KANIKA PRAVIN MODY


Address: 20 Prospect Ave Ste 200, Hackensack, NJ 07601
Phone: 5519964849

KANIKA PRAVIN MODY (NPI# 1891941449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891941449
Entity Type Individual
Full Name KANIKA PRAVIN MODY
Credential M.D.
Practice Address 20 Prospect Ave Ste 200
Hackensack
NJ 07601
Mailing Address 35 Pine Rd
Allendale
NJ 07401-1342
Practice Telephone 5519964849
Practice Fax Number 5519968089
Mailing Telephone 5518047679
Enumeration Date 2008-08-14
Last Update Date 2019-01-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 249685 NY Allopathic & Osteopathic Physicians
Y 207RA0001X Internal Medicine
Specialization: Advanced Heart Failure and Transplant Cardiology
25MA09537200 NJ Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
735 Midwood Rd, Ridgewood, NJ 074505537 5518047679 2014477018

Office Location

Street Address 20 PROSPECT AVE STE 200
City HACKENSACK
State NJ
Zip Code 07601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1437217973 Robert L Berkowitz Internal Medicine 20 Prospect Ave Ste 200, Suite 201, Hackensack, NJ 07601-1999 2006-12-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750989414 Alpha Healthcare Staffing Firm, LLC Registered Nurse 194 Passaic Street, Hackensack, NJ 07601 2020-10-15
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1649825233 Rachel Korenblit Social Worker 235 Main St Ste 203, Hackensack, NJ 07601 2019-08-09
1740846567 Samantha Pirnat Counselor 426 Hudson Street, 2nd Floor, Hackensack, NJ 07601 2019-05-16
1881258499 Tara Lynn Smith Social Worker 160 South River Street, Hackensack, NJ 07601 2019-04-29
1922569318 Solomon Isakov Dentist 835 Prospect Ave, Suite 304, Hackensack, NJ 07601 2019-03-27
1114403409 Mildred Lopez Vasquez Home Health Aide 12 Rowland Avenue, Hackensack, NJ 07601 2018-07-19
1538656582 Zara Pharmacy LLC Pharmacy 57 Linden St, Hackensack, NJ 07601 2018-04-16
1447759048 Maryann Hom Social Worker 307 Prospect Avenue, 14e, Hackensack, NJ 07601 2018-02-08
1699274258 Kirsten Byrnes Psychologist Audrey Hepburn Children's House, Hackensack Umc, 12 Second St, Hackensack, NJ 07601 2018-02-08
Find all providers in zip 07601

Taxonomy Information

Taxonomy Code 207RA0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Advanced Heart Failure and Transplant Cardiology

Taxonomy Definition

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.
Notes: Source: American Board of Internal Medicine, www.abim.org [7/1/2015: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1063062933 Kristen Garofalo Internal Medicine 201 Lyons Ave, Newark, NJ 07112-2027 2019-09-12
1336311661 Robert A Mohapatra Internal Medicine 1 Brace Rd, Suite C, Cherry Hill, NJ 08034-2600 2008-03-27

Competitor

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City HACKENSACK
Zip Code 07601

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Dataset Information

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.

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