| East Point Medical Pc | |
|
7116 Grand Ave Maspeth NY 11378-1823 | |
| (929) 777-4325 | |
| Not Available |
| Full Name | East Point Medical Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 7116 Grand Ave, Maspeth, New York |
| Authorized Official Name and Position | Kevin Tin (ADMINISTRATOR) |
| Authorized Official Contact | 9173368422 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Point Medical Pc Po Box 2028 New York NY 10013-0874 Ph: () - | East Point Medical Pc 7116 Grand Ave Maspeth NY 11378-1823 Ph: (929) 777-4325 |
| NPI Number | 1518571751 |
|---|---|
| Provider Enumeration Date | 09/04/2020 |
| Last Update Date | 12/06/2022 |
| Medicare PECOS PAC ID | 0749690741 |
|---|---|
| Medicare Enrollment ID | O20201103000809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518571751 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Mian Siddique |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1760457188 PECOS PAC ID: 6406848613 Enrollment ID: I20040330001373 |
| Provider Name | Constance Ann Grey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881717668 PECOS PAC ID: 4688636574 Enrollment ID: I20041103001072 |
| Provider Name | Stephanie L English |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265503726 PECOS PAC ID: 6507923695 Enrollment ID: I20090317000078 |
| Provider Name | Kyle A Wiktor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326030495 PECOS PAC ID: 3476602129 Enrollment ID: I20090528000568 |
| Provider Name | Reagan O Anusionwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346492105 PECOS PAC ID: 7012145055 Enrollment ID: I20140121000031 |
| Provider Name | Mark M Zimmermann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275782179 PECOS PAC ID: 9638397300 Enrollment ID: I20140822000715 |
| Provider Name | Kevin Tin |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174812044 PECOS PAC ID: 9830415728 Enrollment ID: I20150312001295 |
| Provider Name | Wilmot Lambert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003121674 PECOS PAC ID: 7315088945 Enrollment ID: I20150601001768 |
| Provider Name | Hong Mak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437568383 PECOS PAC ID: 9931497062 Enrollment ID: I20161005001863 |
| Provider Name | Beena Saad |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790955078 PECOS PAC ID: 2163714304 Enrollment ID: I20161021001885 |
| Provider Name | Lesego A Goba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871047894 PECOS PAC ID: 1355612961 Enrollment ID: I20170731003586 |
| Provider Name | Ravin V Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245647510 PECOS PAC ID: 7113229691 Enrollment ID: I20171009001316 |
| Provider Name | Marta J Laurette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821425893 PECOS PAC ID: 5193085967 Enrollment ID: I20180216001138 |
| Provider Name | Tessa Anastasia Zompanis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730636473 PECOS PAC ID: 9436400504 Enrollment ID: I20180928002163 |
| Provider Name | Aarti Chopra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477933430 PECOS PAC ID: 6002119419 Enrollment ID: I20181019000210 |
| Provider Name | Desiree P Hopkinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588144364 PECOS PAC ID: 9830436732 Enrollment ID: I20190131000641 |
| Provider Name | John Flynn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497156939 PECOS PAC ID: 6002159670 Enrollment ID: I20190522001940 |
| Provider Name | Edward M Li |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1699066795 PECOS PAC ID: 7315253093 Enrollment ID: I20190702002941 |
| Provider Name | Vijay H Chadderwala |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376993287 PECOS PAC ID: 5799020202 Enrollment ID: I20190715002571 |
| Provider Name | Olena Zakharova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841734324 PECOS PAC ID: 7214212471 Enrollment ID: I20191009002576 |
| Provider Name | Mariya Shavulskiy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982257523 PECOS PAC ID: 1456683960 Enrollment ID: I20191104001108 |
| Provider Name | Christine L Chollak |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619519717 PECOS PAC ID: 2365874781 Enrollment ID: I20191122001122 |
| Provider Name | Bethany A Malugin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295285120 PECOS PAC ID: 1759660871 Enrollment ID: I20210308001403 |
| Provider Name | Amy Beth Mcdonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134667181 PECOS PAC ID: 9436436284 Enrollment ID: I20210706001764 |
| Provider Name | Victoria Z Von Berg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215409958 PECOS PAC ID: 6305237538 Enrollment ID: I20211227000088 |
| Provider Name | Shahruma Islam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942874771 PECOS PAC ID: 3577956366 Enrollment ID: I20220129000125 |
| Provider Name | Becca K Spaulding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760799852 PECOS PAC ID: 5496140014 Enrollment ID: I20220317002423 |
| Provider Name | Stacey Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245794387 PECOS PAC ID: 1456786912 Enrollment ID: I20220411000044 |
| Provider Name | Ayokunmi Aluko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144996802 PECOS PAC ID: 8123424751 Enrollment ID: I20220422001265 |
| Provider Name | Hope Eseoghene Okoroh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801955661 PECOS PAC ID: 8325388622 Enrollment ID: I20220829003113 |
| Provider Name | Mark Shklovsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720739329 PECOS PAC ID: 3870958499 Enrollment ID: I20230503001082 |
All People's Diagnostic Medical Care, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7215 Grand Ave, Maspeth, NY 11378 Phone: 718-507-7600 Fax: 718-507-7603 | |
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Miguel A. Cintron M.d.p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7116 Grand Ave, Maspeth, NY 11378 Phone: 718-335-0628 Fax: 718-335-6957 | |
Chadderwala Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7116 Grand Ave, Maspeth, NY 11378 Phone: 718-307-1577 | |
John R Fernandez Md Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5536 69th Pl, Maspeth, NY 11378 Phone: 718-533-0029 Fax: 718-396-2491 | |
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