MRS. NITI PRAVEEN MOHAN (NPI# 1912531542) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912531542 |
| Entity Type | Individual |
| Full Name | MRS. NITI PRAVEEN MOHAN |
| Credential | PA |
| Practice Address |
285 Middle Country Rd Smithtown NY 11787-2978 |
| Mailing Address |
49 Eastwood Blvd Centereach NY 11720-2734 |
| Practice Telephone | 6315090390 |
| Mailing Telephone | 5169965691 |
| Enumeration Date | 2020-02-21 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
017341-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
285 MIDDLE COUNTRY RD |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548249873 | Timothy James Murphy IIi | Dentist | 285 Middle Country Rd, Suite Ll-7, Smithtown, NY 11787-2978 | 2006-01-13 |
| 1578043881 | Melissa Rodzen | Physician Assistant | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2018-08-16 |
| 1699201970 | Beena Jacob | Nurse Practitioner | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2017-05-05 |
| 1023487410 | Sj Chiropractic, P.C. | Chiropractor | 285 Middle Country Rd, Ste 204, Smithtown, NY 11787-2978 | 2015-09-16 |
| 1326421942 | Melanie Perlson | Clinic/Center | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2015-07-01 |
| 1801155130 | New York Spine Care Medical, PC | Physical Medicine & Rehabilitation | 285 Middle Country Rd, Suite- Ll6, Smithtown, NY 11787-2978 | 2012-05-07 |
| 1619249059 | North Shore Oral Surgery, LLC | Dentist | 285 Middle Country Rd, Suite #108, Smithtown, NY 11787-2978 | 2012-02-01 |
| 1760717292 | Smithtown Endodontics P.C. | Dentist | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2009-10-16 |
| 1295068930 | Middle Country Endocrinology, PC | Internal Medicine | 285 Middle Country Rd, Suite 105, Smithtown, NY 11787-2978 | 2009-09-14 |
| 1497988752 | Joseph Frank Dibernardo | Dentist | 285 Middle Country Rd, Smithtown, NY 11787-2978 | 2009-09-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174570147 | David B Kugler | Internal Medicine | 221 Mount Pleasant Rd, Smithtown, NY 11787-4831 | 2006-05-27 |
| 1295068930 | Middle Country Endocrinology, PC | Internal Medicine | 285 Middle Country Rd, Suite 105, Smithtown, NY 11787-2978 | 2009-09-14 |
| 1619200896 | Endocrine Associates of Long Island, PC | Internal Medicine | 732 Smithtown Byp, Suite 103, Smithtown, NY 11787-5020 | 2009-09-06 |
| 1275722563 | Jessica B Kramer | Internal Medicine | 285 Middle Country Rd, Suite 105, Smithtown, NY 11787-2978 | 2007-10-23 |
| 1669677332 | Deepa Aravind | Internal Medicine | 285 Middle Country Rd, Suite 105, Smithtown, NY 11787-2978 | 2007-06-20 |
| 1992837637 | Island Endocrinology,p.c. | Internal Medicine | 221 Mount Pleasant Rd, Smithtown, NY 11787-4831 | 2007-03-09 |
| 1386775740 | Michael Howard Shanik | Internal Medicine | 221 Mount Pleasant Rd, Smithtown, NY 11787-4831 | 2007-03-08 |
| 1235176280 | Sherry K Sussman | Internal Medicine | 285 Middle Country Rd, Suite 105, Smithtown, NY 11787-2978 | 2006-05-31 |
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|---|---|---|---|---|
| 1689271629 | Cecelia Health, Inc. | Internal Medicine | 355 Lexington Ave # 12f, New York, NY 10017-6603 | 2020-10-02 |
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1033677810 | Sarah Fishman Md, Phd PC | Internal Medicine | 121 E 60th St Apt 3b, New York, NY 10022-1164 | 2019-03-11 |
| 1861969404 | Mt Endocrinology PC | Internal Medicine | 984 N Broadway Ste 305, Yonkers, NY 10701-1308 | 2018-11-01 |
| 1306389523 | Dina Zaqqa | Internal Medicine | 76 Adams Rd, Saratoga Springs, NY 12866-9008 | 2016-11-19 |
| 1740731876 | Beth Anne Piper | Internal Medicine | 104 Union Ave Ste 801, Syracuse, NY 13203-1844 | 2016-10-24 |
| 1023487394 | Michael Berelowitz | Internal Medicine | 415 E 37th St Apt 36c, New York, NY 10016-3261 | 2015-09-17 |
| 1316326317 | Westchester Endrocrinology Pllc | Internal Medicine | 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 | 2015-05-22 |
| 1730577602 | Nicseb Medical PC | Internal Medicine | 103 W 117th St, Ph, New York, NY 10026-2963 | 2014-12-31 |
| 1962812529 | Maria Teresa Anton | Internal Medicine | 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 | 2014-05-05 |
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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.