DHEERAJ MUDDASANI (NPI# 1912496845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912496845 |
| Entity Type | Individual |
| Full Name | DHEERAJ MUDDASANI |
| Credential | MD |
| Practice Address |
43 Barretta Ct Roseland NJ 07068 |
| Mailing Address |
43 Barretta Ct Roseland NJ 07068-2100 |
| Practice Telephone | 9082396653 |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-05-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
43 BARRETTA CT |
| City | ROSELAND |
| State | NJ |
| Zip Code | 07068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477094472 | Shp V Roseland, LLC | Alzheimer Center (Dementia Center) | 345 Eagle Rock Avenue, Roseland, NJ 07068 | 2017-03-10 |
| 1699103663 | Jennifer Karen Lenci | Social Worker | 204 Eagle Rock Ave., Roseland, NJ 07068 | 2013-10-29 |
| 1083768469 | Elaine C Terry Garrod | Psychologist | 38 Roseland Avenue, Roseland, NJ 07068 | 2007-01-22 |
| 1750453833 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 45 Eisenhower Pkwy, Roseland, NJ 07068 | 2006-11-14 |
| 1821184417 | Jami Marie Messina | Psychologist | 157 Eagle Roack Avenue, Roseland, NJ 07068 | 2006-10-04 |
| 1578663514 | Florinda R Mangahas | General Practice | 73 Monroe Ave, Roseland, NJ 07068 | 2006-09-22 |
| 1770687071 | Anthony Origlieri | Ophthalmology | 180 Harrison Ave, Roseland, NJ 07068 | 2006-09-08 |
| 1780620682 | Sami M Mamoun | Surgery | 204 Eagle Rock Avenue, Roseland, NJ 07068 | 2006-06-21 |
| 1033179403 | John Vicchio | Physical Therapist | 10 Eisenhower Parkway, Roseland, NJ 07068 | 2006-03-28 |
| 1023427325 | Toni Barrett | Social Worker | 101 Eisenhower Parkway, Suite 3c, Roseland, NJ 07068 | 2014-08-12 |
| Find all providers in zip 07068 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447851407 | Rebecca Lynn Collimore | Student in an Organized Health Care Education/Training Program | 5 Twin Oaks Ct, Jackson, NJ 08527-5359 | 2020-11-05 |
| 1033710926 | Akshay Chaudhari | Student in an Organized Health Care Education/Training Program | 240 Easton Ave Rm 4014, New Brunswick, NJ 08901-1723 | 2020-11-05 |
| 1124629019 | Shweta Bhagvanbhai Chaudhary | Student in an Organized Health Care Education/Training Program | 240 Easton Ave Rm No4014, New Brunswick, NJ 08901-1723 | 2020-11-05 |
| 1851992150 | Samantha Dickson | Student in an Organized Health Care Education/Training Program | 304 David Ct, Mullica Hill, NJ 08062-1512 | 2020-11-03 |
| 1558960120 | Savannah Jane Potter | Student in an Organized Health Care Education/Training Program | 35 Old Ln, Towaco, NJ 07082-1229 | 2020-10-23 |
| 1528665247 | Famya Khan | Student in an Organized Health Care Education/Training Program | 8 Robin Cir, Princeton Junction, NJ 08550-2244 | 2020-10-06 |
| 1861009599 | Rachael Nicole Romer | Student in an Organized Health Care Education/Training Program | 19 Pinehurst Ct, Blackwood, NJ 08012-5585 | 2020-09-27 |
| 1134735327 | Nickolas Auleta | Student in an Organized Health Care Education/Training Program | 7 Buckingham Dr, Southampton, NJ 08088-1101 | 2020-09-22 |
| 1871109751 | Garrett Bruce Miller | Student in an Organized Health Care Education/Training Program | 28 E Cohawkin Rd, Clarksboro, NJ 08020-1344 | 2020-09-16 |
| 1861007130 | Melyssa Mera Mandelbaum | Student in an Organized Health Care Education/Training Program | 13-47 Comerford Pl, Fair Lawn, NJ 07410-5103 | 2020-09-13 |
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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.