| Advanced Medical Group PC | |
|
1958 Ocean Ave Brooklyn NY 11230-6719 | |
| (718) 645-8901 | |
| (718) 645-7970 |
| Full Name | Advanced Medical Group PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 1958 Ocean Ave, Brooklyn, New York |
| Authorized Official Name and Position | Reuven Moshenyat (PRESIDENT) |
| Authorized Official Contact | 7186458901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Medical Group PC 1958 Ocean Ave Brooklyn NY 11230-6719 Ph: (718) 645-8901 | Advanced Medical Group PC 1958 Ocean Ave Brooklyn NY 11230-6719 Ph: (718) 645-8901 |
| NPI Number | 1710939798 |
|---|---|
| Provider Enumeration Date | 05/17/2006 |
| Last Update Date | 08/20/2019 |
| Medicare PECOS PAC ID | 9739191339 |
|---|---|
| Medicare Enrollment ID | O20060623000177 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710939798 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | () | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | () | Primary |
| Provider Name | Jayalakshmi Harid |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538102389 PECOS PAC ID: 1951293885 Enrollment ID: I20040326000138 |
| Provider Name | Reuven Moshenyat |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1598719585 PECOS PAC ID: 5890739866 Enrollment ID: I20050610000893 |
| Provider Name | Yitzchak Moshenyat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528012259 PECOS PAC ID: 0941227292 Enrollment ID: I20051026001073 |
| Provider Name | Ronald J Nuzzo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1700963733 PECOS PAC ID: 0749368454 Enrollment ID: I20080422000297 |
| Provider Name | Paul Shifrin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1346368800 PECOS PAC ID: 5395870356 Enrollment ID: I20100316000273 |
| Provider Name | Zvika J. Schreiber |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1891966693 PECOS PAC ID: 1850585407 Enrollment ID: I20101028000202 |
| Provider Name | Boris Yaguda |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1558672394 PECOS PAC ID: 8921314154 Enrollment ID: I20150902000606 |
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