| Big Leap Medical Group Pa | |
|
169 Madison Ave Ste 2828 New York NY 10016-5101 | |
| (332) 334-1511 | |
| Not Available |
| Full Name | Big Leap Medical Group Pa |
|---|---|
| Speciality | Neurological Surgery |
| Location | 169 Madison Ave Ste 2828, New York, New York |
| Authorized Official Name and Position | Sumeet Vadera (OWNER) |
| Authorized Official Contact | 1332334151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Leap Medical Group Pa 169 Madison Ave Ste 2828 New York NY 10016-5101 Ph: () - | Big Leap Medical Group Pa 169 Madison Ave Ste 2828 New York NY 10016-5101 Ph: (332) 334-1511 |
| NPI Number | 1821841503 |
|---|---|
| Provider Enumeration Date | 04/10/2024 |
| Last Update Date | 12/27/2024 |
| Certification Date | 12/27/2024 |
| Medicare PECOS PAC ID | 9830636935 |
|---|---|
| Medicare Enrollment ID | O20240807002226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821841503 | NPI | - | NPPES |
| Provider Name | Solomon S Morgenstern |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1346227451 PECOS PAC ID: 6709825367 Enrollment ID: I20091029000649 |
| Provider Name | Paula Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265086821 PECOS PAC ID: 1557692688 Enrollment ID: I20191003002692 |
| Provider Name | Jason Lulejian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1245643048 PECOS PAC ID: 8426395062 Enrollment ID: I20230607000602 |
| Provider Name | Esther M Greenwald |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467208074 PECOS PAC ID: 8527500560 Enrollment ID: I20240606000774 |
| Provider Name | Sumeet Vadera |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1629248380 PECOS PAC ID: 3072767730 Enrollment ID: I20240807002280 |
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