MANJU CHANDRA (NPI# 1841366127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841366127 |
| Entity Type | Individual |
| Full Name | MANJU CHANDRA |
| Credential | MD |
| Practice Address |
120 Mineola Blvd Suite 210 Mineola NY 11501-4073 |
| Mailing Address |
222 Station Plz N Suite 611 Mineola NY 11501-3808 |
| Practice Telephone | 5166634600 |
| Practice Fax Number | 5166638297 |
| Mailing Telephone | 5166632532 |
| Mailing Fax Number | 5166632233 |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-08-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
119056 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00630828 | 05 |
| Street Address |
120 MINEOLA BLVD SUITE 210 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609869734 | Valerie Cucco | Obstetrics & Gynecology | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4073 | 2005-08-24 |
| 1447892153 | Cassandra Singh | Nurse Practitioner | 120 Mineola Blvd, Mineola, NY 11501-4064 | 2019-10-14 |
| 1750739876 | Jaime Michelle Tramontana | Genetic Counselor, MS | 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4064 | 2016-05-31 |
| 1770944688 | Jessica Hoey | Internal Medicine | 120 Mineola Blvd, Mineola, NY 11501 | 2016-03-19 |
| 1689039505 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Emergency Medicine | 120 Mineola Blvd, Suite 360, Mineola, NY 11501-4064 | 2015-12-18 |
| 1013372135 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Surgery | 120 Mineola Blvd, Suite 300, Mineola, NY 11501-4064 | 2015-12-16 |
| 1639555428 | Anne-marie Wise | Nurse Practitioner | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064 | 2015-08-04 |
| 1518342021 | Sherin Philip | Nurse Practitioner | 120 Mineola Blvd, 100, Mineola, NY 11501-4064 | 2015-07-26 |
| 1093199564 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Allergy & Immunology | 120 Mineola Blvd, Suite 410, Mineola, NY 11501-4064 | 2015-07-15 |
| 1154702850 | Abigail Weinberg | Genetic Counselor, MS | 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4064 | 2015-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
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| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396996211 | Adrian Spitzer | Pediatrics | 3326 Bainbridge Ave, Bronx, NY 10467-2800 | 2008-10-09 |
| 1013177286 | Natalie Somera Uy | Pediatrics | 3959 Broadway # Chn1115, New York, NY 10032-1559 | 2008-06-11 |
| 1992963417 | Pamela Singer | Pediatrics | 420 Lakeville Rd, New Hyde Park, NY 11042-1121 | 2008-05-30 |
| 1215071261 | Erin R Rademacher | Pediatrics | Box 777, 601 Elmwood Avenue, Rochester, NY 14642 | 2007-02-15 |
| 1942360011 | Howard Trachtman | Pediatrics | 227 E 30th St, New York, NY 10016-8203 | 2006-12-11 |
| 1780756361 | Consolacion Tanedo Pimentel | Pediatrics | 430 Strawtown Rd, West Nyack, NY 10994-1236 | 2006-11-15 |
| 1699851535 | Frederick J Kaskel | Pediatrics | 1251 Raleigh Rd, Mamaroneck, NY 10543-1232 | 2006-10-31 |
| 1396842522 | New York Specialty Physicians, LLP | Pediatrics | 125 Plandome Rd, Manhasset, NY 11030-2331 | 2006-09-20 |
| 1629087267 | Mount Sinai School of Medicine | Pediatrics | 5 East 98th. Street 12th. Floor, New York, NY 10029-6574 | 2006-08-05 |
| 1710925276 | Ayesa N Mian | Pediatrics | 601 Elmwood Ave Box 777, Rochester, NY 14642-0001 | 2006-06-04 |
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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.