| Bronx Treatment Center | |
|
1250 Shakespeare Ave, Bronx, NY 10452-3012 | |
| (718) 583-7736 | |
| (646) 350-1634 |
| Full Name | Bronx Treatment Center |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Multi-specialty |
| Location | 1250 Shakespeare Ave, Bronx, New York |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720634538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Frank Pintauro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811989205 PECOS PAC ID: 4385558816 Enrollment ID: I20031118000598 |
| Provider Name | Michael C Mutone |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528151925 PECOS PAC ID: 2264336643 Enrollment ID: I20031205000287 |
| Provider Name | Elena Pollack |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1366711350 PECOS PAC ID: 1658363478 Enrollment ID: I20040401000532 |
| Provider Name | Dennis S Nachmann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174516355 PECOS PAC ID: 0749272151 Enrollment ID: I20040402000881 |
| Provider Name | Ali Sherzoy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1245265297 PECOS PAC ID: 0840283602 Enrollment ID: I20040407000044 |
| Provider Name | Aruna Barua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609940121 PECOS PAC ID: 8628062262 Enrollment ID: I20040414001215 |
| Provider Name | Hilda A Haynes Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306927736 PECOS PAC ID: 3870574312 Enrollment ID: I20040528001023 |
| Provider Name | David Jakubowicz |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1538169230 PECOS PAC ID: 6709856453 Enrollment ID: I20040729000505 |
| Provider Name | Praveen Kumrah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1568463842 PECOS PAC ID: 4587634233 Enrollment ID: I20040729000535 |
| Provider Name | Rakesh Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255329876 PECOS PAC ID: 0446223374 Enrollment ID: I20040818000264 |
| Provider Name | Mariela Glandt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235301920 PECOS PAC ID: 2062477102 Enrollment ID: I20041130000829 |
| Provider Name | Charles E Libby |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1306954946 PECOS PAC ID: 5597719740 Enrollment ID: I20050310000137 |
| Provider Name | Sherry Ransom |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164415493 PECOS PAC ID: 1254387822 Enrollment ID: I20050326000045 |
| Provider Name | Avi Retter |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205894268 PECOS PAC ID: 1254374820 Enrollment ID: I20050604000066 |
| Provider Name | Timothy J Vittorio |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427044536 PECOS PAC ID: 6709813025 Enrollment ID: I20050719000553 |
| Provider Name | Srinivas Kesanakurthy |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1770558397 PECOS PAC ID: 5890714356 Enrollment ID: I20051115000223 |
| Provider Name | Raja Ganapathy Ogirala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427044023 PECOS PAC ID: 6103849203 Enrollment ID: I20060104000310 |
| Provider Name | Ravindra Kashyap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639128366 PECOS PAC ID: 4688686264 Enrollment ID: I20060623000060 |
| Provider Name | Robert Seth Mahler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376580605 PECOS PAC ID: 7416952908 Enrollment ID: I20060915000067 |
| Provider Name | Edward Fruitman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558434134 PECOS PAC ID: 1254436488 Enrollment ID: I20070418000016 |
| Provider Name | Cynthia Prabahar Sudar Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114064425 PECOS PAC ID: 9638275415 Enrollment ID: I20070511000250 |
| Provider Name | Sheryll Garcia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932384906 PECOS PAC ID: 5092897389 Enrollment ID: I20080125000016 |
| Provider Name | Adam Deutsch |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1275532533 PECOS PAC ID: 6406925981 Enrollment ID: I20080523000364 |
| Provider Name | Frederick Ast |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1699742288 PECOS PAC ID: 9133291909 Enrollment ID: I20080710000649 |
| Provider Name | Mazda Alaie |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174611164 PECOS PAC ID: 7618042730 Enrollment ID: I20080823000049 |
| Provider Name | Alfonso A Ortiz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1699915967 PECOS PAC ID: 5193882066 Enrollment ID: I20090319000516 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Juadan Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902940331 PECOS PAC ID: 1052464203 Enrollment ID: I20090805000411 |
| Provider Name | Nirav S Patel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992951925 PECOS PAC ID: 3678612231 Enrollment ID: I20091120000454 |
| Provider Name | Muhammad A Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811125339 PECOS PAC ID: 4688716582 Enrollment ID: I20100114000663 |
| Provider Name | Marsha Marecki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801955745 PECOS PAC ID: 0749319234 Enrollment ID: I20100521000002 |
| Provider Name | Apolinario B Mateo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114964145 PECOS PAC ID: 2668661810 Enrollment ID: I20110104000986 |
| Provider Name | Casey A Pidich |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619293826 PECOS PAC ID: 2961691613 Enrollment ID: I20110111000446 |
| Provider Name | Jody Ann R Buckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295043032 PECOS PAC ID: 1759556657 Enrollment ID: I20111205000311 |
| Provider Name | Haleh Nassiri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1013293166 PECOS PAC ID: 9133389000 Enrollment ID: I20120330000117 |
| Provider Name | Ifeoma Ukachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568721470 PECOS PAC ID: 7012163439 Enrollment ID: I20120817000046 |
| Provider Name | Ananth Adurthy Shankar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811153695 PECOS PAC ID: 8022242932 Enrollment ID: I20131009000081 |
| Provider Name | Venkata Durbhaka |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134563885 PECOS PAC ID: 6800035486 Enrollment ID: I20131022000648 |
| Provider Name | Farbod Raiszadeh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1336404128 PECOS PAC ID: 6608005475 Enrollment ID: I20140128000816 |
| Provider Name | Orin H Pearce |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891821609 PECOS PAC ID: 5698990380 Enrollment ID: I20140715000019 |
| Provider Name | Jeanine M Ricca |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1285677641 PECOS PAC ID: 3375438666 Enrollment ID: I20141007000751 |
| Provider Name | Stella Onuora |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598043762 PECOS PAC ID: 6709050586 Enrollment ID: I20141009000951 |
| Provider Name | Mital Pratik Saparia |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336552413 PECOS PAC ID: 6901027317 Enrollment ID: I20141029001031 |
| Provider Name | Rajwinder Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245635887 PECOS PAC ID: 8325361751 Enrollment ID: I20141216001196 |
| Provider Name | Zumara Ayers |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285022574 PECOS PAC ID: 5799096301 Enrollment ID: I20150624000492 |
| Provider Name | Vinaya V Gaduputi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588829188 PECOS PAC ID: 0547576282 Enrollment ID: I20150826001521 |
| Provider Name | Anthonia Ajimavo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114309283 PECOS PAC ID: 0143536045 Enrollment ID: I20150908001225 |
| Provider Name | Evelyn J Vargas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326454703 PECOS PAC ID: 6507176369 Enrollment ID: I20151105002831 |
| Provider Name | Jijy Easow |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508859539 PECOS PAC ID: 3072816362 Enrollment ID: I20160120001430 |
| Provider Name | Heesoo Karina Kim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144452749 PECOS PAC ID: 2860707866 Enrollment ID: I20160204000704 |
| Provider Name | Jonathan G Guterman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720285349 PECOS PAC ID: 6608091061 Enrollment ID: I20160622001405 |
| Provider Name | Frances Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831647817 PECOS PAC ID: 5597043117 Enrollment ID: I20161101001947 |
| Provider Name | Maya B Puri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992028542 PECOS PAC ID: 6800058751 Enrollment ID: I20170208002708 |
| Provider Name | Eliana Lopez |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1740578269 PECOS PAC ID: 9830474717 Enrollment ID: I20170315001342 |
| Provider Name | Eric L. Altschuler |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558384867 PECOS PAC ID: 7810924156 Enrollment ID: I20170420000170 |
| Provider Name | Ruben N Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063783843 PECOS PAC ID: 4183991854 Enrollment ID: I20170531000522 |
| Provider Name | Odette Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205137023 PECOS PAC ID: 9931477304 Enrollment ID: I20170608001265 |
| Provider Name | Ravinder Sharma |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497100895 PECOS PAC ID: 1658636709 Enrollment ID: I20180521001869 |
| Provider Name | Akia S Blandon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730673872 PECOS PAC ID: 5890039713 Enrollment ID: I20181204002575 |
| Provider Name | Eldad Vered |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396815023 PECOS PAC ID: 9133143472 Enrollment ID: I20190306000907 |
| Provider Name | Aissa Souley Dounda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043778079 PECOS PAC ID: 4183966773 Enrollment ID: I20190501000892 |
| Provider Name | Shivang Desai |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1811288830 PECOS PAC ID: 3577860360 Enrollment ID: I20190619002302 |
| Provider Name | Nisha C Manglani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477024172 PECOS PAC ID: 3971837543 Enrollment ID: I20190702001108 |
| Provider Name | Miae Yu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912488974 PECOS PAC ID: 7810223831 Enrollment ID: I20190730001123 |
| Provider Name | Nero Akpowowo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326202227 PECOS PAC ID: 0345550398 Enrollment ID: I20190916000541 |
| Provider Name | Monica Cespedes Santana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114204161 PECOS PAC ID: 7214212653 Enrollment ID: I20190926000825 |
| Provider Name | Itisha Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740638196 PECOS PAC ID: 0749617314 Enrollment ID: I20200219002880 |
| Provider Name | Jyoti S Drall |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245327907 PECOS PAC ID: 1052735701 Enrollment ID: I20200728001576 |
| Provider Name | Marie M. Medina-merveille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407383193 PECOS PAC ID: 8022434372 Enrollment ID: I20200817003090 |
| Provider Name | Zyeshia L Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134678279 PECOS PAC ID: 2567889223 Enrollment ID: I20200827000258 |
| Provider Name | Binu Kuriakose |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649705328 PECOS PAC ID: 4688919780 Enrollment ID: I20200915001371 |
| Provider Name | Linda Kwartemaa Boamah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447885157 PECOS PAC ID: 0143648493 Enrollment ID: I20200917002815 |
| Provider Name | Felicia A Hassan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154767499 PECOS PAC ID: 4981023652 Enrollment ID: I20200929003013 |
| Provider Name | Semone Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841803103 PECOS PAC ID: 7810317112 Enrollment ID: I20201026000464 |
| Provider Name | Khadine Harrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164043311 PECOS PAC ID: 2466863576 Enrollment ID: I20201120002240 |
| Provider Name | Lisa A Horowitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245584549 PECOS PAC ID: 4385056753 Enrollment ID: I20201209002796 |
| Provider Name | Elaine Schwartz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366038564 PECOS PAC ID: 3274945316 Enrollment ID: I20201215002035 |
| Provider Name | Sharleen Carema Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134729809 PECOS PAC ID: 7113339987 Enrollment ID: I20201220000005 |
| Provider Name | Onelys Rodriguez Rosario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578165999 PECOS PAC ID: 3375956857 Enrollment ID: I20201229002687 |
| Provider Name | John Fadel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700272499 PECOS PAC ID: 5496189227 Enrollment ID: I20210122000130 |
| Provider Name | Jane Sim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952833584 PECOS PAC ID: 4981941226 Enrollment ID: I20210122001764 |
| Provider Name | Angela Marizol Castillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528682770 PECOS PAC ID: 0244644474 Enrollment ID: I20210130000016 |
| Provider Name | Victoria Nwokocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467870907 PECOS PAC ID: 2365856598 Enrollment ID: I20210130000280 |
| Provider Name | Gaele Pompee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851997191 PECOS PAC ID: 7012322837 Enrollment ID: I20210209000052 |
| Provider Name | Nelaja L'elie |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821494451 PECOS PAC ID: 3476968108 Enrollment ID: I20210210002355 |
| Provider Name | Anne Wold |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427031061 PECOS PAC ID: 6800862970 Enrollment ID: I20210219001807 |
| Provider Name | Sareska Tamayo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487182184 PECOS PAC ID: 6901213784 Enrollment ID: I20210323000260 |
| Provider Name | Julius O Omole |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144270208 PECOS PAC ID: 0840261780 Enrollment ID: I20210401002234 |
| Provider Name | Sharene Nubani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1184914103 PECOS PAC ID: 6901060029 Enrollment ID: I20210402000251 |
| Provider Name | Jorge A Medina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205379674 PECOS PAC ID: 4385910074 Enrollment ID: I20210527002776 |
| Provider Name | Ralph Balintong Mosher |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770154981 PECOS PAC ID: 0941603021 Enrollment ID: I20210727002471 |
| Provider Name | Gladys Lee |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1649401647 PECOS PAC ID: 6901077114 Enrollment ID: I20210729000322 |
| Provider Name | Catalina Trevino Saenz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275991747 PECOS PAC ID: 5193129575 Enrollment ID: I20210806001212 |
| Provider Name | Adam S Splaver |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932155983 PECOS PAC ID: 0244217347 Enrollment ID: I20210827001766 |
| Provider Name | Chowdhury Nusrat Farooqui Tania |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083103030 PECOS PAC ID: 2062818644 Enrollment ID: I20210907002455 |
| Provider Name | Megi S Dinova |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1568979482 PECOS PAC ID: 0143560557 Enrollment ID: I20210916001809 |
| Provider Name | Foram Vishal Udeshi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639660038 PECOS PAC ID: 8426455890 Enrollment ID: I20210928001284 |
| Provider Name | Bladimir Quijano-rondan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1528417565 PECOS PAC ID: 8921346891 Enrollment ID: I20211110000618 |
| Provider Name | Ashish Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790262939 PECOS PAC ID: 2567851231 Enrollment ID: I20211118000903 |
| Provider Name | Zaina Habrawi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245899632 PECOS PAC ID: 7416347786 Enrollment ID: I20211130001229 |
| Provider Name | Gene Rosenberg |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093716219 PECOS PAC ID: 2769468719 Enrollment ID: I20220106001233 |
| Provider Name | Erewarifagha M Haidome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114301728 PECOS PAC ID: 7911399845 Enrollment ID: I20220126001024 |
| Provider Name | Nguyen K Nguyen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366117780 PECOS PAC ID: 7911390935 Enrollment ID: I20220215000715 |
| Provider Name | Monika Raj |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376156034 PECOS PAC ID: 2062807191 Enrollment ID: I20220328000636 |
| Provider Name | Vera O Udebhulu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649714254 PECOS PAC ID: 6800282617 Enrollment ID: I20220404002362 |
| Provider Name | David S Cunto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447849120 PECOS PAC ID: 1557758018 Enrollment ID: I20220502000763 |
| Provider Name | Priyal Vinod Bhagat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790280105 PECOS PAC ID: 3678951316 Enrollment ID: I20220608001168 |
| Provider Name | Mohammed Abdulrahman Yousuf |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144727421 PECOS PAC ID: 6204215627 Enrollment ID: I20220615001199 |
| Provider Name | Nicole Hose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053042119 PECOS PAC ID: 9133509094 Enrollment ID: I20220708003116 |
| Provider Name | Anna Stoupine |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477116689 PECOS PAC ID: 5294117560 Enrollment ID: I20220803000346 |
| Provider Name | Jessica Mordi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780920009 PECOS PAC ID: 2860876463 Enrollment ID: I20220831001719 |
| Provider Name | David Murray Corwin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770538381 PECOS PAC ID: 1759766645 Enrollment ID: I20220913002262 |
| Provider Name | Richard Zawislak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265807440 PECOS PAC ID: 3577949122 Enrollment ID: I20221005000337 |
| Provider Name | Kohely Paulino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316503675 PECOS PAC ID: 9638547409 Enrollment ID: I20221129001299 |
| Provider Name | Ginna Mariel Lora Ortega |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659043925 PECOS PAC ID: 8022409663 Enrollment ID: I20230103001974 |
| Provider Name | Gustavo Polanco Hernandez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013558188 PECOS PAC ID: 4789004235 Enrollment ID: I20230104002646 |
| Provider Name | Vesela Valnarov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942918354 PECOS PAC ID: 8729458708 Enrollment ID: I20230109001679 |
| Provider Name | Oluchi Eke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699403287 PECOS PAC ID: 8123499647 Enrollment ID: I20230120000568 |
| Provider Name | Nirali Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417508391 PECOS PAC ID: 8628300977 Enrollment ID: I20230127000542 |
| Provider Name | Landy F Pollas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710602701 PECOS PAC ID: 8022487602 Enrollment ID: I20230207001001 |
| Provider Name | Carley Ann Keim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932660099 PECOS PAC ID: 7618349127 Enrollment ID: I20230209002575 |
| Provider Name | Nadia Swanson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902093925 PECOS PAC ID: 2860540754 Enrollment ID: I20230405000877 |
| Provider Name | Catherine Donkoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003529298 PECOS PAC ID: 7416312475 Enrollment ID: I20230426000391 |
| Provider Name | Emma Otieno |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1730716119 PECOS PAC ID: 3072972595 Enrollment ID: I20230630002455 |
| Provider Name | Andrew Hannah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073298568 PECOS PAC ID: 1254792039 Enrollment ID: I20230726000784 |
| Provider Name | Sakshi V Chavan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1487334348 PECOS PAC ID: 4284096991 Enrollment ID: I20230811002875 |
| Provider Name | Adam Saeed Fakir |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821640343 PECOS PAC ID: 9234591546 Enrollment ID: I20230818001098 |
| Provider Name | Mimerose Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437880648 PECOS PAC ID: 8527421692 Enrollment ID: I20230823001942 |
| Provider Name | Janice Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497455265 PECOS PAC ID: 2567817646 Enrollment ID: I20231010000903 |
| Provider Name | Pratibha Surathi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1619455318 PECOS PAC ID: 1850746827 Enrollment ID: I20231011001055 |
| Provider Name | Chinyere Nora Ogbonna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982306775 PECOS PAC ID: 9234584244 Enrollment ID: I20231011002951 |
| Provider Name | Tkeyah Ebony Whaley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154839405 PECOS PAC ID: 6709233455 Enrollment ID: I20231117000342 |
| Provider Name | Idit Rosenblum |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376828293 PECOS PAC ID: 0648628438 Enrollment ID: I20231205001923 |
| Provider Name | Dolly Dua |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578115523 PECOS PAC ID: 1456700129 Enrollment ID: I20231207001618 |
| Provider Name | Alecia Dt Bailey-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437854825 PECOS PAC ID: 8022468669 Enrollment ID: I20231222001989 |
| Provider Name | Fabian Ortiz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609511427 PECOS PAC ID: 9133502503 Enrollment ID: I20240117002922 |
| Provider Name | Gary Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306544473 PECOS PAC ID: 2466813985 Enrollment ID: I20240131001990 |
| Provider Name | Minh Tam T Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235710484 PECOS PAC ID: 1951754316 Enrollment ID: I20240201001915 |
| Provider Name | Kimia Mirabbaszadeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013795772 PECOS PAC ID: 8426401803 Enrollment ID: I20240201002603 |
| Provider Name | Dhwani Parikh |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1164285011 PECOS PAC ID: 5294179107 Enrollment ID: I20240220000581 |
| Provider Name | Barbara Claire Kerr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164194759 PECOS PAC ID: 9133563810 Enrollment ID: I20240221002158 |
| Provider Name | Shweta Arvindbhai Dholariya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013786474 PECOS PAC ID: 1153766506 Enrollment ID: I20240226002493 |
| Provider Name | Temilola Y Esan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851941199 PECOS PAC ID: 7315383726 Enrollment ID: I20240307003229 |
| Provider Name | Charles Edwards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427490473 PECOS PAC ID: 3870939564 Enrollment ID: I20240317000069 |
| Provider Name | Christena O Barton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033684188 PECOS PAC ID: 2264879238 Enrollment ID: I20240326002704 |
| Provider Name | Marie G Duclair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649051921 PECOS PAC ID: 6204273139 Enrollment ID: I20240327000930 |
| Provider Name | Renee Marrian Lewis-duquesnay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295506228 PECOS PAC ID: 4183062243 Enrollment ID: I20240409001596 |
| Provider Name | Esther Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336788298 PECOS PAC ID: 1153760608 Enrollment ID: I20240416003251 |
| Provider Name | Natisha Stefanie Wint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407632169 PECOS PAC ID: 9638519119 Enrollment ID: I20240501000948 |
| Provider Name | Lela Anne Karlawish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982479663 PECOS PAC ID: 4082054515 Enrollment ID: I20240501003193 |
| Provider Name | Johnna Rose Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538931209 PECOS PAC ID: 3779923172 Enrollment ID: I20240502001494 |
| Provider Name | Adam Jimoh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821352634 PECOS PAC ID: 3577903897 Enrollment ID: I20240502002841 |
| Provider Name | Momina Arif |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457114233 PECOS PAC ID: 6709227853 Enrollment ID: I20240507004207 |
| Provider Name | Bassira Famah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932833738 PECOS PAC ID: 9436590148 Enrollment ID: I20240513002361 |
| Provider Name | Mohita Dutta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013782903 PECOS PAC ID: 2668813148 Enrollment ID: I20240515001309 |
| Provider Name | Simranjit Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407467822 PECOS PAC ID: 8729420807 Enrollment ID: I20240521001441 |
| Provider Name | Omolola Kofoworola Oloyede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316333479 PECOS PAC ID: 3577930429 Enrollment ID: I20240603001313 |
| Provider Name | Michelle Cecelia Nesbith-sykes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134716061 PECOS PAC ID: 1850787086 Enrollment ID: I20240604000257 |
| Provider Name | Constance Okafor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518728856 PECOS PAC ID: 7810439692 Enrollment ID: I20240607001976 |
| Provider Name | Jennifer Cushman |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1609334325 PECOS PAC ID: 2769834860 Enrollment ID: I20240610000520 |
| Provider Name | Mandip Chahil |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1356014260 PECOS PAC ID: 7810359932 Enrollment ID: I20240613001305 |
| Provider Name | Scott Dinesen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508858614 PECOS PAC ID: 4789578402 Enrollment ID: I20240710004735 |
| Provider Name | Tariq Rasheed |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932776341 PECOS PAC ID: 4587109236 Enrollment ID: I20240717002902 |
| Provider Name | Ashley Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851545016 PECOS PAC ID: 0446796304 Enrollment ID: I20240726003266 |
| Provider Name | Eileen Rosario |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922576412 PECOS PAC ID: 9537537667 Enrollment ID: I20240729001880 |
| Provider Name | Guylene Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962944884 PECOS PAC ID: 5294010856 Enrollment ID: I20240801001367 |
| Provider Name | Kyoung-yi Choi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376313312 PECOS PAC ID: 5395283105 Enrollment ID: I20240812002331 |
| Provider Name | Millicent Moseray |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285416958 PECOS PAC ID: 8022556760 Enrollment ID: I20240813003275 |
| Provider Name | Emily Floode |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982143343 PECOS PAC ID: 5890067920 Enrollment ID: I20240813003666 |
| Provider Name | Adam Benjamin Katz Cadesky |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1528616984 PECOS PAC ID: 0042758567 Enrollment ID: I20240815001524 |
| Provider Name | Theressa Dawn Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487490868 PECOS PAC ID: 6103364633 Enrollment ID: I20240815002165 |
| Provider Name | Phinehas Jacques |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780452672 PECOS PAC ID: 1456899814 Enrollment ID: I20240815003553 |
| Provider Name | Nikita Renee Dow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043971245 PECOS PAC ID: 3779021167 Enrollment ID: I20240816000572 |
| Provider Name | Nsemboowo Enyong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477328839 PECOS PAC ID: 1254505712 Enrollment ID: I20240816001102 |
| Provider Name | Tashanna Gillard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073371522 PECOS PAC ID: 4688114564 Enrollment ID: I20240905004030 |
| Provider Name | Anjali Yagnik |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013741404 PECOS PAC ID: 9133669757 Enrollment ID: I20240910003693 |
| Provider Name | Kyungje Sung |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1851950703 PECOS PAC ID: 0840616314 Enrollment ID: I20241001001622 |
| Provider Name | Gabriella R Lake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235616889 PECOS PAC ID: 4082145743 Enrollment ID: I20241004001850 |
| Provider Name | Stella Nkem Okechukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922299965 PECOS PAC ID: 8123559812 Enrollment ID: I20241004003037 |
| Provider Name | Dennis Robert Berhalter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184206443 PECOS PAC ID: 0941733679 Enrollment ID: I20241101001776 |
| Provider Name | Matthew Tse |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063080851 PECOS PAC ID: 8729512215 Enrollment ID: I20241106001327 |
| Provider Name | Ada Lyn Yao |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1891100590 PECOS PAC ID: 1052625431 Enrollment ID: I20241106003395 |
| Provider Name | Nina Najaroen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902667348 PECOS PAC ID: 8022542943 Enrollment ID: I20241114000305 |
| Provider Name | Roberto Arana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992543045 PECOS PAC ID: 6103350970 Enrollment ID: I20241115002068 |
| Provider Name | Heta Mehta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649093733 PECOS PAC ID: 7618401357 Enrollment ID: I20241118000631 |
| Provider Name | John Califano |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1720124381 PECOS PAC ID: 0446419238 Enrollment ID: I20241119001748 |
| Provider Name | Elias Hernandez Perez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922681527 PECOS PAC ID: 6002341260 Enrollment ID: I20241125001549 |
| Provider Name | Melissa Yohanna Contreras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467290759 PECOS PAC ID: 0042745259 Enrollment ID: I20241125003661 |
| Provider Name | Abdul Hussain Vali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942863410 PECOS PAC ID: 4284962465 Enrollment ID: I20241127000601 |
| Provider Name | Patricia A Murphy |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1750381091 PECOS PAC ID: 8123015013 Enrollment ID: I20241205001028 |
| Provider Name | Jhanna M Francisco Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538989322 PECOS PAC ID: 4981130630 Enrollment ID: I20241205001361 |
| Provider Name | Bede Ikenna Nnolim |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1154336634 PECOS PAC ID: 8325069537 Enrollment ID: I20241206000222 |
| Provider Name | Guylante Jules |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740881200 PECOS PAC ID: 6800322371 Enrollment ID: I20241206001618 |
| Provider Name | Matri Nayanbhai Chhaya |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871328872 PECOS PAC ID: 7315474020 Enrollment ID: I20241219001110 |
| Provider Name | Saheed Shittu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952644593 PECOS PAC ID: 7012456973 Enrollment ID: I20241220003059 |
| Provider Name | Gabriela Taveras |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104632538 PECOS PAC ID: 9133656309 Enrollment ID: I20241230002024 |
| Provider Name | Gabrielle Safier |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346065950 PECOS PAC ID: 7214464320 Enrollment ID: I20241231000215 |
| Provider Name | Melissa Christine Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407686538 PECOS PAC ID: 5597293365 Enrollment ID: I20250107001676 |
| Provider Name | Joy Shakelton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003334822 PECOS PAC ID: 8729354212 Enrollment ID: I20250107003046 |
| Provider Name | Shyavia Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205267853 PECOS PAC ID: 6305374166 Enrollment ID: I20250108001517 |
| Provider Name | Clement Asemota |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437520848 PECOS PAC ID: 4587192232 Enrollment ID: I20250109001493 |
| Provider Name | Sonia Innocent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780404681 PECOS PAC ID: 8426586058 Enrollment ID: I20250110000945 |
| Provider Name | Nand Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861178725 PECOS PAC ID: 5890223952 Enrollment ID: I20250116003537 |
| Provider Name | Nityananda Rao Jakkula |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225700933 PECOS PAC ID: 8123557170 Enrollment ID: I20250121002729 |
| Provider Name | Stephanie C Mangual Leon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801585385 PECOS PAC ID: 5597112193 Enrollment ID: I20250123001533 |
| Provider Name | Caitlin Cherry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134935539 PECOS PAC ID: 9931638772 Enrollment ID: I20250123003539 |
| Provider Name | Chanel Tarae Smith |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215748470 PECOS PAC ID: 5092244673 Enrollment ID: I20250128000896 |
| Provider Name | Shanikqua Renee Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013480185 PECOS PAC ID: 3274053285 Enrollment ID: I20250220003056 |
| Provider Name | Adil Mehmood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003652850 PECOS PAC ID: 8325568827 Enrollment ID: I20250227002280 |
| Provider Name | Diana Roata |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437964202 PECOS PAC ID: 7214457696 Enrollment ID: I20250228001818 |
| Provider Name | Laura Anne Barcelo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841875895 PECOS PAC ID: 1759790538 Enrollment ID: I20250303000104 |
| Provider Name | Fan Wu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710783493 PECOS PAC ID: 5395266571 Enrollment ID: I20250304002299 |
| Provider Name | Marjorie Felix |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851083588 PECOS PAC ID: 3870941131 Enrollment ID: I20250306001295 |
| Provider Name | Tali Kluk Kusnir |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083421663 PECOS PAC ID: 0345761334 Enrollment ID: I20250306001741 |
| Provider Name | Jamie Scott Seigal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720009392 PECOS PAC ID: 8921238791 Enrollment ID: I20250321001739 |
| Provider Name | Saundra Tawana Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982406302 PECOS PAC ID: 4880117647 Enrollment ID: I20250402001489 |
| Provider Name | Kaylin Marie Lemelle-thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235945239 PECOS PAC ID: 8628592516 Enrollment ID: I20250414000218 |
| Provider Name | Kimberly Quinton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831918747 PECOS PAC ID: 4880110675 Enrollment ID: I20250424001587 |
| Provider Name | Angela Theresa Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326708272 PECOS PAC ID: 3779009451 Enrollment ID: I20250424003783 |
| Provider Name | Yesenia Gonzalez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265951032 PECOS PAC ID: 0244756690 Enrollment ID: I20250429000783 |
| Provider Name | Linda Amarachukwu Lekweuwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255644241 PECOS PAC ID: 2466979828 Enrollment ID: I20250508001854 |
| Provider Name | Sharee N Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619757119 PECOS PAC ID: 3274051156 Enrollment ID: I20250514002535 |
| Provider Name | Angela Tewa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578134615 PECOS PAC ID: 7416467873 Enrollment ID: I20250605003794 |
| Provider Name | Sharisse Danielle Victor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1932842374 PECOS PAC ID: 6901339357 Enrollment ID: I20250612003610 |
| Provider Name | Jon Bieschke |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1659105146 PECOS PAC ID: 8224549647 Enrollment ID: I20250613000624 |
| Provider Name | Priyanka Shah |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1992253686 PECOS PAC ID: 3870871353 Enrollment ID: I20250616000775 |
| Provider Name | Mariam Vaezi |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1821618141 PECOS PAC ID: 7618480336 Enrollment ID: I20250626003671 |
| Provider Name | Fathima Nashra Naushad |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497499529 PECOS PAC ID: 9032622758 Enrollment ID: I20250626003755 |
| Provider Name | Vanessa Jessica Aldaz |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1548461205 PECOS PAC ID: 8123532983 Enrollment ID: I20250704000241 |
| Provider Name | Brianna Elizabeth Malone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265327027 PECOS PAC ID: 4183139306 Enrollment ID: I20250716000323 |
| Provider Name | Bella Halpert |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1528694437 PECOS PAC ID: 9830604867 Enrollment ID: I20250717000602 |
| Provider Name | Apexa Patel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548713886 PECOS PAC ID: 6901231315 Enrollment ID: I20250719000189 |
| Provider Name | Vivian Ajaero |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225928716 PECOS PAC ID: 6204342710 Enrollment ID: I20250722001900 |
| Provider Name | Abdelhafid El Akri |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508597956 PECOS PAC ID: 3577079912 Enrollment ID: I20250722002957 |
| Provider Name | Urvi Devmurari |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1073404000 PECOS PAC ID: 2163938242 Enrollment ID: I20250724001257 |
| Provider Name | Jose Speck Iglesias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003602285 PECOS PAC ID: 6608383559 Enrollment ID: I20250725004115 |
| Provider Name | Jones Simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609661834 PECOS PAC ID: 9032626726 Enrollment ID: I20250728003097 |
| Provider Name | Jacqueline S Phillip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821879867 PECOS PAC ID: 9133636871 Enrollment ID: I20250729000091 |
| Provider Name | Carola Gutierrez Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588871198 PECOS PAC ID: 4385178318 Enrollment ID: I20250811003227 |
| Provider Name | Hadizatu Sani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679464085 PECOS PAC ID: 4587162300 Enrollment ID: I20250812000074 |
| Provider Name | Alicia Howlett |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1275989212 PECOS PAC ID: 0446758064 Enrollment ID: I20250812002765 |
| Provider Name | Acacia Palmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104355593 PECOS PAC ID: 1658870977 Enrollment ID: I20250814003772 |
| Provider Name | Christina Marie Van Hilst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578911293 PECOS PAC ID: 5193018554 Enrollment ID: I20250910000114 |
| Provider Name | Neishah Lynn Duffaut |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538048939 PECOS PAC ID: 2860996113 Enrollment ID: I20250918003724 |
| Provider Name | Colette K Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396624524 PECOS PAC ID: 9133624190 Enrollment ID: I20250923000733 |
| Provider Name | Delicia Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508746470 PECOS PAC ID: 3971008897 Enrollment ID: I20250923002314 |
| Provider Name | Archana Vashisht |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1851791503 PECOS PAC ID: 9739487695 Enrollment ID: I20250925001257 |
| Provider Name | Gertrude Osei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689472201 PECOS PAC ID: 8224535950 Enrollment ID: I20251008003963 |
| Provider Name | Yoojin Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588546931 PECOS PAC ID: 4789181363 Enrollment ID: I20251009000873 |
| Provider Name | Donna Rodriguez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669018529 PECOS PAC ID: 5193129484 Enrollment ID: I20251024002399 |
| Provider Name | Madhavi Ramnath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710870787 PECOS PAC ID: 2163911264 Enrollment ID: I20251029002605 |
| Provider Name | Rae Wright |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1790587509 PECOS PAC ID: 7012939424 Enrollment ID: I20251031001565 |
| Provider Name | Digna Francia Tavarez Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447970173 PECOS PAC ID: 1759870405 Enrollment ID: I20251031001690 |
| Provider Name | Jennifer Owusuah Ofosu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033659172 PECOS PAC ID: 8426540352 Enrollment ID: I20251126002619 |
| Provider Name | Georgia Newton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598234882 PECOS PAC ID: 0042700510 Enrollment ID: I20251202001241 |
| Provider Name | Astrude Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528617081 PECOS PAC ID: 0840781464 Enrollment ID: I20251204003358 |
| Provider Name | Flora Okeyemi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326927740 PECOS PAC ID: 1254825706 Enrollment ID: I20251211001380 |
| Provider Name | Julia Merrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508740846 PECOS PAC ID: 9830684299 Enrollment ID: I20251223001541 |
| Provider Name | Ikechukwu Onweagba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396350674 PECOS PAC ID: 7012493711 Enrollment ID: I20260113000872 |
| Provider Name | Tasaine Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124994843 PECOS PAC ID: 7416435383 Enrollment ID: I20260202001011 |
| Provider Name | Preet Kamal Kaur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356207864 PECOS PAC ID: 6901386739 Enrollment ID: I20260219000812 |
| Provider Name | Yordalis Salomon Liriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215899695 PECOS PAC ID: 8820579212 Enrollment ID: I20260224002824 |
| Provider Name | Nithya Vemula |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1982452306 PECOS PAC ID: 1355824996 Enrollment ID: I20260312000877 |
| Provider Name | Shivanand N Sohan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801559240 PECOS PAC ID: 1658854096 Enrollment ID: I20260313000505 |
| Provider Name | Ruth Rivka Fischer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700292950 PECOS PAC ID: 4385128875 Enrollment ID: I20260323003231 |
| Provider Name | Arlene Janet Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720942626 PECOS PAC ID: 7911482104 Enrollment ID: I20260325003460 |
| Provider Name | Noledweed-guethy J Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750178141 PECOS PAC ID: 3779075528 Enrollment ID: I20260409003451 |
| Provider Name | Mithil Biswas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922952472 PECOS PAC ID: 7214402999 Enrollment ID: I20260409003562 |
| Provider Name | Sherilyn Anne Secular Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053270470 PECOS PAC ID: 1759856347 Enrollment ID: I20260410003527 |
| Provider Name | Omolola O Akinola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023334554 PECOS PAC ID: 1355817453 Enrollment ID: I20260416001326 |
| Provider Name | David Kalman Niman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1356291462 PECOS PAC ID: 9931675048 Enrollment ID: I20260416001658 |
| Provider Name | Dajah Veronica Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043150261 PECOS PAC ID: 3375019268 Enrollment ID: I20260417002062 |
| Provider Name | Amisha Pravinkumar Kapopara |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760342745 PECOS PAC ID: 2961979364 Enrollment ID: I20260423000005 |
| Provider Name | Felipe Betances Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407612872 PECOS PAC ID: 3870086523 Enrollment ID: I20260424003168 |
| Provider Name | Angelique Quinones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962073049 PECOS PAC ID: 4981171063 Enrollment ID: I20260427000539 |
| Provider Name | Chris Hong |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1356965230 PECOS PAC ID: 2961887914 Enrollment ID: I20260508002507 |
| Provider Name | Sheila Fils-aime |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033067525 PECOS PAC ID: 1557839339 Enrollment ID: I20260511001023 |
| Provider Name | Aya Asouti |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1609725696 PECOS PAC ID: 3971071770 Enrollment ID: I20260511001555 |
| Provider Name | Young J Kim |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1891736872 PECOS PAC ID: 1052342136 Enrollment ID: I20260511002257 |
| Provider Name | Michelle Andrea Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245951219 PECOS PAC ID: 4486012838 Enrollment ID: I20260514001714 |
| Provider Name | Juman Amjad Aref |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1245967769 PECOS PAC ID: 5991274458 Enrollment ID: I20260514002156 |
| Provider Name | Janice Gyekye Acheampong |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1255288270 PECOS PAC ID: 4082183199 Enrollment ID: I20260519001422 |
| Provider Name | Diamond Mona Walker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114616018 PECOS PAC ID: 0143799015 Enrollment ID: I20260520002116 |
| Provider Name | Kamilah Felicia Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356774210 PECOS PAC ID: 9537639018 Enrollment ID: I20260526002264 |
| Provider Name | Maria V Ventura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790529931 PECOS PAC ID: 5092285288 Enrollment ID: I20260528004508 |
| Provider Name | Holly Rocole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033351853 PECOS PAC ID: 9739237694 Enrollment ID: I20260603002888 |
| Provider Name | Lizamar Desiree Sanchez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1043943673 PECOS PAC ID: 8628540580 Enrollment ID: I20260611004026 |
| Provider Name | May Ge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992691588 PECOS PAC ID: 5799257242 Enrollment ID: I20260616001172 |
| Provider Name | Sharon Kraba Baffoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306787643 PECOS PAC ID: 9335611672 Enrollment ID: I20260617002550 |
| Mailing Address | Practice Location Address |
|---|---|
| Bronx Treatment Center 2626 Halperin Ave, Bronx, NY 10461-2631 Ph: (718) 618-0401 | Bronx Treatment Center 1250 Shakespeare Ave, Bronx, NY 10452-3012 Ph: (718) 583-7736 |