VIMALA SIVARAMAN (NPI# 1831561687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831561687 |
| Entity Type | Individual |
| Full Name | VIMALA SIVARAMAN |
| Practice Address |
1 Vantage Ct Port Jefferson NY 11777-2237 |
| Mailing Address |
Po Box 638 Port Jefferson NY 11777-0638 |
| Practice Telephone | 6313312422 |
| Mailing Telephone | 6313312422 |
| Enumeration Date | 2015-10-20 |
| Last Update Date | 2015-10-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 173991-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1 VANTAGE CT |
| City | PORT JEFFERSON |
| State | NY |
| Zip Code | 11777-2237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568088615 | Aqsa Ashraf | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mather Hospital Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-24 |
| 1366068975 | Manal Ahmad | Student in an Organized Health Care Education/Training Program | 75 N County Rd, Level 2 Cmo Suite, Internal Medicine Re, Mather Hospital, Port Jefferson, NY 11777 | 2020-06-19 |
| 1639794555 | Umair Ahmad Ansari | Student in an Organized Health Care Education/Training Program | 75 N Country Road Mother Hospital, Internal Medicine Re, Level 2 - Cmd Suite, Port Jefferson, NY 11777 | 2020-06-16 |
| 1578188132 | Manasi Sule | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Mather Hospital, Internal Medicine Res, Port Jefferson, NY 11777 | 2020-06-10 |
| 1508480716 | Imona Subedi | Student in an Organized Health Care Education/Training Program | 75 N Country Road, Level 2 - Cmo Suite, Mather Hospital Internal Medicine Residency Program, Port Jefferson, NY 11777 | 2020-06-03 |
| 1184252108 | Romana Imtiaz Syed | Student in an Organized Health Care Education/Training Program | Liza M Dominioni,mather Hospital,internal Medicine, Residency Program,level 2-cmo Suite,75 N Country Rd, Port Jefferson, NY 11777 | 2020-03-27 |
| 1649807348 | Mustafa Mohammed Abdulsada | Student in an Organized Health Care Education/Training Program | 75 N Country Rd, Ny, Level 2 - Cmo Suite, Port Jefferson, NY 11777 | 2020-03-24 |
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1811554637 | Kausar Ali | Nurse Practitioner | 408 Thompson Street, Port Jefferson, NY 11777 | 2019-05-28 |
| 1073097531 | Ministry for Hope, Inc. Montfort Therapeutic Residence | Residential Treatment Facility, Physical Disabilities | 100 Stonyhill Road, Port Jefferson, NY 11777 | 2018-09-20 |
| Find all providers in zip 11777 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184264764 | Girma Moges Gamme | Surgery | 625 Belle Terre Rd, Suite 203 Mather Hospital, Port Jefferson, NY 11777 | 2020-01-10 |
| 1215298872 | Ann Marie Defnet | Surgery | 70 N Country Rd Ste 102, Port Jefferson, NY 11777-2161 | 2012-05-30 |
| 1568721264 | Joseph Pinkhas | Surgery | 70 N Country Rd Ste 203, Port Jefferson, NY 11777-2161 | 2012-05-15 |
| 1316966245 | Edward B Borden | Surgery | 625 Belle Terre Rd Ste 201, Port Jefferson, NY 11777-2318 | 2006-07-19 |
| 1053365585 | Christopher Beatty, Md, PC | Surgery | 640 Belle Terre Rd, Port Jefferson, NY 11777-1936 | 2006-05-20 |
| 1841286788 | Hesham Mahmoud Atwa | Surgery | 620 Belle Terre Rd, Suite 5, Port Jefferson, NY 11777-2500 | 2005-09-26 |
| 1326654120 | Kristen Dismore | Surgery | 625 Belle Terre Rd Ste 202, Port Jefferson, NY 11777-2318 | 2020-09-17 |
| 1972129138 | Harbor View Medical Services, P.C. | Surgery | 70 N Country Rd Ste 102, Port Jefferson, NY 11777-2161 | 2020-06-23 |
| 1215571450 | Harbor View Medical Services, P.C. | Surgery | 70 N Country Rd Ste 102, Port Jefferson, NY 11777-2161 | 2019-10-31 |
| 1871906941 | Long Island Physician Associates, Pllc | Surgery | 70 N Country Rd, Suite 203, Port Jefferson, NY 11777-2161 | 2014-06-06 |
| Find all providers in PORT JEFFERSON | ||||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
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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.