DR. VIDYA JAYAWARDENA (NPI# 1841466034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841466034 |
| Entity Type | Individual |
| Full Name | DR. VIDYA JAYAWARDENA |
| Credential | M.D. |
| Practice Address |
1400 Vfw Pkwy West Roxbury MA 02132-4927 |
| Mailing Address |
1400 Vfw Parkway # 128 Spinal Cord Injury Unit, Va Medical Center West Roxbury MA 02132 |
| Practice Telephone | 8572036455 |
| Mailing Telephone | 8572036588 |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2010-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
0101226801 | VA | Allopathic & Osteopathic Physicians |
| Street Address |
1400 VFW PKWY |
| City | WEST ROXBURY |
| State | MA |
| Zip Code | 02132-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013903384 | Yesha Patel Barker | Emergency Medicine | 1400 Vfw Pkwy, Emergency Department, West Roxbury, MA 02132-4927 | 2005-09-22 |
| 1588279681 | Samantha Harfenist | Psychologist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-09-15 |
| 1114540341 | Elaine W Mandell | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-05-21 |
| 1154942696 | Crystal Ann Galvin | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-05-06 |
| 1972122943 | Lucia Fan Yang | Student in an Organized Health Care Education/Training Program | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-04-10 |
| 1295364917 | Andrea Moseman | Student in an Organized Health Care Education/Training Program | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2020-04-04 |
| 1801431010 | Jessica Fougere | Nurse Practitioner | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-11-12 |
| 1427608975 | Megan Nowak | Pharmacist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-09-17 |
| 1457906182 | Kristine Sears | Registered Nurse | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-08-08 |
| 1972156198 | William Vincent Rivelli | Respiratory Therapist, Registered | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2019-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299663 | Ashley Monteiro | Counselor | 15 Elgin St, West Roxbury, MA 02132 | 2018-06-18 |
| 1033639943 | Nahed Lakkis | Dentist | 80 New Haven St, West Roxbury, MA 02132 | 2017-06-21 |
| 1053780692 | Yanpeng Ding | Optometrist | 2034a Centre St, West Roxbury, MA 02132 | 2015-09-24 |
| 1013303437 | Alaa Alrababa I | Dentist | 125 Edgemere Road, 202, West Roxbury, MA 02132 | 2015-04-13 |
| 1023426483 | Kearstin F. Thomas D.m.d.,pc | Dentist | 2075 Centre Street, West Roxbury, MA 02132 | 2014-07-30 |
| 1003226630 | Beyond Independent Living LLC | Case Management | 1208b Vfw Parkway, Suite 301, Boston, MA 02132 | 2014-05-05 |
| 1780920223 | Kysa Christie | Psychologist | 1400 Vfw Parkway (sci 128), West Roxbury, MA 02132 | 2013-01-02 |
| 1629324652 | Mohamed Al-janabi | Dentist | 250 Spring St, Apt 18, West Roxbury, MA 02132 | 2012-07-27 |
| 1265704787 | Ronda Denise Jones | Case Manager/Care Coordinator | 2077 Centre Street, West Roxbury, MA 02132 | 2012-01-30 |
| 1306123419 | Hung Doan | Pharmacist | 1065 Truman Highway, Hyde Park, MA 02132 | 2011-11-03 |
| Find all providers in zip 02132 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013036250 | Elsa J Aguilera | Physical Medicine & Rehabilitation | Va Boston Healthcare System, 1400 Vfw Parkway, West Roxbury, MA 02132 | 2007-03-28 |
| City | WEST ROXBURY |
| Zip Code | 02132 |
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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.