
| 1316101793 | Anjana Vagarali Uppal | Pediatrics | 1400 Pelham Pkwy S, Building 6; Dept of Pediatric Emergency Medicine, Bronx, NY 10461-1138 | 2008-07-15 |
| 1629237813 | Czer Anthoney Enriquez Lim | Pediatrics | 1400 Pelham Pkwy S, 1b-25, Bronx, NY 10461-1138 | 2008-06-03 |
| 1245400035 | Christine Rizkalla | Pediatrics | 111 E 210th St, Pediatric Emergency Department, Bronx, NY 10467-2401 | 2008-03-07 |
| 1891909453 | Abigail Faulkner Nixon | Pediatrics | 1400 Pelham Pkwy S, Jacobi Medical Center, Dept of Pediatric Emergency Med, Bronx, NY 10461-1138 | 2007-05-10 |
| 1083761803 | Anthony F Porto | Pediatrics | 111 E 210th St, Mmc - Pediatric Emergency Med, Bronx, NY 10467-2401 | 2007-01-04 |
| Find all providers in BRONX | ||||
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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.