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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
735 Midwood Rd, Ridgewood, NJ 074505537 | 5518047679 | 2014477018 |
Street Address |
20 PROSPECT AVE STE 200 |
City | HACKENSACK |
State | NJ |
Zip Code | 07601 |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1750989414 | Alpha Healthcare Staffing Firm, LLC | Registered Nurse | 194 Passaic Street, Hackensack, NJ 07601 | 2020-10-15 |
1396350120 | Lower Limb Institute | Podiatrist | 211 Esses Street, Suite 405, Hackesack, NJ 07601 | 2020-09-09 |
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 Code | 207RA0001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Advanced Heart Failure and Transplant Cardiology |
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] |
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 |
City | HACKENSACK |
Zip Code | 07601 |
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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.