Basic Information
Provider Information
NPI: 1023281771
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SWAMINATHAN
FirstName: ANAND
MiddleName: KUMAR
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 462 1ST AVE
Address2: DEPARTMENT OF EMERGENCY MEDICINE ROOM A340
City: NEW YORK
State: NY
PostalCode: 100169196
CountryCode: US
TelephoneNumber: 2125624317
FaxNumber:  
Practice Location
Address1: 703 MAIN STREET
Address2: EMERGENCY MEDICINE DEPT.
City: PATERSON
State: NJ
PostalCode: 075033079
CountryCode: US
TelephoneNumber: 9737542240
FaxNumber: 9737542249
Other Information
ProviderEnumerationDate: 04/02/2008
LastUpdateDate: 07/30/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207P00000X246160NYN Allopathic & Osteopathic PhysiciansEmergency Medicine 
207P00000X25MA10047000NJY Allopathic & Osteopathic PhysiciansEmergency Medicine 

No ID Information.


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