| Internal Medicine | |
|
4422 Third Avenue, Braker Building, Bronx, NY 10457 | |
| (718) 960-9000 | |
| Not Available |
| Full Name | Internal Medicine |
|---|---|
| Type | Facility |
| Speciality | Internal Medicine |
| Location | 4422 Third Avenue, 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 |
|---|---|---|---|
| 1740595917 | NPI | - | NPPES |
| Provider Name | Munazza Afzal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447219795 PECOS PAC ID: 8022916873 Enrollment ID: I20031230000674 |
| Provider Name | Yevgenia Aronova |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144321019 PECOS PAC ID: 1355333444 Enrollment ID: I20040330001880 |
| Provider Name | Lizica C Troneci |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700972718 PECOS PAC ID: 3870587918 Enrollment ID: I20040412001677 |
| Provider Name | Leacroft F H Green |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740290279 PECOS PAC ID: 7719976273 Enrollment ID: I20040510000853 |
| Provider Name | Marc D Danziger |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912958869 PECOS PAC ID: 7618967597 Enrollment ID: I20040513000627 |
| Provider Name | Jitendra Barmecha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336115567 PECOS PAC ID: 7113909722 Enrollment ID: I20040607000123 |
| Provider Name | Galina Bendich |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376590596 PECOS PAC ID: 4385615152 Enrollment ID: I20040804001108 |
| Provider Name | Abdurhan Ahmed |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1316960941 PECOS PAC ID: 3870564644 Enrollment ID: I20040804001161 |
| Provider Name | Samuel N Mark |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821027285 PECOS PAC ID: 6901860717 Enrollment ID: I20041111001093 |
| Provider Name | Nicholas A. Bavaro |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1801999008 PECOS PAC ID: 5991769069 Enrollment ID: I20041117001259 |
| Provider Name | Igor Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447274378 PECOS PAC ID: 2860458957 Enrollment ID: I20041209000966 |
| Provider Name | Daniel G Murphy |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1194777557 PECOS PAC ID: 6709844772 Enrollment ID: I20041221001006 |
| Provider Name | Steven F Reichert |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1376561597 PECOS PAC ID: 5496703027 Enrollment ID: I20050110000973 |
| Provider Name | Ridwan Shabsigh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982713871 PECOS PAC ID: 2567411044 Enrollment ID: I20050121000814 |
| Provider Name | Tamara Erlikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518900471 PECOS PAC ID: 7012967284 Enrollment ID: I20050125001020 |
| Provider Name | Eric C Appelbaum |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528034618 PECOS PAC ID: 6608820303 Enrollment ID: I20050305000032 |
| Provider Name | Mark J Klion |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972610798 PECOS PAC ID: 1658328075 Enrollment ID: I20050407000033 |
| Provider Name | Fanny J Mantilla |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568416980 PECOS PAC ID: 1355379660 Enrollment ID: I20050728000648 |
| Provider Name | Ernest F Patti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1588611578 PECOS PAC ID: 0042248072 Enrollment ID: I20050801000788 |
| Provider Name | Narasinga P Rao |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477509818 PECOS PAC ID: 0840221610 Enrollment ID: I20050822001418 |
| Provider Name | Paul Beyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1073563805 PECOS PAC ID: 7416988027 Enrollment ID: I20050823001193 |
| Provider Name | Blanca N Grand |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417903832 PECOS PAC ID: 2365474061 Enrollment ID: I20050901000852 |
| Provider Name | Cordelia Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003016353 PECOS PAC ID: 5395777981 Enrollment ID: I20050902000649 |
| Provider Name | David A Seidman |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1932268877 PECOS PAC ID: 2062431620 Enrollment ID: I20051114000621 |
| Provider Name | Nicole J Sutton |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659457505 PECOS PAC ID: 5799704813 Enrollment ID: I20051117000978 |
| Provider Name | Jeeny Job |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1811956865 PECOS PAC ID: 9032139977 Enrollment ID: I20051206001023 |
| Provider Name | Steven A Blau |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1124073390 PECOS PAC ID: 0547239204 Enrollment ID: I20060223000657 |
| Provider Name | Jeffrey S Crespin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164421277 PECOS PAC ID: 5597773937 Enrollment ID: I20060328000083 |
| Provider Name | Jessica Arenella |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063472132 PECOS PAC ID: 4688683485 Enrollment ID: I20060405000691 |
| Provider Name | Oluyemisi Ariyibi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639129612 PECOS PAC ID: 4385656396 Enrollment ID: I20060612000061 |
| Provider Name | Wojciech Kucharski |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437106523 PECOS PAC ID: 4183636145 Enrollment ID: I20060613000120 |
| Provider Name | Rubin S Silverman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639165996 PECOS PAC ID: 5395758684 Enrollment ID: I20060804000061 |
| Provider Name | Joseph A Demattia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1649208513 PECOS PAC ID: 7012910078 Enrollment ID: I20060811000021 |
| Provider Name | Sheldon C Yao |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1902828916 PECOS PAC ID: 9335144823 Enrollment ID: I20060915000059 |
| Provider Name | Edward B Jarvis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336173731 PECOS PAC ID: 7810992328 Enrollment ID: I20060915000203 |
| Provider Name | Corneliu T Vulpe |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992815021 PECOS PAC ID: 8022016112 Enrollment ID: I20061128000432 |
| Provider Name | Christopher A Grantham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952484149 PECOS PAC ID: 8224131552 Enrollment ID: I20070307000282 |
| Provider Name | Oscar H Purugganan |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1497831341 PECOS PAC ID: 8729181466 Enrollment ID: I20070316000332 |
| Provider Name | Vanita Gupta |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1316029515 PECOS PAC ID: 3577660273 Enrollment ID: I20070514000632 |
| Provider Name | Frank B Watkins |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306805676 PECOS PAC ID: 4486751344 Enrollment ID: I20070530000027 |
| Provider Name | Martin Mayers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316028749 PECOS PAC ID: 7416058664 Enrollment ID: I20070718000683 |
| Provider Name | Ilmana Fulger |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1265559199 PECOS PAC ID: 6901907518 Enrollment ID: I20070726000653 |
| Provider Name | Stephen M Dirusso |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124185483 PECOS PAC ID: 5597866806 Enrollment ID: I20070730000795 |
| Provider Name | Daniel Lehman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1164465670 PECOS PAC ID: 2567555105 Enrollment ID: I20070912000465 |
| Provider Name | Anita Soni |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477628626 PECOS PAC ID: 0547352601 Enrollment ID: I20071001000240 |
| Provider Name | Anita Bhola |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1972684397 PECOS PAC ID: 4789764788 Enrollment ID: I20080103000314 |
| Provider Name | D Roxanne Todor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1245396795 PECOS PAC ID: 4789766023 Enrollment ID: I20080125000391 |
| Provider Name | Luis I Canales |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518969260 PECOS PAC ID: 4880766062 Enrollment ID: I20080703000045 |
| Provider Name | Sulejman Celaj |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376717793 PECOS PAC ID: 0143395517 Enrollment ID: I20080819000839 |
| Provider Name | Asher S Wang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871770719 PECOS PAC ID: 2163597287 Enrollment ID: I20080823000054 |
| Provider Name | Mehrdad Alaie |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043347545 PECOS PAC ID: 5890887780 Enrollment ID: I20080913000157 |
| Provider Name | Anthony D Gomez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134204407 PECOS PAC ID: 2860569076 Enrollment ID: I20080930000081 |
| Provider Name | David L Shipman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629059753 PECOS PAC ID: 0840357232 Enrollment ID: I20090331000001 |
| Provider Name | Rocco J Lafaro |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1083790414 PECOS PAC ID: 5698878619 Enrollment ID: I20090331000424 |
| Provider Name | David Chong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720161904 PECOS PAC ID: 0941268072 Enrollment ID: I20090720000351 |
| Provider Name | Scott I Afran |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1386657997 PECOS PAC ID: 1951454594 Enrollment ID: I20090730000057 |
| Provider Name | Dmitriy Karev |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588809172 PECOS PAC ID: 9739232125 Enrollment ID: I20090803000322 |
| Provider Name | Salim Baghdadi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952549800 PECOS PAC ID: 2567515828 Enrollment ID: I20090804000224 |
| Provider Name | Manuel Alejandro Guerrero |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1548380488 PECOS PAC ID: 7719032465 Enrollment ID: I20090901000259 |
| Provider Name | Alix E Fleury |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1578652921 PECOS PAC ID: 5597801357 Enrollment ID: I20091008000028 |
| Provider Name | Julia David |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1962672402 PECOS PAC ID: 3476690454 Enrollment ID: I20091023000164 |
| Provider Name | Harris R Leitstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376772756 PECOS PAC ID: 0941344634 Enrollment ID: I20100310000946 |
| Provider Name | Bhawesh Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679557193 PECOS PAC ID: 9436287513 Enrollment ID: I20100511000529 |
| Provider Name | Mari Gem Lorenzo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891737839 PECOS PAC ID: 8022146794 Enrollment ID: I20100518000020 |
| Provider Name | Tiruwork Wondemunegne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134188246 PECOS PAC ID: 2062540750 Enrollment ID: I20100518000244 |
| Provider Name | Judith J Berger |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1629031943 PECOS PAC ID: 1658400478 Enrollment ID: I20100603000405 |
| Provider Name | Victoria Bengualid |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1619930765 PECOS PAC ID: 3072643261 Enrollment ID: I20100615000395 |
| Provider Name | George Manis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144431362 PECOS PAC ID: 9436273612 Enrollment ID: I20100824001061 |
| Provider Name | Robert Menkel |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1003966532 PECOS PAC ID: 9335336973 Enrollment ID: I20101209000040 |
| Provider Name | Masooma Niazi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346383262 PECOS PAC ID: 4688858012 Enrollment ID: I20110411000072 |
| Provider Name | Rajan Khanna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174767131 PECOS PAC ID: 4981873148 Enrollment ID: I20110805000004 |
| Provider Name | Carla C Scott |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417246745 PECOS PAC ID: 9234309519 Enrollment ID: I20110823001014 |
| Provider Name | Natoushka Trenard |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1518129477 PECOS PAC ID: 0446420707 Enrollment ID: I20110825000013 |
| Provider Name | Nithan Narendra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457531873 PECOS PAC ID: 2567531155 Enrollment ID: I20110907000756 |
| Provider Name | Alida M Rosado-rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255594388 PECOS PAC ID: 4284805490 Enrollment ID: I20110920000580 |
| Provider Name | Steven Brower |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962599647 PECOS PAC ID: 4688564412 Enrollment ID: I20111101000380 |
| Provider Name | Hugh M Ettlinger |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1558391334 PECOS PAC ID: 0840457800 Enrollment ID: I20120202000041 |
| Provider Name | Sharique Nazir |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457650665 PECOS PAC ID: 7517125735 Enrollment ID: I20120220000707 |
| Provider Name | Nadine Choueiter |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1912199688 PECOS PAC ID: 4082872759 Enrollment ID: I20120227000528 |
| Provider Name | Jonathan Samuels |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1679699177 PECOS PAC ID: 6204096464 Enrollment ID: I20120326000295 |
| Provider Name | Michael S Chuang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1477795391 PECOS PAC ID: 7719133206 Enrollment ID: I20120816000537 |
| Provider Name | Dusan Martin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1336312131 PECOS PAC ID: 1759539349 Enrollment ID: I20120925000182 |
| Provider Name | Elena N Kwon |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1497930614 PECOS PAC ID: 6800067232 Enrollment ID: I20130618000001 |
| Provider Name | Bebsy Estefan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1851559900 PECOS PAC ID: 6406096270 Enrollment ID: I20130628000436 |
| Provider Name | Wendy A Ramlall |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669710166 PECOS PAC ID: 7911147111 Enrollment ID: I20130711000707 |
| Provider Name | Ivette S Vigoda |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467724286 PECOS PAC ID: 4486896966 Enrollment ID: I20130813000329 |
| Provider Name | Raj Sahulee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588854244 PECOS PAC ID: 1153564836 Enrollment ID: I20130828000242 |
| Provider Name | Reena A Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275815250 PECOS PAC ID: 2769625300 Enrollment ID: I20130829000040 |
| Provider Name | Maria C Srinivasan |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1457682536 PECOS PAC ID: 5597908947 Enrollment ID: I20130904000213 |
| Provider Name | Leah Marion Bralow |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1649405077 PECOS PAC ID: 9931333192 Enrollment ID: I20131002000271 |
| Provider Name | Bert M Petersen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750323267 PECOS PAC ID: 3072561398 Enrollment ID: I20131009001047 |
| Provider Name | Scott J Leuchten |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1134405970 PECOS PAC ID: 7618101189 Enrollment ID: I20131016001464 |
| Provider Name | Riqard Prlesi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548695208 PECOS PAC ID: 6002041100 Enrollment ID: I20131025001384 |
| Provider Name | Jiankun Tong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1861771925 PECOS PAC ID: 6002041035 Enrollment ID: I20131029002191 |
| Provider Name | Tahir Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548577182 PECOS PAC ID: 4385879014 Enrollment ID: I20131105000098 |
| Provider Name | Rohit Hasija |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144539677 PECOS PAC ID: 5890935993 Enrollment ID: I20131205000434 |
| Provider Name | David Scott Ketner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1407022015 PECOS PAC ID: 3779710686 Enrollment ID: I20131223001005 |
| Provider Name | Yavonne Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396008140 PECOS PAC ID: 1456589787 Enrollment ID: I20140114000661 |
| Provider Name | Ajay K Suman |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1295761542 PECOS PAC ID: 7012100357 Enrollment ID: I20140402000433 |
| Provider Name | Suresh K Nayudu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447427711 PECOS PAC ID: 7810113214 Enrollment ID: I20140721001246 |
| Provider Name | Munaza A Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619117926 PECOS PAC ID: 2769619436 Enrollment ID: I20140801001750 |
| Provider Name | Marise D D Souza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992937098 PECOS PAC ID: 3476781915 Enrollment ID: I20141015000043 |
| Provider Name | Daniel Roman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255657797 PECOS PAC ID: 4880815273 Enrollment ID: I20141029000368 |
| Provider Name | Craig Headley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508263013 PECOS PAC ID: 1355666454 Enrollment ID: I20150212001526 |
| Provider Name | Karl P Neddermeyer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023410636 PECOS PAC ID: 9436474335 Enrollment ID: I20150218000851 |
| Provider Name | Michael H Polcino |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1932475308 PECOS PAC ID: 0648595355 Enrollment ID: I20150220000661 |
| Provider Name | Sandra Boateng-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255585295 PECOS PAC ID: 6800113507 Enrollment ID: I20150317001944 |
| Provider Name | Kari White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306142591 PECOS PAC ID: 8123200698 Enrollment ID: I20150323000727 |
| Provider Name | Orion Hine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1396061529 PECOS PAC ID: 7517287329 Enrollment ID: I20150519001530 |
| Provider Name | Princess C Ukachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255619078 PECOS PAC ID: 4587975396 Enrollment ID: I20150622000088 |
| Provider Name | Stephen M Kramer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063585412 PECOS PAC ID: 8527081942 Enrollment ID: I20150821014011 |
| Provider Name | Vinaya V Gaduputi |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588829188 PECOS PAC ID: 0547576282 Enrollment ID: I20150826001521 |
| Provider Name | Stephen Cohn |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982711966 PECOS PAC ID: 5991774572 Enrollment ID: I20150828000049 |
| Provider Name | Daniel Edward Laurie |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609008291 PECOS PAC ID: 8426366576 Enrollment ID: I20151009000630 |
| Provider Name | Joshua Schwarzbaum |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588007058 PECOS PAC ID: 3072822444 Enrollment ID: I20151026001912 |
| Provider Name | Rui Yang |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1215280532 PECOS PAC ID: 1658681598 Enrollment ID: I20151105001651 |
| Provider Name | Sushma Venugopal |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306008750 PECOS PAC ID: 4385959394 Enrollment ID: I20151119000103 |
| Provider Name | Walter Rogers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790020345 PECOS PAC ID: 8628298148 Enrollment ID: I20160223002344 |
| Provider Name | Janice Desir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811161490 PECOS PAC ID: 6204132384 Enrollment ID: I20160316000731 |
| Provider Name | Naveen Singanamala |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972763274 PECOS PAC ID: 9436223732 Enrollment ID: I20160408000723 |
| Provider Name | Ali Chaudhri |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1275763310 PECOS PAC ID: 8820215445 Enrollment ID: I20160516001843 |
| Provider Name | Ross Ratner |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1841588977 PECOS PAC ID: 1052604733 Enrollment ID: I20160719001769 |
| Provider Name | Cinthi Pillai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538435953 PECOS PAC ID: 9335434968 Enrollment ID: I20160822002600 |
| Provider Name | Leena A Brown |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629476486 PECOS PAC ID: 2163718420 Enrollment ID: I20160913000854 |
| Provider Name | Michael A Amaturo |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245559699 PECOS PAC ID: 8426345943 Enrollment ID: I20160928000183 |
| Provider Name | Mediha Ibrahim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962639849 PECOS PAC ID: 2769799956 Enrollment ID: I20160928001220 |
| Provider Name | Ahmed M Khan |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1770915670 PECOS PAC ID: 0840424610 Enrollment ID: I20160929000294 |
| Provider Name | Blerim Arifi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1285073601 PECOS PAC ID: 1759679947 Enrollment ID: I20161003002724 |
| Provider Name | Alyson W Smith |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1639107980 PECOS PAC ID: 2860786043 Enrollment ID: I20161116001489 |
| Provider Name | Stephanie Moawad |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1801330030 PECOS PAC ID: 6709168925 Enrollment ID: I20170124002101 |
| Provider Name | Kunti Hanif |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083156244 PECOS PAC ID: 4688956485 Enrollment ID: I20170130002766 |
| Provider Name | Fabian J Rentas |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851727572 PECOS PAC ID: 7012290968 Enrollment ID: I20170220001382 |
| Provider Name | Melissa Gagliano-mejia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1790222966 PECOS PAC ID: 9739463639 Enrollment ID: I20170221000642 |
| Provider Name | Sheila Upadhyay |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063559995 PECOS PAC ID: 4688958473 Enrollment ID: I20170222001505 |
| Provider Name | Jakub P Bartnik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093006835 PECOS PAC ID: 3779867452 Enrollment ID: I20170223002102 |
| Provider Name | Fatima Shaik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801214705 PECOS PAC ID: 4981975091 Enrollment ID: I20170808003801 |
| Provider Name | Stephanie Haimowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982041398 PECOS PAC ID: 3476824459 Enrollment ID: I20170809003004 |
| Provider Name | Rebecca Moran |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1811349863 PECOS PAC ID: 5698048833 Enrollment ID: I20170908002952 |
| Provider Name | Andrew Liang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093224412 PECOS PAC ID: 3375800576 Enrollment ID: I20171127000071 |
| Provider Name | Nelly Obeng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477003291 PECOS PAC ID: 6901163898 Enrollment ID: I20171130003324 |
| Provider Name | Ralph Rahme |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194046201 PECOS PAC ID: 7911142377 Enrollment ID: I20180109002861 |
| Provider Name | Samantha Davy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841709383 PECOS PAC ID: 5799044566 Enrollment ID: I20180124002128 |
| Provider Name | Rouzi Shengelia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659781722 PECOS PAC ID: 1557621273 Enrollment ID: I20180127000069 |
| Provider Name | Jeremy Shugar |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1033523303 PECOS PAC ID: 1557622248 Enrollment ID: I20180220002023 |
| Provider Name | Yoo Mi Suh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336655646 PECOS PAC ID: 0941564942 Enrollment ID: I20180427000555 |
| Provider Name | Ronald P Arevalo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1952407140 PECOS PAC ID: 8224392774 Enrollment ID: I20180509000217 |
| Provider Name | Kanthi Rekha Badipatla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467745869 PECOS PAC ID: 2668737719 Enrollment ID: I20180521001811 |
| Provider Name | Mahmoud I Salem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023403797 PECOS PAC ID: 6204181597 Enrollment ID: I20180608000770 |
| Provider Name | Yara E Perez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235438961 PECOS PAC ID: 9638429111 Enrollment ID: I20180904001577 |
| Provider Name | Likitha Kanuganti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306211834 PECOS PAC ID: 0446501597 Enrollment ID: I20180928001156 |
| Provider Name | Michelle Renee Packles |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1679829758 PECOS PAC ID: 3971856113 Enrollment ID: I20181105002774 |
| Provider Name | Karen L Castro Molina |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821479775 PECOS PAC ID: 6204171978 Enrollment ID: I20181227001983 |
| Provider Name | Manoj K Gupta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1780817460 PECOS PAC ID: 9032423983 Enrollment ID: I20190125001403 |
| Provider Name | Marije Jauregui |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497223770 PECOS PAC ID: 8820336704 Enrollment ID: I20190219002783 |
| Provider Name | Kalyani R Trivedi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1073678835 PECOS PAC ID: 6800870981 Enrollment ID: I20190221000075 |
| Provider Name | Houssam Raai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508276486 PECOS PAC ID: 6002157732 Enrollment ID: I20190408000786 |
| Provider Name | Elizabeth Brennan Bollman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164816286 PECOS PAC ID: 7214225754 Enrollment ID: I20190626002245 |
| Provider Name | Amy M Liang |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1346684073 PECOS PAC ID: 5799035556 Enrollment ID: I20190722002908 |
| Provider Name | Shorabh Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255715116 PECOS PAC ID: 5799011177 Enrollment ID: I20190723001613 |
| Provider Name | Jeremiah Robison |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346656824 PECOS PAC ID: 6002142361 Enrollment ID: I20190724001147 |
| Provider Name | Riti Chhibba |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1033603972 PECOS PAC ID: 9032445200 Enrollment ID: I20190725001421 |
| Provider Name | Weijun Jin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1861812083 PECOS PAC ID: 1557609310 Enrollment ID: I20190807002961 |
| Provider Name | Peter M Rhee |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1033278304 PECOS PAC ID: 4082700034 Enrollment ID: I20190823002403 |
| Provider Name | Mattan Rozenek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922553643 PECOS PAC ID: 4981933827 Enrollment ID: I20190903000756 |
| Provider Name | Amanda B Sosulski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1962636332 PECOS PAC ID: 2163752098 Enrollment ID: I20190919001317 |
| Provider Name | Miguel Gregorio Sanchez Acosta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043763188 PECOS PAC ID: 6002146495 Enrollment ID: I20190927001247 |
| Provider Name | Christopher Koontz |
|---|---|
| Provider Type | Practitioner - Hand Surgery |
| Provider Identifiers | NPI Number: 1659709202 PECOS PAC ID: 8426343542 Enrollment ID: I20191009001639 |
| Provider Name | Sasha-gaye Joachim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033770417 PECOS PAC ID: 6305178120 Enrollment ID: I20191029000820 |
| Provider Name | Abralena Wilson |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1659406593 PECOS PAC ID: 7214269521 Enrollment ID: I20191105002309 |
| Provider Name | Nadia L Scott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194086843 PECOS PAC ID: 3274870068 Enrollment ID: I20191106002427 |
| Provider Name | Katarzyna Liwski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811340482 PECOS PAC ID: 6901144815 Enrollment ID: I20191106003137 |
| Provider Name | Sarbjot S Ajit |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629080841 PECOS PAC ID: 2466457320 Enrollment ID: I20191205001955 |
| Provider Name | Nikhil Chadha |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922362029 PECOS PAC ID: 2163731258 Enrollment ID: I20200125000343 |
| Provider Name | Jasmin Dent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326688318 PECOS PAC ID: 5496182206 Enrollment ID: I20200217001105 |
| Provider Name | Vincent Galdi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104273747 PECOS PAC ID: 8628491719 Enrollment ID: I20200708001209 |
| Provider Name | Allen G Gold |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1689106601 PECOS PAC ID: 7113341561 Enrollment ID: I20200720000708 |
| Provider Name | Helena Gvili |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346694577 PECOS PAC ID: 5496173221 Enrollment ID: I20200910002840 |
| Provider Name | Michael Nickas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417334459 PECOS PAC ID: 7517385289 Enrollment ID: I20200911001168 |
| Provider Name | Ilana Stein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407387350 PECOS PAC ID: 9234558180 Enrollment ID: I20200928000716 |
| Provider Name | Liliya Gandrabur |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1811377989 PECOS PAC ID: 9335568997 Enrollment ID: I20200930002957 |
| Provider Name | Bessy Suyin Flores Chang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1437563137 PECOS PAC ID: 2466796594 Enrollment ID: I20200930003097 |
| Provider Name | Yampu M Freeman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487262184 PECOS PAC ID: 0143640243 Enrollment ID: I20201012000431 |
| Provider Name | Donna Destaso |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194333534 PECOS PAC ID: 3173943289 Enrollment ID: I20201012000743 |
| Provider Name | Nai Li |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003279829 PECOS PAC ID: 4587074661 Enrollment ID: I20201030000681 |
| Provider Name | Yun-kuang Lai |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740667989 PECOS PAC ID: 0547530560 Enrollment ID: I20201105000196 |
| Provider Name | Cristina Musat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508981341 PECOS PAC ID: 1759613078 Enrollment ID: I20210113001895 |
| Provider Name | Sherwin Su |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1144532698 PECOS PAC ID: 9931494556 Enrollment ID: I20210315001972 |
| Provider Name | Monika Gashi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215382114 PECOS PAC ID: 9032526249 Enrollment ID: I20210405001558 |
| Provider Name | Chalese Richardson-olivier |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1891037578 PECOS PAC ID: 6305254764 Enrollment ID: I20210423000902 |
| Provider Name | Erika Kaiser |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154775674 PECOS PAC ID: 4486063559 Enrollment ID: I20210503001713 |
| Provider Name | Sharjeel Maqsood |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1023605003 PECOS PAC ID: 9931500030 Enrollment ID: I20210628000566 |
| Provider Name | Ioanna Katsa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982018644 PECOS PAC ID: 6002156932 Enrollment ID: I20210712001474 |
| Provider Name | Edinson Najera Aguilar |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1013538362 PECOS PAC ID: 9537590823 Enrollment ID: I20210804001341 |
| Provider Name | Amanda Tramutola |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1558895136 PECOS PAC ID: 0042614463 Enrollment ID: I20210806002826 |
| Provider Name | Angelo Mascia |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1912430752 PECOS PAC ID: 8527462969 Enrollment ID: I20210809000179 |
| Provider Name | Carlos Ernesto Arias Morales |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811486053 PECOS PAC ID: 1052715497 Enrollment ID: I20210809000273 |
| Provider Name | Stephanie Martinez |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710478284 PECOS PAC ID: 1052716255 Enrollment ID: I20210826001470 |
| Provider Name | Alexandra Maria Gonzalez Minero |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649765447 PECOS PAC ID: 9032516059 Enrollment ID: I20210917001802 |
| Provider Name | Mitchell Douglas Gorman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1205213790 PECOS PAC ID: 3173941101 Enrollment ID: I20211123002658 |
| Provider Name | Lisa Glass |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1548656390 PECOS PAC ID: 2860882339 Enrollment ID: I20211124001785 |
| Provider Name | Alena Rakhman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1033716238 PECOS PAC ID: 6406247550 Enrollment ID: I20211227001376 |
| Provider Name | Gamal Mostafa |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245261031 PECOS PAC ID: 9234115981 Enrollment ID: I20220322002739 |
| Provider Name | Jane Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174297857 PECOS PAC ID: 9335535590 Enrollment ID: I20220415001007 |
| Provider Name | Yasmin Leigh |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1689120008 PECOS PAC ID: 8123415239 Enrollment ID: I20220420000349 |
| Provider Name | Kamini Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073196341 PECOS PAC ID: 5193102812 Enrollment ID: I20220519000615 |
| Provider Name | Charbel Chalouhy |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1497157770 PECOS PAC ID: 7911225248 Enrollment ID: I20220525000602 |
| Provider Name | Michael Hidalgo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326538059 PECOS PAC ID: 5698156206 Enrollment ID: I20220713003526 |
| Provider Name | Dvir Koenigstein |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1194316869 PECOS PAC ID: 7113308487 Enrollment ID: I20220718002172 |
| Provider Name | Aziz U Rahman Shafqat |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205325362 PECOS PAC ID: 6406258300 Enrollment ID: I20220723000038 |
| Provider Name | Jennifer C Yoffe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427390228 PECOS PAC ID: 0042597841 Enrollment ID: I20220912000437 |
| Provider Name | Mitchell S Fourman |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245644400 PECOS PAC ID: 9133462625 Enrollment ID: I20220929000715 |
| Provider Name | Annette Deutscher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356836019 PECOS PAC ID: 4082021100 Enrollment ID: I20220929002936 |
| Provider Name | Gladys Amaku Tackie-yarboi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568137164 PECOS PAC ID: 2062889801 Enrollment ID: I20221107003258 |
| Provider Name | Alen Sajan |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1275065179 PECOS PAC ID: 0840536744 Enrollment ID: I20221108000757 |
| Provider Name | Maria Perdomo Trujillo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043870538 PECOS PAC ID: 7416326095 Enrollment ID: I20221205001246 |
| Provider Name | Dominique Duncan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255757464 PECOS PAC ID: 5496186470 Enrollment ID: I20230201002610 |
| Provider Name | Lidija Palezac |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639552409 PECOS PAC ID: 6608240775 Enrollment ID: I20230314000264 |
| Provider Name | John Nicholas Wilder |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1164059416 PECOS PAC ID: 3072979608 Enrollment ID: I20230523003186 |
| Provider Name | Kevin Hon |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528688710 PECOS PAC ID: 1951767474 Enrollment ID: I20230525000651 |
| Provider Name | Erion Bardhi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912594839 PECOS PAC ID: 2769849371 Enrollment ID: I20230613000349 |
| Provider Name | Brenda M Sokup |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336646827 PECOS PAC ID: 0749648293 Enrollment ID: I20230615002085 |
| Provider Name | Swapnil Singh |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1760095780 PECOS PAC ID: 1557752433 Enrollment ID: I20230706000635 |
| Provider Name | Dyanne Velasquez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1144916172 PECOS PAC ID: 6901266436 Enrollment ID: I20230717000543 |
| Provider Name | Alejandro Revilla Montag |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396363198 PECOS PAC ID: 1052774924 Enrollment ID: I20230824002334 |
| Provider Name | Olivia Dexter |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447935671 PECOS PAC ID: 7810351202 Enrollment ID: I20230919001733 |
| Provider Name | Aamir Bandagi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1114487279 PECOS PAC ID: 0547624736 Enrollment ID: I20230926004085 |
| Provider Name | Mahmoud Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346864980 PECOS PAC ID: 5698121754 Enrollment ID: I20231025002080 |
| Provider Name | Priya Bhushan |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1275153751 PECOS PAC ID: 3678921996 Enrollment ID: I20231128000976 |
| Provider Name | Theresa Henson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1538533724 PECOS PAC ID: 6406195064 Enrollment ID: I20231206000075 |
| Provider Name | Jose Contreras Isussi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194339531 PECOS PAC ID: 0345692240 Enrollment ID: I20240116003723 |
| Provider Name | Monique Mohammed-weeks |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1063002541 PECOS PAC ID: 9133562143 Enrollment ID: I20240207000570 |
| Provider Name | Jing Jing Gong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225658362 PECOS PAC ID: 0840634234 Enrollment ID: I20240213003674 |
| Provider Name | Matthew Chan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1053002535 PECOS PAC ID: 2163866534 Enrollment ID: I20240214001619 |
| Provider Name | Marvin E Morris |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1548245418 PECOS PAC ID: 0345259917 Enrollment ID: I20240404000735 |
| Provider Name | Chelsea A Batista |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326625575 PECOS PAC ID: 3072953165 Enrollment ID: I20240507001294 |
| Provider Name | Eunice Corona |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538236716 PECOS PAC ID: 3870035272 Enrollment ID: I20240612002555 |
| Provider Name | Mary Loughran |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396502902 PECOS PAC ID: 1254874696 Enrollment ID: I20240613003609 |
| Provider Name | Jonathan Maik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326508391 PECOS PAC ID: 5193176378 Enrollment ID: I20240716002530 |
| Provider Name | Maria Varela-lince |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144843665 PECOS PAC ID: 7012452725 Enrollment ID: I20240717001780 |
| Provider Name | Pajtesa Kukaj |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003438136 PECOS PAC ID: 1355886078 Enrollment ID: I20240717001889 |
| Provider Name | Veronica Lugo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356110662 PECOS PAC ID: 0244776318 Enrollment ID: I20240725000180 |
| Provider Name | Joseph Morvillo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1568090546 PECOS PAC ID: 5991242331 Enrollment ID: I20240803000312 |
| Provider Name | Enea Himi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1386131613 PECOS PAC ID: 8820538978 Enrollment ID: I20240904003221 |
| Provider Name | Subhasri Sangam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235391400 PECOS PAC ID: 5496928715 Enrollment ID: I20240910001080 |
| Provider Name | Puja Bhardwaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780211326 PECOS PAC ID: 5092151514 Enrollment ID: I20240916002050 |
| Provider Name | Carole Stevenson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952692568 PECOS PAC ID: 0446421788 Enrollment ID: I20240923001225 |
| Provider Name | Justin Ray Cowan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528803988 PECOS PAC ID: 8224569983 Enrollment ID: I20241004002048 |
| Provider Name | Chloe Majonis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871324053 PECOS PAC ID: 5698206126 Enrollment ID: I20241008001323 |
| Provider Name | Tareq Coburn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487485660 PECOS PAC ID: 6103357645 Enrollment ID: I20241008001562 |
| Provider Name | Elaina Pascarella |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1407699267 PECOS PAC ID: 5991237729 Enrollment ID: I20241017000726 |
| Provider Name | Imteyaz A Khan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871751875 PECOS PAC ID: 0244551042 Enrollment ID: I20241031004088 |
| Provider Name | Minsu Kwak |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1033772785 PECOS PAC ID: 2264887892 Enrollment ID: I20241106002551 |
| Provider Name | Noreen Bi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588482640 PECOS PAC ID: 1153855515 Enrollment ID: I20241108000141 |
| Provider Name | Minal Aguilar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346506193 PECOS PAC ID: 6608112446 Enrollment ID: I20241112002368 |
| Provider Name | Flor Rosado |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104497858 PECOS PAC ID: 7214461318 Enrollment ID: I20241112003252 |
| Provider Name | Shaham Beg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1841753951 PECOS PAC ID: 7810225422 Enrollment ID: I20241115002249 |
| Provider Name | Nyarai Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205689304 PECOS PAC ID: 9931635810 Enrollment ID: I20241216002969 |
| Provider Name | Elyse Koe |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669209763 PECOS PAC ID: 9830629716 Enrollment ID: I20250206003152 |
| Provider Name | Zara Habib |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548883168 PECOS PAC ID: 2264952332 Enrollment ID: I20250219001665 |
| Provider Name | Eleni Stoycos |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316753395 PECOS PAC ID: 1153841127 Enrollment ID: I20250220001506 |
| Provider Name | Angella Jackson |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1881190122 PECOS PAC ID: 1456871839 Enrollment ID: I20250228002063 |
| Provider Name | Brianna Rutty |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487481479 PECOS PAC ID: 9133647167 Enrollment ID: I20250514001041 |
| Provider Name | Nardeen Shenouda |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306667795 PECOS PAC ID: 2264942747 Enrollment ID: I20250612001829 |
| Provider Name | Shauna Bramble |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1972491496 PECOS PAC ID: 5193232494 Enrollment ID: I20250730003232 |
| Provider Name | Claudia Ferguson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679153019 PECOS PAC ID: 2264930437 Enrollment ID: I20250807004208 |
| Provider Name | Noor Asi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427670561 PECOS PAC ID: 1153744321 Enrollment ID: I20250813002377 |
| Provider Name | Katelyn Margaret Campbell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043849482 PECOS PAC ID: 4385002252 Enrollment ID: I20250903002353 |
| Provider Name | Arjan Adhikari |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720652613 PECOS PAC ID: 9739681453 Enrollment ID: I20250903002636 |
| Provider Name | Jinal L Gada |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962064923 PECOS PAC ID: 5698277200 Enrollment ID: I20250904000436 |
| Provider Name | Brian Marcus |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932634102 PECOS PAC ID: 4587932496 Enrollment ID: I20250904001994 |
| Provider Name | Manuel Davila-molina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104387877 PECOS PAC ID: 5991201980 Enrollment ID: I20250930000230 |
| Provider Name | Vivian Klugah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801686472 PECOS PAC ID: 6507362597 Enrollment ID: I20250930000331 |
| Provider Name | Shawn Jacob |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235719055 PECOS PAC ID: 5294231288 Enrollment ID: I20250930000429 |
| Provider Name | Anthony Esposito |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356839799 PECOS PAC ID: 0547517880 Enrollment ID: I20250930002091 |
| Provider Name | Mahfuz Rahman |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1831650175 PECOS PAC ID: 6901331115 Enrollment ID: I20251002001253 |
| Provider Name | Ma Barbara Hobilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730943432 PECOS PAC ID: 7618464066 Enrollment ID: I20251017002142 |
| Provider Name | Mark Varughese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306734157 PECOS PAC ID: 8527556083 Enrollment ID: I20251024003260 |
| Provider Name | Nadia Akbar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912640020 PECOS PAC ID: 1658869128 Enrollment ID: I20251024003451 |
| Provider Name | Seth Heithaus |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1376165977 PECOS PAC ID: 7012377906 Enrollment ID: I20251024003731 |
| Provider Name | Despoina M Galetaki |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1154881886 PECOS PAC ID: 9931698602 Enrollment ID: I20251031002174 |
| Provider Name | Andrea Broka |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1578028189 PECOS PAC ID: 2668919515 Enrollment ID: I20251110000461 |
| Provider Name | Manuela Eli Adjorlolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689549198 PECOS PAC ID: 5597257451 Enrollment ID: I20251126003418 |
| Provider Name | Renata De Oliveira |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376431239 PECOS PAC ID: 0244726537 Enrollment ID: I20260107000932 |
| Provider Name | Konrad Skubisz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316816572 PECOS PAC ID: 6103303755 Enrollment ID: I20260126000395 |
| Provider Name | Priscilla Anim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114605912 PECOS PAC ID: 7113498510 Enrollment ID: I20260606000123 |
| Mailing Address | Practice Location Address |
|---|---|
| Internal Medicine 4422 Third Avenue, Braker Building, Bronx, NY 10457 Ph: Not Available | Internal Medicine 4422 Third Avenue, Braker Building, Bronx, NY 10457 Ph: (718) 960-9000 |