| Jewish Home Lifecare, Manhattan | |
|
120 W 106th St Attn Medical Dept New York NY 10025-3712 | |
| (212) 870-4868 | |
| Not Available |
| Full Name | Jewish Home Lifecare, Manhattan |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 W 106th St, New York, New York |
| Authorized Official Name and Position | Dana Penny (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 2128704752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Home Lifecare, Manhattan 120 W 106th St Attn Medical Dept New York NY 10025-3712 Ph: (212) 870-4868 | Jewish Home Lifecare, Manhattan 120 W 106th St Attn Medical Dept New York NY 10025-3712 Ph: (212) 870-4868 |
| NPI Number | 1639244742 |
|---|---|
| Provider Enumeration Date | 11/22/2006 |
| Last Update Date | 03/02/2018 |
| Medicare PECOS PAC ID | 1153231212 |
|---|---|
| Medicare Enrollment ID | O20040608000119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639244742 | NPI | - | NPPES |
| Provider Name | Fe T Reyes Arcangel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1649355686 PECOS PAC ID: 2567444771 Enrollment ID: I20040602000849 |
| Provider Name | Brigid A Tracey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205049699 PECOS PAC ID: 4486615077 Enrollment ID: I20041026001212 |
| Provider Name | Worku B Zewdu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982649034 PECOS PAC ID: 9739191073 Enrollment ID: I20060703000043 |
| Provider Name | Jeffrey I Farber |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1932153566 PECOS PAC ID: 2961401914 Enrollment ID: I20061220000447 |
| Provider Name | Sharon L Revan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306956248 PECOS PAC ID: 1759574544 Enrollment ID: I20101025001362 |
| Provider Name | Apolinario B Mateo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114964145 PECOS PAC ID: 2668661810 Enrollment ID: I20110104000986 |
| Provider Name | Karunadevi Kandiah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114066172 PECOS PAC ID: 2668653320 Enrollment ID: I20110301000260 |
| Provider Name | Shiny Mole Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225241615 PECOS PAC ID: 2264617372 Enrollment ID: I20110504000358 |
| Provider Name | Susamma T Idicula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720387343 PECOS PAC ID: 8224203617 Enrollment ID: I20111214000023 |
| Provider Name | Ruth M Spinner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174785950 PECOS PAC ID: 2769659002 Enrollment ID: I20120127000091 |
| Provider Name | Sonya R Choudhury |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881947828 PECOS PAC ID: 4082851316 Enrollment ID: I20130506000242 |
| Provider Name | Maria Donna Concepcion |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578705463 PECOS PAC ID: 8224341276 Enrollment ID: I20150720001827 |
| Provider Name | Gloria Nimo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558603753 PECOS PAC ID: 7719254127 Enrollment ID: I20170606000511 |
| Provider Name | Santhini Namagiri |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1265872527 PECOS PAC ID: 3870887359 Enrollment ID: I20180111000060 |
| Provider Name | Matthew J Gayton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437690195 PECOS PAC ID: 1456691435 Enrollment ID: I20190329001358 |
| Provider Name | Stephanie T Le |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1760802029 PECOS PAC ID: 5193944072 Enrollment ID: I20190418002195 |
| Provider Name | Liandra N Waisome |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023451390 PECOS PAC ID: 7517198575 Enrollment ID: I20190812002697 |
| Provider Name | Jungyun Basham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669023370 PECOS PAC ID: 9234561846 Enrollment ID: I20191120002427 |
| Provider Name | Debora Afezolli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487064523 PECOS PAC ID: 1052530748 Enrollment ID: I20200218001812 |
| Provider Name | Laura Belland |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1043697238 PECOS PAC ID: 0345584884 Enrollment ID: I20200219001715 |
| Provider Name | Ngabo S Nzigira |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1669960001 PECOS PAC ID: 0446503890 Enrollment ID: I20200916000991 |
| Provider Name | Teresa Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194119545 PECOS PAC ID: 0244519726 Enrollment ID: I20200923003033 |
| Provider Name | Darrell Ian Soler Irizarry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821549049 PECOS PAC ID: 2567852460 Enrollment ID: I20211208002782 |
| Provider Name | Imran Yousuf Ali |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1093133134 PECOS PAC ID: 1951659598 Enrollment ID: I20211208003475 |
| Provider Name | Tomoko Ikuine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033614631 PECOS PAC ID: 0648661413 Enrollment ID: I20220105001719 |
| Provider Name | Christian Jaime Ramirez Haro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306306857 PECOS PAC ID: 5294158861 Enrollment ID: I20221208002908 |
| Provider Name | Berkay Otkur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124550918 PECOS PAC ID: 6002182276 Enrollment ID: I20240709003249 |
| Provider Name | Sana Mashaal Durrani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740740349 PECOS PAC ID: 1355888009 Enrollment ID: I20240731001435 |
| Provider Name | Natalie Sohn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598394769 PECOS PAC ID: 0941619001 Enrollment ID: I20241001000330 |
Beth Israel Medical Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 Nathan D. Perlman Place, 16th Street At 1st Avenue, New York, NY 10003 Phone: 212-420-4714 | |
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