| Vip Community Services | |
|
1910 Arthur Ave Bronx NY 10457-6305 | |
| (718) 583-5150 | |
| (718) 731-7845 |
| Full Name | Vip Community Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1910 Arthur Ave, Bronx, New York |
| Authorized Official Name and Position | Ernst Jean (MEDIAL DIRECTOR) |
| Authorized Official Contact | 7185835150 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vip Community Services 770 E 176th St Bronx NY 10460-4617 Ph: (718) 583-5150 | Vip Community Services 1910 Arthur Ave Bronx NY 10457-6305 Ph: (718) 583-5150 |
| NPI Number | 1881733830 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Medicare PECOS PAC ID | 7315949062 |
|---|---|
| Medicare Enrollment ID | O20120330000295 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881733830 | NPI | - | NPPES |
| 00828919 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 7000240R (New York) | Primary |
| Provider Name | Marc R Hilaire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902998255 PECOS PAC ID: 1951295260 Enrollment ID: I20040209000968 |
| Provider Name | Martin Mayers |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1316028749 PECOS PAC ID: 7416058664 Enrollment ID: I20070718000683 |
| Provider Name | Ruth D Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972702371 PECOS PAC ID: 5496889842 Enrollment ID: I20100820000204 |
| Provider Name | Ernst F Jean |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659559052 PECOS PAC ID: 4880865146 Enrollment ID: I20110916000008 |
| Provider Name | Alison Maling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568422251 PECOS PAC ID: 7113190661 Enrollment ID: I20111029000036 |
| Provider Name | Parbhu D Samaroo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275827735 PECOS PAC ID: 8224205265 Enrollment ID: I20120117000005 |
| Provider Name | Reagan O Anusionwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346492105 PECOS PAC ID: 7012145055 Enrollment ID: I20140121000031 |
| Provider Name | Aniluz Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346562444 PECOS PAC ID: 4688895469 Enrollment ID: I20141020001812 |
| Provider Name | Octavio Liriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679506968 PECOS PAC ID: 6305155524 Enrollment ID: I20151028002544 |
| Provider Name | Seamus R Galvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780984153 PECOS PAC ID: 7012296965 Enrollment ID: I20161116001758 |
| Provider Name | M S Elisabeth Fanini-lemoine Colon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811366099 PECOS PAC ID: 3072862598 Enrollment ID: I20180816002223 |
| Provider Name | Robert Terrelonge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902056005 PECOS PAC ID: 3173686201 Enrollment ID: I20180912000233 |
| Provider Name | Fiona Smith Cambry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144533100 PECOS PAC ID: 4183954563 Enrollment ID: I20190927000954 |
| Provider Name | Alexis Marie Pelowski |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1255992061 PECOS PAC ID: 9133545577 Enrollment ID: I20200817002311 |
| Provider Name | Sharon Terrelonge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912218512 PECOS PAC ID: 0345630083 Enrollment ID: I20211211000027 |
| Provider Name | Erin Hilton Buettin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104002203 PECOS PAC ID: 6608914890 Enrollment ID: I20230308001627 |
| Provider Name | Stephanie Mohan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154036523 PECOS PAC ID: 4880058650 Enrollment ID: I20230912002732 |
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