Manjula Warad Shivputra, DPM

Primary specialty

Foot Surgery PodiatristTaxonomy code 213ES0131X

License

NYS PERMIT P80993 Issued in NY

Practice address

17-31 60TH Lane
Apt #311
Ridgewood, NY 11385

Phone

(347) 398-7787

NPI assigned

Sep 4, 2012

Last updated

Sep 30, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Manjula Vallabh Janardhan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380499200000",
    "number": "1053660258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-31 60TH LANE",
            "address_2": "APT #311",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "347-398-7787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-31 60TH LANE",
            "address_2": "APT #311",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "11385",
            "telephone_number": "347-398-7787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHIVPUTRA",
        "first_name": "MANJULA",
        "middle_name": "WARAD",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-04",
        "last_updated": "2013-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NY",
            "license": "NYS PERMIT P80993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MANJULA",
            "last_name": "JANARDHAN",
            "middle_name": "VALLABH",
            "prefix": "DR.",
            "credential": "DPM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Haroun Sherhan, RPH
• Sherman Pharmacy 2 Inc. (Sherman Pharmacy 2)
• Mingmar Doma Sherpa
• Yuliya Shimunov, OPHTHALMIC DISPENSER
• Shin Yu, M.D., P.C.
• Shizo Drug Corp (Rite Med Pharmacy)
• Shevvie Sialana
• Angelia Louise Simeti, MA, LPCC, ERYT
• Nadia Simo, MS.ED.
• Sherry Amrit Singh, M.D.

• Foot Surgery Podiatrist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Foot Surgery Podiatrist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.