ISWARYA JAGADESAN (NPI# 1902259278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902259278 |
| Entity Type | Individual |
| Full Name | ISWARYA JAGADESAN |
| Practice Address |
707 E Main St Middletown NY 10940-2650 |
| Practice Telephone | 8453333370 |
| Practice Fax Number | 8453333372 |
| Mailing Telephone | 8453333370 |
| Mailing Fax Number | 8453333372 |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2020-08-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 300488 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 125069215 | IL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 68 Harris Bushville, Harris, NY 127420800 | 8453338484 | 8457945675 |
| Street Address |
707 E MAIN ST |
| City | MIDDLETOWN |
| State | NY |
| Zip Code | 10940-2650 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649275942 | Mihai Olteanu | Anesthesiology | 707 E Main St, Middletown, NY 10940 | 2005-06-15 |
| 1699373944 | Cara Maher | Speech-Language Pathologist | 707 E Main St, Middletown, NY 10940-2650 | 2020-10-09 |
| 1396358552 | Rachel Chassen | Nurse Practitioner | 707 E Main St, Middletown, NY 10940-2650 | 2020-08-27 |
| 1942812623 | Priyanka Tadepalli | Nurse Practitioner | 707 E Main St, Middletown, NY 10940-2650 | 2020-08-23 |
| 1447868807 | Jennifer Marie Wade | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-21 |
| 1558989004 | Anisha Vadehra | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-07-10 |
| 1740805464 | Zahid Mahmood | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-09 |
| 1780209338 | Umbreen Ahmad | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-09 |
| 1306460100 | Manal Saif | Student in an Organized Health Care Education/Training Program | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-08 |
| 1083238984 | Arezoo Teimouri | Physician Assistant | 707 E Main St, Middletown, NY 10940-2650 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043135 | Sherell Rebecca Hassell-robinson | Social Worker | 1 Echo Hills Road, Middletown, NY 10940 | 2020-11-06 |
| 1144821927 | Fred Allen Mccormack | Social Worker | 210 East Main St Suite 105, Middletown, NY 10940 | 2020-11-06 |
| 1609484567 | Gen Med Inc | Anesthesiology | 253 Route 211 East, 2nd Floor, Middletown, NY 10940 | 2020-07-16 |
| 1366067092 | Kalyn Ruscher | Counselor | 303 5th Ave 14 Fl, Suite 1410, New York, NY 10940 | 2020-06-09 |
| 1780238220 | Angela Mayo | Social Worker | 24 Union Street, Middletown, NY 10940 | 2019-08-01 |
| 1215593611 | Northern Medical Center, Inc | Family Medicine | 14 Jason Place, Suite 201, Middletown, NY 10940 | 2019-05-13 |
| 1811468267 | Diana Katzenberger | Licensed Practical Nurse | 774 Kurbytuwn Rd, Middletown, NY 10940 | 2018-12-11 |
| 1881165330 | Chereen Madden-grant | Registered Nurse | 1028 Route 211 W, Middletown, NY 10940 | 2018-12-10 |
| 1184106361 | Clarise Denise Williams | Social Worker | 210 E Main St Suite 105, Middletown, NY 10940 | 2018-09-04 |
| 1194210963 | Damon Tremayne Swinea | Social Worker | 16-24 Union St., Middletown, NY 10940 | 2018-06-25 |
| Find all providers in zip 10940 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821328162 | Kenneth Mark Robbins | Pediatrics | 10 Yellow Birch Rd, Middletown, CT 06457-4921 | 2010-01-09 |
| 1104066653 | James Y Cho | Pediatrics | 3 Manitto Pl, Middletown, NJ 07748-3707 | 2009-02-24 |
| 1982870077 | Warren Gilman | Pediatrics | 7 Starhaven Ave, Middletown, NY 10940-4617 | 2008-05-07 |
| 1528187572 | Dunning Road Pediatrics | Pediatrics | 390 Crystal Run Road Suite110, Middletown, NY 10941 | 2007-03-29 |
| 1932233293 | David Hill | Pediatrics | 100 Crystal Run Road, Suite 107, Middletown, NY 10940 | 2007-03-16 |
| 1912047861 | Middletown Community Health Center Inc | Pediatrics | 14 Grove Street, Middletown, NY 10940 | 2007-02-08 |
| 1780759050 | Chitra Vaidy | Pediatrics | 200 Cleaver Farm Rd Ste 201, Nemours Dupont Pediatrics, Middletown, Middletown, DE 19709-1630 | 2006-11-22 |
| 1851482236 | Gerard A. Kuhn | Pediatrics | Nemours Pediatrics Middletown, 200 Cleaver Farm Road Suite 201, Middletown, DE 19709-1630 | 2006-09-28 |
| 1801900741 | Diana E Small | Pediatrics | 331 N Breiel Blvd, Middletown, OH 45042 | 2006-08-18 |
| 1992819833 | James Michael Komer | Pediatrics | 331 N Breier Road, Middletown, OH 45042 | 2006-08-18 |
| Find all providers in MIDDLETOWN | ||||
| City | MIDDLETOWN |
| Zip Code | 10940 |
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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.