| Crown Heights Medical, P.c. | |
| 
					1 Main St Monsey NY 10952-3704  | |
| (845) 371-7200 | |
| Not Available | 
| Full Name | Crown Heights Medical, P.c. | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1 Main St, Monsey, New York | 
| Authorized Official Name and Position | Seth David Kurtz (PRESIDENT) | 
| Authorized Official Contact | 8453717200 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Crown Heights Medical, P.c. 12 Deerwood Rd Spring Valley NY 10977-1001 Ph: () -  | Crown Heights Medical, P.c. 1 Main St Monsey NY 10952-3704 Ph: (845) 371-7200  | 
| NPI Number | 1821210402 | 
|---|---|
| Provider Enumeration Date | 05/03/2007 | 
| Last Update Date | 05/24/2023 | 
| Medicare PECOS PAC ID | 1850794843 | 
|---|---|
| Medicare Enrollment ID | O20210728002910 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821210402 | NPI | - | NPPES | 
| 02811094 | Medicaid | NY | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 232596 (New York) | Primary | 
| Provider Name | Mayer E Ballas | 
|---|---|
| Provider Type | Practitioner - Nuclear Medicine | 
| Provider Identifiers | NPI Number: 1215968318 PECOS PAC ID: 8022909027 Enrollment ID: I20040322000067  | 
| Provider Name | James Mariano Cimo | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1265424626 PECOS PAC ID: 9436142171 Enrollment ID: I20040416000722  | 
| Provider Name | Michael A Rollin | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1144310087 PECOS PAC ID: 5698719433 Enrollment ID: I20050614000008  | 
| Provider Name | Seth D Kurtz | 
|---|---|
| Provider Type | Practitioner - Emergency Medicine | 
| Provider Identifiers | NPI Number: 1023113453 PECOS PAC ID: 3375543051 Enrollment ID: I20070102000424  | 
| Provider Name | Scott A Morgan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1700026945 PECOS PAC ID: 8820122005 Enrollment ID: I20100811000082  | 
| Provider Name | Patricia Kivlehan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1730638453 PECOS PAC ID: 1850672098 Enrollment ID: I20170103000360  | 
| Provider Name | Cindy-anne Williams | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1437393253 PECOS PAC ID: 9436413432 Enrollment ID: I20180427000293  | 
| Provider Name | Mark Ilyagu | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1073994711 PECOS PAC ID: 8820340151 Enrollment ID: I20181015000980  | 
| Provider Name | Teresa Ann Sullivan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1659847416 PECOS PAC ID: 6002150174 Enrollment ID: I20181129002608  | 
| Provider Name | Yehuda J Schonfeld | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1184922445 PECOS PAC ID: 3779915749 Enrollment ID: I20191112003167  | 
| Provider Name | Bhupinder Kaur | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1518592948 PECOS PAC ID: 4284057548 Enrollment ID: I20200706002613  | 
| Provider Name | Serena C Fisher | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1356933527 PECOS PAC ID: 7113326232 Enrollment ID: I20210521002062  | 
| Provider Name | Nosson Hayum | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1609259530 PECOS PAC ID: 0840506309 Enrollment ID: I20211018002051  | 
| Provider Name | Mikhail Khaitov | 
|---|---|
| Provider Type | Practitioner - Infectious Disease | 
| Provider Identifiers | NPI Number: 1265963094 PECOS PAC ID: 2062805518 Enrollment ID: I20220207000808  | 
| Provider Name | Millicent E King-sullivan | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1831861434 PECOS PAC ID: 5890161392 Enrollment ID: I20221025002771  | 
| Provider Name | Ania Wojcik | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174108013 PECOS PAC ID: 3870964265 Enrollment ID: I20230123001256  | 
| Provider Name | Stacey Lynn Marrero | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1497483580 PECOS PAC ID: 3476919630 Enrollment ID: I20230515002192  | 
Community Medical & Dental Care Inc / Ohr Behavioral Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 Melnick Dr, Monsey, NY 10952 Phone: 845-533-7300  | |
Generation Medical Health Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 441 Route 306, Sta 6a, Monsey, NY 10952 Phone: 845-354-1212 Fax: 845-262-1717  | |
Levi H. Lehv, M.d., P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Hilltop Pl, Monsey, NY 10952 Phone: 845-426-5171  | |
Upwords Speech And Language Therapy Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 Horton Dr Fl 1, Monsey, NY 10952 Phone: 845-459-2488  | |
Kahr Health Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 421 Route 59, Monsey, NY 10952 Phone: 845-671-4000 Fax: 845-671-4200  | |
Rockland Family Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Melnick Dr, Suite 101, Monsey, NY 10952 Phone: 845-352-9292 Fax: 845-352-1252  | |
Crestview Quality Medical Care, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Crestview Ter, Monsey, NY 10952 Phone: 845-425-8300  |