Prabodh Damani, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

MA03351400 Issued in NJ

Practice address

40 Fuld St
Suite 400
Trenton, NJ 08638

Phone

(609) 396-1644

Fax

(609) 394-9526

NPI assigned

Jun 15, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Capital Cardiology Associates P a

  • Cardiovascular Disease Physician
  • Trenton, NJ
  • NPI 1548204142
  Authorized official Same address or phone

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1811931488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "SUITE 400",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-396-1644",
            "fax_number": "609-394-9526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 FULD ST",
            "address_2": "SUITE 400",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "08638",
            "telephone_number": "609-396-1644",
            "fax_number": "609-394-9526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMANI",
        "first_name": "PRABODH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA03351400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2388901",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daisy Palmer Transportation LLC
• Laura Grace Dalessandro
• Delphine Daley, PA
• Wesley Dalrymple, CRNA
• Adrianna R Daly, LCSW
• Malvika Janki Damle, RN
• Esmie Daubon, LPN
• Cristina A Davia, LSW
• Lawanda Davis
• Mariah Mary Carole Davis, PA-C

• Cardiovascular Disease Physician in Trenton, NJ
• Providers in Trenton, NJ by specialty
• Cardiovascular Disease Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.