SAPAN K POLEPALLE (NPI# 1912954009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912954009 |
| Entity Type | Individual |
| Full Name | SAPAN K POLEPALLE |
| Credential | MD |
| Practice Address |
2940 Grand Concourse Suite 1a Bronx NY 10458-2611 |
| Mailing Address |
Po Box 2157 Monroe NY 10949-7157 |
| Practice Telephone | 7186842516 |
| Practice Fax Number | 7186842518 |
| Mailing Telephone | 8453465815 |
| Mailing Fax Number | 7186842518 |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2012-03-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 239371 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02753693 | 05 |
| Street Address |
2940 GRAND CONCOURSE SUITE 1A |
| City | BRONX |
| State | NY |
| Zip Code | 10458-2611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790747343 | Thresiamma George Thanjan | Pediatrics | 2940 Grand Concourse, Suite 1 J, Bronx, NY 10458-2611 | 2006-04-06 |
| 1588220651 | Jae S Cha | Acupuncturist | 2940 Grand Concourse, Bronx, NY 10458-2611 | 2019-05-14 |
| 1760930093 | Delianna Castillo | Social Worker | 2940 Grand Concourse, Ste 1d-e, Bronx, NY 10458-2611 | 2016-09-15 |
| 1336542141 | Maritza Santiago | Counselor | 2940 Grand Concourse, Suite 1de, Bronx, NY 10458-2611 | 2014-10-07 |
| 1457782674 | Gino Guerreo | Counselor | 2940 Grand Concourse, Suite 1de, Bronx, NY 10458-2611 | 2013-12-13 |
| 1194146332 | Xiomara Santos-abreu | Social Worker | 2940 Grand Concourse, Bronx, NY 10458-2611 | 2013-12-13 |
| 1144651506 | Salome Branas Gonzalez | Behavioral Analyst | 2940 Grand Concourse, 1d-e, Bronx, NY 10458-2611 | 2013-12-10 |
| 1639454671 | Edison Bautista Cruz | Physical Therapist | 2940 Grand Concourse, Suite 1a, Bronx, NY 10458-2611 | 2011-10-20 |
| 1124336474 | Santa Cecilia Consultation, Inc | Social Worker | 2940 Grand Concourse, 1k, Bronx, NY 10458-2611 | 2010-09-21 |
| 1306044649 | Catskill Physical Medicine & Pain Management | Physical Medicine & Rehabilitation | 2940 Grand Concourse, Suite 1a, Bronx, NY 10458-2611 | 2007-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154954493 | Belmont Medical PC | Specialist | 2525 Belmont Ave, Bronx, NY 10458 | 2020-02-14 |
| 1730731787 | Abreu Child and Parent Services Inc. | Speech-Language Pathologist | 2870 Marion Ave. Apt. 3c, Bronx, NY 10458 | 2019-07-10 |
| 1801457080 | Family Adult Day Care, Inc. | Clinic/Center | 2332 Hoffman Street, 2nd & 3rd Floor, Bronx, NY 10458 | 2019-06-27 |
| 1366005969 | Janet Jeonghwa Lee | Dentist | 260 E 188th Street, St. Barnabas Hospital, 1st Floor, Division of Orthodontics, Bronx, NY 10458 | 2019-04-18 |
| 1205308004 | Feben Kurban | Audiologist | 625 East Fordham Road, Bronx, NY 10458 | 2018-12-19 |
| 1306328737 | Lauretta Marie Tomaso | Nurse Practitioner | 500 East Fordham Road, Bronx, NY 10458 | 2018-09-01 |
| 1457831992 | Cinthia Isabel Morales | Counselor | 2488 Grandconcourse Suite 417, Bronx, NY 10458 | 2018-08-15 |
| 1588159156 | Raquel Lamarche | Student in an Organized Health Care Education/Training Program | 2505 Lorillard Pl Apt 1d, Bronx, NY 10458 | 2018-06-26 |
| 1750832929 | Classic Home Care, Inc. | In Home Supportive Care | 2655a Webster Avenue, 2nd Floor, Bronx, NY 10458 | 2016-10-21 |
| 1023565637 | Emily Hemingway | Physical Therapist | 397 E 198th St, Bronx, NY 10458 | 2016-09-01 |
| Find all providers in zip 10458 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548376171 | Reza Ghavamian | Urology | Mmc - Dept of Urology, 3400 Bainbridge Avenue, 5th Fl, Bronx, NY 10467 | 2006-08-23 |
| 1407831324 | Eric R Kreutzer | Urology | 1695 Eastchester Rd, Suite 501, Bronx, NY 10461-2374 | 2005-12-13 |
| 1902889330 | Michael Young | Urology | 2015 Grand Concourse Ste 390, Bronx, NY 10453-4303 | 2005-11-21 |
| 1669462008 | Edward Geisler | Urology | 1749 Grand Concourse Ofc A, Bronx, NY 10453-8250 | 2005-10-26 |
| 1225699648 | 334 Grand Concourse Medical PC | Urology | 444 Willis Ave, Bronx, NY 10455-4013 | 2019-06-26 |
| 1033523212 | Azfar Uddin Shaikh | Urology | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2014-06-17 |
| 1912327594 | Evan Kovac | Urology | 1250 Waters Pl, Tower 2, 9th Floor, Bronx, NY 10461-2720 | 2014-04-22 |
| 1982949103 | Bronxcare Health System | Urology | 1650 Grand Concourse, Bronx, NY 10457 | 2012-11-28 |
| 1114275393 | Grace Thomas | Urology | 234 E 149th St, Bronx, NY 10451-5504 | 2012-08-21 |
| 1215222856 | Kara Watts | Urology | 111 E 210th St, 5th Floor, Dept. of Urology, Bronx, NY 10467-2401 | 2011-06-11 |
| Find all providers in BRONX | ||||
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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.