Xenon Health of Delaware LLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

XENON HEALTH OF DELAWARE LLC

Practice address

111 Town Square Place Suite 420
Jersey City, NJ 07310

Phone

(888) 589-8550

Fax

(201) 604-6571

NPI assigned

Apr 25, 2017

Organization subpart

No

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

Authorized official

Name

Haroon W Chaudhry, MDNPI 1881792919

Title

President

Phone

(917) 621-6854

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley E Ewasko, CERTIIFIED REGISTERE

  • Certified Registered Nurse Anesthetist
  • Newark, DE
  • NPI 1659756765
  Medicare reassignment NPD
• Jondi Kakuberi, M.D.

  • Anesthesiology Physician
  • Dover, DE
  • NPI 1871641126
  Medicare reassignment NPD
• Stephen M Nilsen, D.O.

  • Anesthesiology Physician
  • Nottingham, MD
  • NPI 1972589398

  DE

  Medicare reassignment NPD
• Manish Purohit, M.D.

  • Pediatric Anesthesiology Physician
  • Wilmington, DE
  • NPI 1073711958
  Medicare reassignment NPD
• Roderick M Relova, D.O.

  • Anesthesiology Physician
  • Seaford, DE
  • NPI 1073532214
  Medicare reassignment NPD
• Frederick Gennaro Panico, M.D.

  • Anesthesiology Physician
  • Seaford, DE
  • NPI 1326037854
  Medicare reassignment
• Haroon W Chaudhry, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1881792919
  NPD (past) Authorized official

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

{
    "created_epoch": "1493078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1053846279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DELAWARE AVE STE 210",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198016601",
            "telephone_number": "888-589-8550",
            "fax_number": "201-604-6571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 TOWN SQUARE PLACE SUITE 420",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "07310",
            "telephone_number": "888-589-8550",
            "fax_number": "201-604-6571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "XENON HEALTH OF DELAWARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-25",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "HAROON",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-621-6854",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline F Wright
• Jasmine N Wright, MS ED BCBA
• Liat Wruble
• Jacqueline Wu
• Jung-Faug Wu, MD
• Xenon Health PC
• Yiyi Xian
• William Xie
• Beverley Xu
• Caroline Yacoub, PHARMD

• Anesthesiology Physician in Jersey City, NJ
• Providers in Jersey City, NJ by specialty
• Anesthesiology Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.