| The Children's Aid Society | |
|
910 East 172nd Street Bronx Family Center Bronx NY 10460 | |
| (347) 767-2221 | |
| (718) 328-7494 |
| Full Name | The Children's Aid Society |
|---|---|
| Speciality | Clinic/Center |
| Location | 910 East 172nd Street, Bronx, New York |
| Authorized Official Name and Position | Vicki Kritsovas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 2035719673 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Aid Society 117 W 124th St Fl 6 New York NY 10027-4920 Ph: (203) 571-9673 | The Children's Aid Society 910 East 172nd Street Bronx Family Center Bronx NY 10460 Ph: (347) 767-2221 |
| NPI Number | 1730124025 |
|---|---|
| Provider Enumeration Date | 06/19/2006 |
| Last Update Date | 02/22/2022 |
| Medicare PECOS PAC ID | 4789971383 |
|---|---|
| Medicare Enrollment ID | O20160926001726 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730124025 | NPI | - | NPPES |
| 00245423 | Medicaid | NY |
| Provider Name | Hilda Hernandez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164687380 PECOS PAC ID: 2668520859 Enrollment ID: I20090428000004 |
| Provider Name | Christine F Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881617991 PECOS PAC ID: 9032385372 Enrollment ID: I20120109000143 |
| Provider Name | Lauren Jen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538422845 PECOS PAC ID: 1658662697 Enrollment ID: I20160622000048 |
| Provider Name | Mary T Nealon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174805469 PECOS PAC ID: 0941597116 Enrollment ID: I20161003001510 |
| Provider Name | Terry Marx |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265556492 PECOS PAC ID: 6507153962 Enrollment ID: I20161003001596 |
| Provider Name | Rachel Samuels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700042298 PECOS PAC ID: 1052609096 Enrollment ID: I20161007000107 |
| Provider Name | Lisa Handwerker |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396752127 PECOS PAC ID: 2769779123 Enrollment ID: I20161007000255 |
| Provider Name | Monica H Mirchandani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881607265 PECOS PAC ID: 1557508702 Enrollment ID: I20161109001478 |
| Provider Name | Michol Holloway |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649513128 PECOS PAC ID: 6103108303 Enrollment ID: I20170124001158 |
| Provider Name | Judith Gil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609171974 PECOS PAC ID: 3870876600 Enrollment ID: I20170201002419 |
| Provider Name | Maria E Reynoso-calderon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497194591 PECOS PAC ID: 0042577702 Enrollment ID: I20171205002026 |
| Provider Name | Marian Droz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598023160 PECOS PAC ID: 0244599496 Enrollment ID: I20180115000501 |
| Provider Name | Barbara Smith Moro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811229370 PECOS PAC ID: 0749543346 Enrollment ID: I20180412002108 |
| Provider Name | Adam Z Leczycki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316195514 PECOS PAC ID: 9638127632 Enrollment ID: I20190809000579 |
| Provider Name | Faisal Yar Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710391552 PECOS PAC ID: 5597980508 Enrollment ID: I20190829000947 |
| Provider Name | Yazmin Pena |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659773091 PECOS PAC ID: 0941532394 Enrollment ID: I20191104003129 |
| Provider Name | Karina Grant |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417348012 PECOS PAC ID: 7113359373 Enrollment ID: I20191111000322 |
| Provider Name | Julia Pichardo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366851446 PECOS PAC ID: 3173956257 Enrollment ID: I20191203002080 |
| Provider Name | Rachel Jill Brugger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063866481 PECOS PAC ID: 5294169793 Enrollment ID: I20191216001549 |
| Provider Name | Sophia Gigos-costeas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013977651 PECOS PAC ID: 3476987298 Enrollment ID: I20200102000856 |
| Provider Name | Jessica Lane Weiss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306188560 PECOS PAC ID: 1951735786 Enrollment ID: I20200102001160 |
| Provider Name | Cameron Hetzler |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1518410471 PECOS PAC ID: 8426323296 Enrollment ID: I20200103001814 |
| Provider Name | Maria Linda Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326334848 PECOS PAC ID: 8022442755 Enrollment ID: I20200106000331 |
| Provider Name | Scott Jordan Levy |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1477878403 PECOS PAC ID: 4486088085 Enrollment ID: I20200107000139 |
| Provider Name | Matthew Lambiase |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205017951 PECOS PAC ID: 5395171987 Enrollment ID: I20200129002728 |
| Provider Name | Mariely Gonzalez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366812232 PECOS PAC ID: 1355778952 Enrollment ID: I20200220000868 |
| Provider Name | Sarah Yunlan Berkson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164860896 PECOS PAC ID: 7618211475 Enrollment ID: I20200220001719 |
| Provider Name | Stephanie Marie Olaso |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700340791 PECOS PAC ID: 4688093115 Enrollment ID: I20201001001760 |
| Provider Name | Sonia Haynes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073927166 PECOS PAC ID: 7911310669 Enrollment ID: I20210119002115 |
| Provider Name | Kayla Wagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770027849 PECOS PAC ID: 0547676850 Enrollment ID: I20210311001919 |
| Provider Name | Sarah Elisabeth Binder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851983753 PECOS PAC ID: 7911315205 Enrollment ID: I20210427001131 |
| Provider Name | Luz M Aguirre |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1447275235 PECOS PAC ID: 2668765413 Enrollment ID: I20210806001442 |
| Provider Name | Caitlin C Griffin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700431376 PECOS PAC ID: 6901270115 Enrollment ID: I20230329001151 |
| Provider Name | Mathew Varghese |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396208351 PECOS PAC ID: 3173852449 Enrollment ID: I20230329001887 |
| Provider Name | Rosita Midence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407334501 PECOS PAC ID: 4880069947 Enrollment ID: I20230404000924 |
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