| Everick Ayala-bustamante, MD | |
|
1065 Southern Blvd, Bronx, NY 10459-2417 | |
| (718) 589-2440 | |
| (718) 991-4516 |
| Full Name | Everick Ayala-bustamante |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 1065 Southern Blvd, Bronx, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114265766 | NPI | - | NPPES |
| 267626 | Other | NY | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 267626 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kings County Hospital Center | Brooklyn, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| New York City Health And Hospitals Corporation | 4183535305 | 505 |
| Entity Name | Maimonides Medical Center - Mmc Radiology Fpp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811948284 PECOS PAC ID: 1456241447 Enrollment ID: O20040315001589 |
| Entity Name | New York City Health And Hospitals Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1548208127 PECOS PAC ID: 4183535305 Enrollment ID: O20040322001521 |
| Entity Name | Maimonides Faculty Practice Plan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1053344846 PECOS PAC ID: 7012808348 Enrollment ID: O20040324000597 |
| Mailing Address | Practice Location Address |
|---|---|
| Everick Ayala-bustamante, MD 1065 Southern Blvd, Bronx, NY 10459-2417 Ph: (718) 589-2440 | Everick Ayala-bustamante, MD 1065 Southern Blvd, Bronx, NY 10459-2417 Ph: (718) 589-2440 |
Melanie G Kogan, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: Weiler - Dept. Of Radiology, 1825 Eastchester Road, Bronx, NY 10461 Phone: 718-904-2322 | |
Brett James Welke, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 2157 White Plains Rd, Bronx, NY 10462 Phone: 347-824-8065 Fax: 224-235-4652 | |
Jonathan J Trambert, MD Radiology Medicare: May Accept Medicare Assignments Practice Location: Weiler - Dept. Of Radiology, 1825 Eastchester Road, Bronx, NY 10461 Phone: 718-904-2967 | |
Pramila Tiwari, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1739 Williams Bridge Road, Bronx, NY 10461 Phone: 718-824-1569 Fax: 718-409-5213 | |
Dr. Flavio Roberto Kamenetz, MD-PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1200 Waters Pl, Ste M108, Bronx, NY 10461 Phone: 718-931-5620 Fax: 718-824-0706 | |
Stephanie Beth Shamir, Radiology Medicare: May Accept Medicare Assignments Practice Location: 111 E 210th St, Bronx, NY 10467 Phone: 718-920-4321 | |
Laura Nkechi Okechukwu, Radiology Medicare: Not Enrolled in Medicare Practice Location: 234 E 149th St, Bronx, NY 10451 Phone: 844-692-4692 |