| Gsh Medical Care, P.C. | |
|
20 Grand St 3rd Floor Warwick NY 10990-1035 | |
| (845) 987-3906 | |
| (845) 987-5979 |
| Full Name | Gsh Medical Care, P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 20 Grand St, Warwick, New York |
| Authorized Official Name and Position | Lauri Quigley (CREDENTIALING MANAGER) |
| Authorized Official Contact | 8459873906 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gsh Medical Care, P.C. 20 Grand St 3rd Floor Warwick NY 10990-1035 Ph: (845) 987-3906 | Gsh Medical Care, P.C. 20 Grand St 3rd Floor Warwick NY 10990-1035 Ph: (845) 987-3906 |
| NPI Number | 1487694345 |
|---|---|
| Provider Enumeration Date | 06/08/2006 |
| Last Update Date | 07/14/2021 |
| Certification Date | 07/14/2021 |
| Medicare PECOS PAC ID | 1658262084 |
|---|---|
| Medicare Enrollment ID | O20040323001971 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487694345 | NPI | - | NPPES |
| CG4866 | Other | NY | RAILROAD MEDICARE |
| 1022201690002 | Medicaid | PA | |
| 03313839 | Medicaid | NY | |
| 0538477 | Medicaid | NJ |
| Provider Name | Bhupinder S Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871680538 PECOS PAC ID: 9830096452 Enrollment ID: I20031212000654 |
| Provider Name | Dean a Miller |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1568416451 PECOS PAC ID: 0345148151 Enrollment ID: I20031230000492 |
| Provider Name | Christopher M Dixon |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134113673 PECOS PAC ID: 9638063522 Enrollment ID: I20040211000793 |
| Provider Name | Diane R Deschino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649268020 PECOS PAC ID: 5991692337 Enrollment ID: I20040302000071 |
| Provider Name | Raman Kaul |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1093739047 PECOS PAC ID: 1153210307 Enrollment ID: I20040315000452 |
| Provider Name | Robert I Meyerson |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1295709640 PECOS PAC ID: 9537059779 Enrollment ID: I20040319000316 |
| Provider Name | Parvesh K Sharma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902872211 PECOS PAC ID: 0042101438 Enrollment ID: I20040324000228 |
| Provider Name | Alexander Michael Schwartz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1275569378 PECOS PAC ID: 1153212428 Enrollment ID: I20040324000855 |
| Provider Name | Richard Cantor |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1306873443 PECOS PAC ID: 5395637789 Enrollment ID: I20040329001494 |
| Provider Name | Dennis F Scharfenberger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093762304 PECOS PAC ID: 9436141660 Enrollment ID: I20040330001492 |
| Provider Name | Carlos Magalhaes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407068042 PECOS PAC ID: 1254221567 Enrollment ID: I20040408000769 |
| Provider Name | John D Del Rowe |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396715116 PECOS PAC ID: 4587651278 Enrollment ID: I20040426001606 |
| Provider Name | Benjamin G Chang |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1669467023 PECOS PAC ID: 3678545761 Enrollment ID: I20040810000199 |
| Provider Name | Perminder S Grewal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053381715 PECOS PAC ID: 0345209466 Enrollment ID: I20041011000459 |
| Provider Name | Bangalore S Sridhara |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063482636 PECOS PAC ID: 9234198359 Enrollment ID: I20041011000492 |
| Provider Name | Arvind K Agarwal |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1992776264 PECOS PAC ID: 7416928957 Enrollment ID: I20041011000512 |
| Provider Name | Alan L Gass |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1306847603 PECOS PAC ID: 6103887690 Enrollment ID: I20041019000588 |
| Provider Name | Mehjabeen Alam |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417906744 PECOS PAC ID: 4486618998 Enrollment ID: I20041115001055 |
| Provider Name | John Rescigno |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104827419 PECOS PAC ID: 2668438110 Enrollment ID: I20041206001192 |
| Provider Name | Nnamdi MD Maduekwe |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659424398 PECOS PAC ID: 1254370802 Enrollment ID: I20050503000456 |
| Provider Name | Kristopher P Korsakoff |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174589246 PECOS PAC ID: 8022059732 Enrollment ID: I20050512000600 |
| Provider Name | John Zimmerman |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1528036217 PECOS PAC ID: 5698747236 Enrollment ID: I20050616000267 |
| Provider Name | Lidia Koulova |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1467431999 PECOS PAC ID: 2466498613 Enrollment ID: I20050628001315 |
| Provider Name | Karleen Koenig |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205884293 PECOS PAC ID: 1153349642 Enrollment ID: I20051103000195 |
| Provider Name | Jack W Horng |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1922093376 PECOS PAC ID: 7810919578 Enrollment ID: I20051221000761 |
| Provider Name | Petr Bezdicek |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1528047057 PECOS PAC ID: 4789606450 Enrollment ID: I20051221000804 |
| Provider Name | David T Ober |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952463861 PECOS PAC ID: 7719918754 Enrollment ID: I20060118001021 |
| Provider Name | Jayesh R Mehta |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902995558 PECOS PAC ID: 9133133499 Enrollment ID: I20060126000221 |
| Provider Name | Shalini C Byadgi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982667689 PECOS PAC ID: 4284648387 Enrollment ID: I20060127000398 |
| Provider Name | Peter H Kwon |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356459929 PECOS PAC ID: 4183682131 Enrollment ID: I20060404000135 |
| Provider Name | Seymour L Kushnir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689747677 PECOS PAC ID: 2466460159 Enrollment ID: I20060503000746 |
| Provider Name | Erick Araujo |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285650630 PECOS PAC ID: 2163525577 Enrollment ID: I20070305000589 |
| Provider Name | Shab Benz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316969397 PECOS PAC ID: 8224033386 Enrollment ID: I20070412000094 |
| Provider Name | Mill Etienne |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1720008907 PECOS PAC ID: 5799880183 Enrollment ID: I20070412000616 |
| Provider Name | Michael Innerfield |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1366528739 PECOS PAC ID: 3274567201 Enrollment ID: I20070612000600 |
| Provider Name | Lee P Root |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1700838760 PECOS PAC ID: 3971529116 Enrollment ID: I20070801000468 |
| Provider Name | Sunandan a Pandya |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1104897487 PECOS PAC ID: 7214952126 Enrollment ID: I20070913000889 |
| Provider Name | Sophia Ruman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780754366 PECOS PAC ID: 1254425309 Enrollment ID: I20070919000843 |
| Provider Name | Stephen Goodman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154325744 PECOS PAC ID: 8820184880 Enrollment ID: I20071025000609 |
| Provider Name | Yang Shih |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1265510556 PECOS PAC ID: 9032207832 Enrollment ID: I20071112000647 |
| Provider Name | Erica D Napoli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932389707 PECOS PAC ID: 5991893158 Enrollment ID: I20071121000535 |
| Provider Name | Karen S Karsif |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1760433957 PECOS PAC ID: 0941390579 Enrollment ID: I20071219000368 |
| Provider Name | Sushil Bhardwaj |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1427015098 PECOS PAC ID: 5496833139 Enrollment ID: I20080422000502 |
| Provider Name | Gunjan J Shukla |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1861487431 PECOS PAC ID: 6709870231 Enrollment ID: I20080624000770 |
| Provider Name | Amala Chirumamilla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750422267 PECOS PAC ID: 4880766450 Enrollment ID: I20080626000673 |
| Provider Name | Kenneth S Austin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1205834041 PECOS PAC ID: 5991737124 Enrollment ID: I20080805000046 |
| Provider Name | Andrew Lubeskie |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225221146 PECOS PAC ID: 3375618481 Enrollment ID: I20080823000007 |
| Provider Name | Mitchell C Fraiman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1417931189 PECOS PAC ID: 6507935491 Enrollment ID: I20080919000474 |
| Provider Name | Richard M Evans |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1821073289 PECOS PAC ID: 6709955693 Enrollment ID: I20080922000569 |
| Provider Name | Kristen N Lima |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649425695 PECOS PAC ID: 4981766466 Enrollment ID: I20081217000207 |
| Provider Name | T. Christina Antoine |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912012592 PECOS PAC ID: 9436214657 Enrollment ID: I20090223000026 |
| Provider Name | Gerald D Karetnick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740269000 PECOS PAC ID: 4688641061 Enrollment ID: I20090331000196 |
| Provider Name | Kathleen B Begley-pritzker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699724518 PECOS PAC ID: 5496787079 Enrollment ID: I20090401000210 |
| Provider Name | Gaspare a Polizzi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942276894 PECOS PAC ID: 9234131897 Enrollment ID: I20090415000103 |
| Provider Name | Mark Steven Madis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1730109687 PECOS PAC ID: 6002902947 Enrollment ID: I20090429000336 |
| Provider Name | Gurmukh J Sadarangani |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790826584 PECOS PAC ID: 9537212774 Enrollment ID: I20090805000256 |
| Provider Name | Seth E Hurwitz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1033369806 PECOS PAC ID: 6103970025 Enrollment ID: I20090812000165 |
| Provider Name | Dmitry Shtrambrand |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174578165 PECOS PAC ID: 8820051303 Enrollment ID: I20090910000271 |
| Provider Name | Robert E Kreel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538392352 PECOS PAC ID: 6103963103 Enrollment ID: I20091023000369 |
| Provider Name | Jane Schon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1134377302 PECOS PAC ID: 4981741576 Enrollment ID: I20091030000558 |
| Provider Name | Shoba a Cherian |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912164450 PECOS PAC ID: 6901944420 Enrollment ID: I20091103000484 |
| Provider Name | Laura Ann Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073675989 PECOS PAC ID: 6901944594 Enrollment ID: I20091119000477 |
| Provider Name | Walter Ernst Kaufmann |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1083609366 PECOS PAC ID: 0244373454 Enrollment ID: I20100209000746 |
| Provider Name | Lisa a Ferrara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861563736 PECOS PAC ID: 1951444009 Enrollment ID: I20100211000456 |
| Provider Name | Floriana Rudner |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376877878 PECOS PAC ID: 3375687460 Enrollment ID: I20100212000133 |
| Provider Name | Scott a Bernstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689601817 PECOS PAC ID: 6204877897 Enrollment ID: I20100222000689 |
| Provider Name | Andrew Najovits |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003139932 PECOS PAC ID: 2567594849 Enrollment ID: I20100722000218 |
| Provider Name | Yaron D Langman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568622678 PECOS PAC ID: 7719010123 Enrollment ID: I20100805000937 |
| Provider Name | Ross Bauer |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1336308873 PECOS PAC ID: 6103940556 Enrollment ID: I20100908000072 |
| Provider Name | Louis May |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164426987 PECOS PAC ID: 9830285899 Enrollment ID: I20100917000301 |
| Provider Name | Rajveer S Sachdev |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275624660 PECOS PAC ID: 9234146762 Enrollment ID: I20101006000021 |
| Provider Name | Viyada Sarabanchong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679646343 PECOS PAC ID: 1153513841 Enrollment ID: I20101013000793 |
| Provider Name | Anita Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477547446 PECOS PAC ID: 8325231616 Enrollment ID: I20101019001004 |
| Provider Name | Parag J Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154316503 PECOS PAC ID: 2668665969 Enrollment ID: I20101019001069 |
| Provider Name | Stephen M Menitove |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1497740815 PECOS PAC ID: 7810180130 Enrollment ID: I20101019001342 |
| Provider Name | Deborah Shapiro |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1043204084 PECOS PAC ID: 7416140744 Enrollment ID: I20101019001410 |
| Provider Name | Kristy L Bauer |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1952508681 PECOS PAC ID: 0941493282 Enrollment ID: I20101019001592 |
| Provider Name | Andrew M Goldenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932272697 PECOS PAC ID: 4385837533 Enrollment ID: I20101020000230 |
| Provider Name | Yoram Amsalem |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1679702625 PECOS PAC ID: 4284828427 Enrollment ID: I20101101001191 |
| Provider Name | Nicholas David Belasco |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265609820 PECOS PAC ID: 7719172493 Enrollment ID: I20101108000488 |
| Provider Name | Cary Hirsch |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1215965298 PECOS PAC ID: 9638174295 Enrollment ID: I20101110000509 |
| Provider Name | Albert H Zucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740256239 PECOS PAC ID: 5092900217 Enrollment ID: I20101115000126 |
| Provider Name | Carrie Wasserman |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1255567285 PECOS PAC ID: 4284771205 Enrollment ID: I20101209000236 |
| Provider Name | Sonal Parmar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881822310 PECOS PAC ID: 0244428290 Enrollment ID: I20101217000612 |
| Provider Name | Winson Lo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508860107 PECOS PAC ID: 1557550423 Enrollment ID: I20110107000068 |
| Provider Name | Dilip Subhedar |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780699348 PECOS PAC ID: 6709879562 Enrollment ID: I20110113000827 |
| Provider Name | Muhammad Aminullah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1922027739 PECOS PAC ID: 5890974083 Enrollment ID: I20110119001366 |
| Provider Name | Jonathan Berg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1376793976 PECOS PAC ID: 8123207156 Enrollment ID: I20110124000635 |
| Provider Name | Kyu-han Kim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215174941 PECOS PAC ID: 3971782780 Enrollment ID: I20110126000469 |
| Provider Name | Rita P Verma |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437167905 PECOS PAC ID: 7416016019 Enrollment ID: I20110211000610 |
| Provider Name | Hratch K Kazanjian |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1215966593 PECOS PAC ID: 2062446891 Enrollment ID: I20110310000386 |
| Provider Name | Patricia Underwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881915700 PECOS PAC ID: 1951587229 Enrollment ID: I20110523000034 |
| Provider Name | Joshua R Olstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346446580 PECOS PAC ID: 3971780206 Enrollment ID: I20110614000074 |
| Provider Name | Lesley Ann Stead |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811174592 PECOS PAC ID: 5496933178 Enrollment ID: I20110628000647 |
| Provider Name | Gregg M Lanier |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1720099732 PECOS PAC ID: 6002090008 Enrollment ID: I20110721000496 |
| Provider Name | Lynn M Mayer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750325874 PECOS PAC ID: 9234308156 Enrollment ID: I20110811000041 |
| Provider Name | Robert a Johnson |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1205858024 PECOS PAC ID: 4284772021 Enrollment ID: I20111209000080 |
| Provider Name | Vipul H Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417020181 PECOS PAC ID: 2769651694 Enrollment ID: I20111230000018 |
| Provider Name | Max a Schwartzman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1528360302 PECOS PAC ID: 7012176415 Enrollment ID: I20120305000163 |
| Provider Name | Yong Chen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477712644 PECOS PAC ID: 2264625060 Enrollment ID: I20120306000083 |
| Provider Name | Tatyana Zakharenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124215496 PECOS PAC ID: 5698937415 Enrollment ID: I20120424000287 |
| Provider Name | Andrew I Fishman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1679839450 PECOS PAC ID: 1052567229 Enrollment ID: I20120804000013 |
| Provider Name | Kenneth Banner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790917813 PECOS PAC ID: 5193974897 Enrollment ID: I20121012000024 |
| Provider Name | Maria Sobolev |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912294448 PECOS PAC ID: 0042460081 Enrollment ID: I20121027000030 |
| Provider Name | Laura a Rachleff |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1225381049 PECOS PAC ID: 4284879941 Enrollment ID: I20130328000428 |
| Provider Name | Jennifer Yuengst |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598199176 PECOS PAC ID: 2062646243 Enrollment ID: I20130930000612 |
| Provider Name | Aria Williams |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1154566412 PECOS PAC ID: 7517112683 Enrollment ID: I20131115000557 |
| Provider Name | Rachel Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124467642 PECOS PAC ID: 1658595574 Enrollment ID: I20140617000235 |
| Provider Name | Rajkumar Jeganathan |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1871747097 PECOS PAC ID: 8921226515 Enrollment ID: I20140822001761 |
| Provider Name | Chhaya Aggarwal-gupta |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1518124684 PECOS PAC ID: 7113145087 Enrollment ID: I20140908000120 |
| Provider Name | Lavanya Kodali |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1114172038 PECOS PAC ID: 8426278698 Enrollment ID: I20141010000831 |
| Provider Name | Sakina Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1184911406 PECOS PAC ID: 1759604820 Enrollment ID: I20141222000207 |
| Provider Name | Richard Arnold |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437132131 PECOS PAC ID: 7315934411 Enrollment ID: I20150508000261 |
| Provider Name | Steven J Smith |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1306160031 PECOS PAC ID: 1254649353 Enrollment ID: I20151008001699 |
| Provider Name | Lawrence A. Maayan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316143480 PECOS PAC ID: 3577872019 Enrollment ID: I20151022002286 |
| Provider Name | Korey Evans |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1467859512 PECOS PAC ID: 5991006587 Enrollment ID: I20151228001116 |
| Provider Name | Stephen Pan |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1952581779 PECOS PAC ID: 8123144995 Enrollment ID: I20160215000661 |
| Provider Name | Eui Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063771202 PECOS PAC ID: 5597060715 Enrollment ID: I20160226000304 |
| Provider Name | Robert Silva |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1487019154 PECOS PAC ID: 4587963053 Enrollment ID: I20160504002209 |
| Provider Name | Gurjeet S Gulati |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730289679 PECOS PAC ID: 6002105020 Enrollment ID: I20160516000363 |
| Provider Name | Jonathan Seth Katz |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053554121 PECOS PAC ID: 5991097727 Enrollment ID: I20160714000822 |
| Provider Name | Paryush Lakhtaria |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336383603 PECOS PAC ID: 9537453220 Enrollment ID: I20160803000599 |
| Provider Name | Omer Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235387119 PECOS PAC ID: 5294999116 Enrollment ID: I20170124000076 |
| Provider Name | Elliot Levine |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1104141415 PECOS PAC ID: 1254578305 Enrollment ID: I20170425000958 |
| Provider Name | Elizabeth Benoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457732539 PECOS PAC ID: 3274800255 Enrollment ID: I20170523000173 |
| Provider Name | Cary Steven Passik |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1821006180 PECOS PAC ID: 9739076126 Enrollment ID: I20171103000884 |
| Provider Name | Marlene Medina-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841709284 PECOS PAC ID: 9436415163 Enrollment ID: I20171113000744 |
| Provider Name | Frank R Aversano |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1992893135 PECOS PAC ID: 0941569248 Enrollment ID: I20180112000522 |
| Provider Name | Marie Daffodil Cheng |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174859417 PECOS PAC ID: 0749440915 Enrollment ID: I20180319002048 |
| Provider Name | Olanrewaju E Olukitibi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710384326 PECOS PAC ID: 8426312810 Enrollment ID: I20180511001195 |
| Provider Name | Aney Thomas Chacko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912157215 PECOS PAC ID: 9133476989 Enrollment ID: I20180725000323 |
| Provider Name | Sandeep Soman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730576299 PECOS PAC ID: 4880944370 Enrollment ID: I20180904002151 |
| Provider Name | Logan Z Krikava |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1568939775 PECOS PAC ID: 1850645573 Enrollment ID: I20181116000168 |
| Provider Name | Faith M Selchick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306240882 PECOS PAC ID: 0446579742 Enrollment ID: I20181205002024 |
| Provider Name | Shino Prasandhan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780079855 PECOS PAC ID: 9931440237 Enrollment ID: I20190415002764 |
| Provider Name | Paulson P Varghese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679058812 PECOS PAC ID: 5799019915 Enrollment ID: I20190621002129 |
| Provider Name | Brian Lee Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487007571 PECOS PAC ID: 5092087650 Enrollment ID: I20191202000276 |
| Provider Name | Thomas Macpherson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1952944308 PECOS PAC ID: 9335573252 Enrollment ID: I20200102000299 |
| Provider Name | Patrick Popiel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1194152348 PECOS PAC ID: 3779854757 Enrollment ID: I20200423000945 |
| Provider Name | Mmar-ymi Chery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417599291 PECOS PAC ID: 5496186850 Enrollment ID: I20200519001531 |
| Provider Name | Jo Ann Michaelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760519631 PECOS PAC ID: 9234560590 Enrollment ID: I20200521000151 |
| Provider Name | Errold St. Claire Reid |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1104230572 PECOS PAC ID: 1557782083 Enrollment ID: I20200609000296 |
| Provider Name | Michelle Lindsay Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053943902 PECOS PAC ID: 7719302272 Enrollment ID: I20200731001303 |
| Provider Name | Michael Connery |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1306231899 PECOS PAC ID: 3971801549 Enrollment ID: I20200807000081 |
| Provider Name | Brian P Dudgeon |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629698717 PECOS PAC ID: 7315366226 Enrollment ID: I20200925002426 |
| Provider Name | Masha Maslennikov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265994693 PECOS PAC ID: 9234472069 Enrollment ID: I20201216002639 |
| Provider Name | Shubnum Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205069838 PECOS PAC ID: 0749447142 Enrollment ID: I20210308002790 |
| Provider Name | Nermarie Velazquez |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1093192411 PECOS PAC ID: 3971928367 Enrollment ID: I20210716002464 |
| Provider Name | Janice Jang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922486992 PECOS PAC ID: 4183950215 Enrollment ID: I20210720003813 |
| Provider Name | Lincy Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275006629 PECOS PAC ID: 3072917806 Enrollment ID: I20210802001357 |
| Provider Name | Constantine Monzidelis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750763504 PECOS PAC ID: 1951705888 Enrollment ID: I20210813001954 |
| Provider Name | Natalie Nava |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114685211 PECOS PAC ID: 5890182943 Enrollment ID: I20220420001852 |
| Provider Name | Calla Myerjack |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1699389080 PECOS PAC ID: 9931529674 Enrollment ID: I20220426000577 |
| Provider Name | Vinod Karthik Ravikumar |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1952806655 PECOS PAC ID: 4183003635 Enrollment ID: I20220614001474 |
| Provider Name | Sara Beth Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326784430 PECOS PAC ID: 1355721028 Enrollment ID: I20220712002282 |
| Provider Name | Ahmed Alabbady |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1790030153 PECOS PAC ID: 4880999739 Enrollment ID: I20220718003361 |
| Provider Name | Igor Voznesensky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689101776 PECOS PAC ID: 8325420904 Enrollment ID: I20220728002088 |
| Provider Name | Daniel a Charen |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124473491 PECOS PAC ID: 0446596019 Enrollment ID: I20220826002515 |
| Provider Name | Susan Marie Konish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760015275 PECOS PAC ID: 4082099569 Enrollment ID: I20220920001108 |
| Provider Name | Dana M. Sisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346968617 PECOS PAC ID: 4880079375 Enrollment ID: I20220920001740 |
| Provider Name | Shirley Bastien-georges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477274561 PECOS PAC ID: 2860868411 Enrollment ID: I20221021002419 |
| 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 | Beverly Jane Fernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023733292 PECOS PAC ID: 2668849480 Enrollment ID: I20221108003221 |
| Provider Name | Chahait Singh |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1336670512 PECOS PAC ID: 2163891656 Enrollment ID: I20221205002105 |
| Provider Name | Michael Jamgochian |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1306226501 PECOS PAC ID: 3577932763 Enrollment ID: I20221209001895 |
| Provider Name | Ashley Storms |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003149477 PECOS PAC ID: 0648402594 Enrollment ID: I20230127000409 |
| Provider Name | Neil Raswant |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467718163 PECOS PAC ID: 4486967510 Enrollment ID: I20230202002704 |
| Provider Name | Brian Powers |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1063412773 PECOS PAC ID: 1557387834 Enrollment ID: I20230303002351 |
| Provider Name | Andrew Pickens |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235350513 PECOS PAC ID: 3779658125 Enrollment ID: I20230317002349 |
| Provider Name | Sylvan Roger Maginley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447702691 PECOS PAC ID: 8820463318 Enrollment ID: I20230414001928 |
| Provider Name | Renette Casseus-dametas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265189682 PECOS PAC ID: 9537527072 Enrollment ID: I20230615001784 |
| Provider Name | Joanne Mendoza |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669651253 PECOS PAC ID: 1850489063 Enrollment ID: I20230817001584 |
| Provider Name | Mimerose Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437880648 PECOS PAC ID: 8527421692 Enrollment ID: I20230823001942 |
| Provider Name | Moosa N Haider |
|---|---|
| Provider Type | Practitioner - Interventional Cardiology |
| Provider Identifiers | NPI Number: 1336567494 PECOS PAC ID: 5294039178 Enrollment ID: I20231010003072 |
| Provider Name | Carla Cristina Grossman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811778723 PECOS PAC ID: 4789030370 Enrollment ID: I20231102002790 |
| Provider Name | Kirithika Mohanathaas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043695588 PECOS PAC ID: 8325346182 Enrollment ID: I20231117001224 |
| Provider Name | Deserene Lin Overton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861170409 PECOS PAC ID: 5193173821 Enrollment ID: I20231118000500 |
| Provider Name | Marganick Bien-aime |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1376117564 PECOS PAC ID: 3476938937 Enrollment ID: I20240125000838 |
| Provider Name | Vaishali Purohit |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1114375631 PECOS PAC ID: 4789067943 Enrollment ID: I20240131001690 |
| Provider Name | Adam Maxwell Karp |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568922961 PECOS PAC ID: 7618410705 Enrollment ID: I20240618000110 |
| Provider Name | Fatima Traore |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912401332 PECOS PAC ID: 8123363520 Enrollment ID: I20240621000228 |
| Provider Name | Savalan Babapoor |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1871955989 PECOS PAC ID: 6800164369 Enrollment ID: I20240703001593 |
| Provider Name | Bilal Farooqi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1467891333 PECOS PAC ID: 4385939032 Enrollment ID: I20240709001164 |
| Provider Name | Sophia Alexis |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1801328349 PECOS PAC ID: 3779821517 Enrollment ID: I20240802002444 |
| Provider Name | Katarina Feeley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821348046 PECOS PAC ID: 0749721207 Enrollment ID: I20240924002483 |
| Provider Name | Ingride Richardson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1578798112 PECOS PAC ID: 5698064665 Enrollment ID: I20250108002363 |
| Provider Name | Zafar Naqvi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649429440 PECOS PAC ID: 4385815869 Enrollment ID: I20250122000857 |
| Provider Name | Ahmad Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013438936 PECOS PAC ID: 5395143010 Enrollment ID: I20250204003219 |
| Provider Name | Sheba Samuel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932885373 PECOS PAC ID: 4587187158 Enrollment ID: I20250325002222 |
| Provider Name | Jeanna Desisto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063285666 PECOS PAC ID: 5193234839 Enrollment ID: I20250603003820 |
| Provider Name | Ibragim Al-seykal |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1730615261 PECOS PAC ID: 6002180767 Enrollment ID: I20250708001515 |
| Provider Name | Chelsea M Beach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740856525 PECOS PAC ID: 8628582970 Enrollment ID: I20250709000546 |
| Provider Name | Joseph M Stinelli |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447457791 PECOS PAC ID: 2365490091 Enrollment ID: I20250716003918 |
| Provider Name | Sharmila Sarkar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407383540 PECOS PAC ID: 6507104882 Enrollment ID: I20251219001332 |
| Provider Name | Melissa Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710847330 PECOS PAC ID: 1951887819 Enrollment ID: I20260109002206 |
| Provider Name | Maurizio Cibischino |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1124028832 PECOS PAC ID: 4082751441 Enrollment ID: I20260410000379 |
| Provider Name | Mayur Chalia |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1184009888 PECOS PAC ID: 8426357963 Enrollment ID: I20260413000121 |
Ralph J Alvarez, MD, PLLC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9 Grand St, Warwick, NY 10990 Phone: 845-986-6969 Fax: 845-986-0024 |
Warwick Medical Associates LLP Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5 Grand St, Warwick, NY 10990 Phone: 845-986-7885 Fax: 845-986-7496 |
Warwick Family Practice PLLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 214 West St, Warwick, NY 10990 Phone: 845-986-5587 Fax: 845-986-0247 |