| Careathome Medical Practice Ky | |
|
169 Madison Ave Ste 2817 New York NY 10016-5101 | |
| (888) 553-2823 | |
| (888) 553-2823 |
| Full Name | Careathome Medical Practice Ky |
|---|---|
| Speciality | Family Medicine |
| Location | 169 Madison Ave Ste 2817, New York, New York |
| Authorized Official Name and Position | James Wood (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9174107931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Careathome Medical Practice Ky 169 Madison Ave Ste 2817 New York NY 10016-5101 Ph: (917) 410-7931 | Careathome Medical Practice Ky 169 Madison Ave Ste 2817 New York NY 10016-5101 Ph: (888) 553-2823 |
| NPI Number | 1467040345 |
|---|---|
| Provider Enumeration Date | 01/06/2021 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Medicare PECOS PAC ID | 6800202193 |
|---|---|
| Medicare Enrollment ID | O20210916001138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467040345 | NPI | - | NPPES |
| 9822874 | Medicaid | MI |
| Provider Name | James Wood |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770549735 PECOS PAC ID: 8022036888 Enrollment ID: I20210825002612 |
| Provider Name | Laura Ardila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699273540 PECOS PAC ID: 7517295868 Enrollment ID: I20220310002149 |
| Provider Name | Helen Portalatin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902042518 PECOS PAC ID: 4688851165 Enrollment ID: I20220311001943 |
| Provider Name | Katherine Bhadra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588907034 PECOS PAC ID: 1850538893 Enrollment ID: I20220311001947 |
| Provider Name | Gemma C Kaunert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962697482 PECOS PAC ID: 2163725573 Enrollment ID: I20220311002089 |
| Provider Name | Maria Dizhgalvis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184144792 PECOS PAC ID: 4183974884 Enrollment ID: I20230428000670 |
| Provider Name | Sara Ardila |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871091728 PECOS PAC ID: 5193052959 Enrollment ID: I20230502001931 |
| Provider Name | Lauren Guse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770990210 PECOS PAC ID: 8325366990 Enrollment ID: I20231223000224 |
| Provider Name | Gretchen Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538645957 PECOS PAC ID: 6800140591 Enrollment ID: I20240530002305 |
| Provider Name | Valery Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371810 PECOS PAC ID: 2466799093 Enrollment ID: I20240612000429 |
| Provider Name | Holly Graber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093239279 PECOS PAC ID: 3476825878 Enrollment ID: I20240613003586 |
| Provider Name | Hali Faustin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225637655 PECOS PAC ID: 1658791967 Enrollment ID: I20240614001386 |
| Provider Name | Sandra Munoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689002867 PECOS PAC ID: 2668601782 Enrollment ID: I20240614003236 |
| Provider Name | Jessica Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043704851 PECOS PAC ID: 9133462922 Enrollment ID: I20240621001817 |
| Provider Name | Miriam Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346894565 PECOS PAC ID: 6406186527 Enrollment ID: I20240621002732 |
| Provider Name | Maesa Toni Mae Koeber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831598556 PECOS PAC ID: 8527379874 Enrollment ID: I20240626002116 |
| Provider Name | Ashley Eldredge-martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316466220 PECOS PAC ID: 7719245745 Enrollment ID: I20240702004338 |
| Provider Name | Stacey Jantsch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861091324 PECOS PAC ID: 7810304482 Enrollment ID: I20240703000462 |
| Provider Name | David Memmoli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891978607 PECOS PAC ID: 0244364347 Enrollment ID: I20250806001308 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 |
Debra Green, MD PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 |
S. Nadesan Physician, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 |
Avraham Y Henoch MD PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 |
Vincent Esposito MD Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 |
Jeffrey Glick MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 |