| Boro Park Physician Group | |
|
4915 10th Ave Brooklyn NY 11219-3301 | |
| (718) 851-3700 | |
| Not Available |
| Full Name | Boro Park Physician Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 4915 10th Ave, Brooklyn, New York |
| Authorized Official Name and Position | Kenneth Rozenberg (MEMBER) |
| Authorized Official Contact | 7189319700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boro Park Physician Group 4770 White Plains Rd Bronx NY 10470-1104 Ph: (718) 931-9700 | Boro Park Physician Group 4915 10th Ave Brooklyn NY 11219-3301 Ph: (718) 851-3700 |
| NPI Number | 1427356930 |
|---|---|
| Provider Enumeration Date | 03/08/2011 |
| Last Update Date | 12/31/2019 |
| Certification Date | 12/31/2019 |
| Medicare PECOS PAC ID | 3577751320 |
|---|---|
| Medicare Enrollment ID | O20110912000152 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427356930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | () | Primary |
| Provider Name | Hanan Miller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437143377 PECOS PAC ID: 3476442872 Enrollment ID: I20040313000016 |
| Provider Name | Aleksandra Zagorin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316909195 PECOS PAC ID: 9931194156 Enrollment ID: I20040417000128 |
| Provider Name | Shaya Khabye-hasbani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346299047 PECOS PAC ID: 2264412717 Enrollment ID: I20040723000953 |
| Provider Name | Josef Schenker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225004708 PECOS PAC ID: 8729037858 Enrollment ID: I20050115000142 |
| Provider Name | Jennifer B Breznay |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942237599 PECOS PAC ID: 6507949468 Enrollment ID: I20080215000145 |
| Provider Name | Debra Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619928678 PECOS PAC ID: 7315014065 Enrollment ID: I20080922000297 |
| Provider Name | Sergey I Genkin |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1942268701 PECOS PAC ID: 6608944756 Enrollment ID: I20081003000005 |
| Provider Name | Barbara E Paris |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1134187131 PECOS PAC ID: 3870660376 Enrollment ID: I20081003000244 |
| Provider Name | Salwa M Gerges |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336109701 PECOS PAC ID: 3971669003 Enrollment ID: I20090225000557 |
| Provider Name | Velko Voynov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578782108 PECOS PAC ID: 3274683099 Enrollment ID: I20090616000499 |
| Provider Name | Vladimir Lekht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023208386 PECOS PAC ID: 5496895302 Enrollment ID: I20091224000044 |
| Provider Name | Andrew Weissman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568785814 PECOS PAC ID: 8729270558 Enrollment ID: I20101012000066 |
| Provider Name | Alexander P Lock |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841459567 PECOS PAC ID: 5698953909 Enrollment ID: I20110708000309 |
| Provider Name | Saba Gitisetan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1912216235 PECOS PAC ID: 0547434722 Enrollment ID: I20111128000582 |
| Provider Name | Jane Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770854689 PECOS PAC ID: 7719138676 Enrollment ID: I20121127000462 |
| Provider Name | Mikhail Shvarts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285061234 PECOS PAC ID: 3476781550 Enrollment ID: I20140117000450 |
| Provider Name | Jason S Zimmerman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073871067 PECOS PAC ID: 2860613775 Enrollment ID: I20141017001653 |
| Provider Name | Kevin Tin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174812044 PECOS PAC ID: 9830415728 Enrollment ID: I20150312001295 |
| Provider Name | Nandita Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093063976 PECOS PAC ID: 4284952789 Enrollment ID: I20150414000059 |
| Provider Name | Daniel Ganz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457604027 PECOS PAC ID: 1658519038 Enrollment ID: I20150624000420 |
| Provider Name | Shawnisa Francis |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497141055 PECOS PAC ID: 6002129228 Enrollment ID: I20150717000031 |
| Provider Name | Mordechai Strasser |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1013369891 PECOS PAC ID: 1456630581 Enrollment ID: I20161114001410 |
| Provider Name | Eliza Muzylo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134494800 PECOS PAC ID: 7810123841 Enrollment ID: I20170127000234 |
| Provider Name | Kamla N Gurcharan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386095248 PECOS PAC ID: 2466739917 Enrollment ID: I20170510000994 |
| Provider Name | Lazer E Leifer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982051900 PECOS PAC ID: 6305181090 Enrollment ID: I20191001001772 |
| Provider Name | Yonnette A. Persaud |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407109044 PECOS PAC ID: 2365877594 Enrollment ID: I20200116002325 |
| Provider Name | Mohammadreza Feizi Lighvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699392894 PECOS PAC ID: 3678985587 Enrollment ID: I20201217003008 |
| Provider Name | Nadezhda Solovyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053928747 PECOS PAC ID: 5395158323 Enrollment ID: I20210111002742 |
| Provider Name | Fatima Gazayeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770062226 PECOS PAC ID: 0345655148 Enrollment ID: I20210208002325 |
| Provider Name | Alla Tryzna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104237957 PECOS PAC ID: 2567870504 Enrollment ID: I20210413000245 |
| Provider Name | Robyn Avigdor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558780270 PECOS PAC ID: 0749671956 Enrollment ID: I20211223000856 |
| Provider Name | Jacob Hirsch |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366186827 PECOS PAC ID: 5597294389 Enrollment ID: I20250204000237 |
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