| Nao Medical | |
|
135 Mineola Blvd Ste B Mineola NY 11501-3917 | |
| (917) 410-6990 | |
| (516) 938-1554 |
| Full Name | Nao Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 135 Mineola Blvd Ste B, Mineola, New York |
| Authorized Official Name and Position | Sandeep Jain (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5167078846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nao Medical 135 Mineola Blvd Ste B Mineola NY 11501-3917 Ph: (917) 410-6990 | Nao Medical 135 Mineola Blvd Ste B Mineola NY 11501-3917 Ph: (917) 410-6990 |
| NPI Number | 1770813792 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 02/26/2026 |
| Certification Date | 02/26/2026 |
| Medicare PECOS PAC ID | 7416290564 |
|---|---|
| Medicare Enrollment ID | O20190514000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770813792 | NPI | - | NPPES |
| 05716550 | Medicaid | NY |
| Provider Name | Priti Jain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780607333 PECOS PAC ID: 5890788905 Enrollment ID: I20040405001773 |
| Provider Name | Aaron L Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104837806 PECOS PAC ID: 9537129358 Enrollment ID: I20041015000786 |
| Provider Name | Sandeep Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891738100 PECOS PAC ID: 8426004771 Enrollment ID: I20050330000026 |
| Provider Name | Michael O Ihemaguba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437230661 PECOS PAC ID: 4082623327 Enrollment ID: I20060413000279 |
| Provider Name | Jacqueline Storey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063446045 PECOS PAC ID: 0749287563 Enrollment ID: I20061108000438 |
| Provider Name | James a Kager |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154508539 PECOS PAC ID: 1355424011 Enrollment ID: I20080219000278 |
| Provider Name | Marco a Benitez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851551527 PECOS PAC ID: 6608947288 Enrollment ID: I20080625000701 |
| Provider Name | Marsha a Williamson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265552277 PECOS PAC ID: 0749355394 Enrollment ID: I20080818000330 |
| Provider Name | Venee N Cunningham |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639340706 PECOS PAC ID: 9830249226 Enrollment ID: I20090605000097 |
| Provider Name | Christina Zhang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417193384 PECOS PAC ID: 1355408006 Enrollment ID: I20090820000324 |
| Provider Name | Vino Kumar Palli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013080167 PECOS PAC ID: 6103806435 Enrollment ID: I20091007000361 |
| Provider Name | Ercole John Petrungaro |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1336206952 PECOS PAC ID: 3173661238 Enrollment ID: I20091110000307 |
| Provider Name | Julie a Walters |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1811219892 PECOS PAC ID: 6305971516 Enrollment ID: I20100312000715 |
| Provider Name | Rakesh Koul |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124161799 PECOS PAC ID: 3779615893 Enrollment ID: I20100724000105 |
| Provider Name | Tamara F. Moise |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184884330 PECOS PAC ID: 1355491754 Enrollment ID: I20100923000005 |
| Provider Name | Laurie J Costello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376540435 PECOS PAC ID: 2466528518 Enrollment ID: I20101203000536 |
| Provider Name | Mansoor Farooki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811922123 PECOS PAC ID: 8729268479 Enrollment ID: I20110211000762 |
| Provider Name | Carter C Cambi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1437427564 PECOS PAC ID: 8527220466 Enrollment ID: I20120510000207 |
| Provider Name | Homa Khowaja |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1306104203 PECOS PAC ID: 7810141793 Enrollment ID: I20130130000076 |
| Provider Name | Joy B Byron |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205803905 PECOS PAC ID: 2365627197 Enrollment ID: I20130726000104 |
| Provider Name | Victoria M Giardina |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396002986 PECOS PAC ID: 7719129238 Enrollment ID: I20130813000851 |
| Provider Name | Khadija Wiese |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730514787 PECOS PAC ID: 5496982720 Enrollment ID: I20131212000970 |
| Provider Name | Barbara Phillips Cole |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679598726 PECOS PAC ID: 8022091917 Enrollment ID: I20131223000001 |
| Provider Name | Subhas Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518308220 PECOS PAC ID: 9931337540 Enrollment ID: I20140106000108 |
| Provider Name | Skylar E Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538321435 PECOS PAC ID: 4880882927 Enrollment ID: I20140312001261 |
| Provider Name | Parisa Siddiqui |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1700178845 PECOS PAC ID: 5799000790 Enrollment ID: I20150216001169 |
| Provider Name | Maha Komal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114335312 PECOS PAC ID: 5698064970 Enrollment ID: I20160511000012 |
| Provider Name | Frankie Payne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629435938 PECOS PAC ID: 7719270016 Enrollment ID: I20160804001156 |
| Provider Name | Ribi R Priyev |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518337476 PECOS PAC ID: 0648550665 Enrollment ID: I20161209000539 |
| Provider Name | Keith Brandon Haseley |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1386183994 PECOS PAC ID: 7810272366 Enrollment ID: I20170323001028 |
| Provider Name | Mark Petrovani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871758565 PECOS PAC ID: 2668646878 Enrollment ID: I20170426000874 |
| Provider Name | Haseena B William |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518291913 PECOS PAC ID: 6507999125 Enrollment ID: I20170608001622 |
| Provider Name | Mehrdad Soleimani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285049809 PECOS PAC ID: 5890065312 Enrollment ID: I20170717001437 |
| Provider Name | David a Johnson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1902115595 PECOS PAC ID: 3072883735 Enrollment ID: I20170728000424 |
| Provider Name | Johane Gildade Boursiquot |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275801219 PECOS PAC ID: 2264675255 Enrollment ID: I20170808003114 |
| Provider Name | Cheron E Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215234869 PECOS PAC ID: 8527330810 Enrollment ID: I20170822000896 |
| Provider Name | Kelena E Bechler |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326569898 PECOS PAC ID: 7416220249 Enrollment ID: I20170830001483 |
| Provider Name | Alexis a Perez |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417391715 PECOS PAC ID: 2163710211 Enrollment ID: I20170830002736 |
| Provider Name | Rosetta Romero-williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780080010 PECOS PAC ID: 9739454059 Enrollment ID: I20171012000038 |
| Provider Name | Frantzie J Jean |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1194184929 PECOS PAC ID: 3678849874 Enrollment ID: I20171016001370 |
| Provider Name | Andrew Riofrio |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1639591555 PECOS PAC ID: 6002182904 Enrollment ID: I20171020000800 |
| Provider Name | Andrew Liang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1093224412 PECOS PAC ID: 3375800576 Enrollment ID: I20171127000071 |
| Provider Name | Cassandra Dumornay |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1346567138 PECOS PAC ID: 7315250610 Enrollment ID: I20180227000796 |
| Provider Name | Christiana Serwaah Bartels |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1730680638 PECOS PAC ID: 0244592392 Enrollment ID: I20180329001639 |
| Provider Name | Erin E Spahic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811497837 PECOS PAC ID: 0042573537 Enrollment ID: I20180416001483 |
| Provider Name | Sara Park |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316455538 PECOS PAC ID: 3678836855 Enrollment ID: I20180423000956 |
| Provider Name | Rainier Chirinos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982095873 PECOS PAC ID: 7416275086 Enrollment ID: I20180425001101 |
| Provider Name | Dhara Rana |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710455944 PECOS PAC ID: 9537405873 Enrollment ID: I20190108002350 |
| Provider Name | Mariam a Ismail |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1265900344 PECOS PAC ID: 7517204563 Enrollment ID: I20190129001423 |
| Provider Name | Uchenna Evelyn Egwuonwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932477452 PECOS PAC ID: 4981945748 Enrollment ID: I20190404002733 |
| Provider Name | Stephanie Myrlande Delille |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821414756 PECOS PAC ID: 7315271962 Enrollment ID: I20190702000430 |
| Provider Name | Nicole a Williams-sanchez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508132523 PECOS PAC ID: 6103156336 Enrollment ID: I20191001001479 |
| Provider Name | Christine Daza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386069300 PECOS PAC ID: 0749511483 Enrollment ID: I20191011000428 |
| Provider Name | Darlene Maria Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588210561 PECOS PAC ID: 8729310370 Enrollment ID: I20191030003471 |
| Provider Name | Mark Ramdas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912556705 PECOS PAC ID: 6406281088 Enrollment ID: I20200109001300 |
| Provider Name | Kimberly Innocent |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1922518786 PECOS PAC ID: 7012274301 Enrollment ID: I20200225002057 |
| Provider Name | Nancy Tang |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497394662 PECOS PAC ID: 4789009358 Enrollment ID: I20200730001728 |
| Provider Name | Brocha Newman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740725233 PECOS PAC ID: 1153749932 Enrollment ID: I20200910001095 |
| Provider Name | Frank Owusu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538703954 PECOS PAC ID: 9032529813 Enrollment ID: I20201105002701 |
| Provider Name | Nnamdi Uwakwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700492436 PECOS PAC ID: 7810308392 Enrollment ID: I20201206000000 |
| Provider Name | Shaneabbas Hasnain Dharsi |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1861969057 PECOS PAC ID: 8325450380 Enrollment ID: I20201215003128 |
| Provider Name | Stephanie Renee Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780138305 PECOS PAC ID: 2668748369 Enrollment ID: I20201228001632 |
| Provider Name | Dayakishan Chahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902327034 PECOS PAC ID: 5597019315 Enrollment ID: I20210113000687 |
| Provider Name | Beulah Abraham John |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659803237 PECOS PAC ID: 9234476334 Enrollment ID: I20210204002754 |
| Provider Name | Veronica N Ramsaroop |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861000267 PECOS PAC ID: 8022423714 Enrollment ID: I20210210000815 |
| Provider Name | Avigail Itzkowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760094437 PECOS PAC ID: 9234544552 Enrollment ID: I20210219000482 |
| Provider Name | Tenzin Choekyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285223032 PECOS PAC ID: 0547675613 Enrollment ID: I20210428002556 |
| Provider Name | Tanya Chew |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1871888024 PECOS PAC ID: 1355510025 Enrollment ID: I20210917001468 |
| Provider Name | Parmjeet Kaur |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1548827538 PECOS PAC ID: 6608204375 Enrollment ID: I20211109000572 |
| Provider Name | Payal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811549355 PECOS PAC ID: 8729477591 Enrollment ID: I20211116003000 |
| Provider Name | Justin Titus |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1316413651 PECOS PAC ID: 6406249259 Enrollment ID: I20220131001864 |
| Provider Name | Daniel Gliganic |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1942952197 PECOS PAC ID: 6103210190 Enrollment ID: I20220309000727 |
| Provider Name | Michael Dominiak |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1538811708 PECOS PAC ID: 8729473574 Enrollment ID: I20220315001284 |
| Provider Name | Cory German |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114574092 PECOS PAC ID: 2668875162 Enrollment ID: I20220318000231 |
| Provider Name | Mushka Edelkopf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831774181 PECOS PAC ID: 8123413614 Enrollment ID: I20220320000012 |
| Provider Name | Nickecha L Redway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275290579 PECOS PAC ID: 5193102697 Enrollment ID: I20220524000160 |
| Provider Name | Mark E Basiratmand |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154836153 PECOS PAC ID: 6204167729 Enrollment ID: I20220614002203 |
| Provider Name | Narek Gagik Bazyan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1396400925 PECOS PAC ID: 2567846298 Enrollment ID: I20220830002745 |
| Provider Name | Verenisse Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386202216 PECOS PAC ID: 3476888595 Enrollment ID: I20221017001727 |
| Provider Name | Tamara M Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841743911 PECOS PAC ID: 5597008987 Enrollment ID: I20221106000024 |
| Provider Name | Diane Abiola Simpson Dasent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205465655 PECOS PAC ID: 1254705197 Enrollment ID: I20230316001330 |
| Provider Name | Mary Bernardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538416185 PECOS PAC ID: 6002063922 Enrollment ID: I20230404002237 |
| Provider Name | Jonathan Jaime Jarman |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1457047995 PECOS PAC ID: 1254799893 Enrollment ID: I20230614001646 |
| Provider Name | Julianna S Mayberry |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1821798257 PECOS PAC ID: 1052779279 Enrollment ID: I20230621000869 |
| Provider Name | Cassandra Demarco |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619270758 PECOS PAC ID: 9537462254 Enrollment ID: I20230906002025 |
| Provider Name | Bene Aneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407380363 PECOS PAC ID: 8325306541 Enrollment ID: I20230920000644 |
| Provider Name | Matthew Siegel |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750060430 PECOS PAC ID: 4284089681 Enrollment ID: I20231004002515 |
| Provider Name | David C Figueroa |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1619699568 PECOS PAC ID: 5597110908 Enrollment ID: I20231004002844 |
| Provider Name | Anu John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881119840 PECOS PAC ID: 2264888072 Enrollment ID: I20231031002629 |
| Provider Name | Amy Lin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518671429 PECOS PAC ID: 9830538305 Enrollment ID: I20240416004220 |
| Provider Name | Sophie Nyambal |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659819449 PECOS PAC ID: 1456638121 Enrollment ID: I20240614001388 |
| Provider Name | Nia Grant |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1003660291 PECOS PAC ID: 8426593740 Enrollment ID: I20240711000912 |
| Provider Name | Whitney Nolan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1558661538 PECOS PAC ID: 7113109349 Enrollment ID: I20240717004065 |
| Provider Name | Max Parker Rubin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1780238501 PECOS PAC ID: 4688105448 Enrollment ID: I20241003001976 |
| Provider Name | Andie Paige Spadaccini |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1881306512 PECOS PAC ID: 8527599331 Enrollment ID: I20241003004038 |
| Provider Name | Abel Infante |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1598452922 PECOS PAC ID: 7012440738 Enrollment ID: I20241101001321 |
| Provider Name | Fazle Showon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184290892 PECOS PAC ID: 8022542646 Enrollment ID: I20241105002518 |
| Provider Name | Shelly Twito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619624079 PECOS PAC ID: 0042663353 Enrollment ID: I20241204002547 |
| Provider Name | Suresh Kumar Sagar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790519684 PECOS PAC ID: 5890221329 Enrollment ID: I20241209000245 |
| Provider Name | Dana Aljada |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1518733740 PECOS PAC ID: 5092241265 Enrollment ID: I20241211001709 |
| Provider Name | Dominique S Goodwin |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1598503872 PECOS PAC ID: 8628506516 Enrollment ID: I20250106001520 |
| Provider Name | Caitlin Macfarlane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942020771 PECOS PAC ID: 9032648654 Enrollment ID: I20250128002497 |
| Provider Name | Vibhuti Krishna |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1528758505 PECOS PAC ID: 5496275570 Enrollment ID: I20250219002173 |
| Provider Name | Jamie B Petkovic |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205425204 PECOS PAC ID: 8123432267 Enrollment ID: I20250320001174 |
| Provider Name | Lizbeth Rose Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487463493 PECOS PAC ID: 8022532159 Enrollment ID: I20250409003706 |
| Provider Name | Nathaniel Allen Royster |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740928068 PECOS PAC ID: 0042736829 Enrollment ID: I20250424001230 |
| Provider Name | Kiara Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1689406126 PECOS PAC ID: 6507382397 Enrollment ID: I20250424001659 |
| Provider Name | Rukhsar Asef |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1669273306 PECOS PAC ID: 2264958271 Enrollment ID: I20250501003053 |
| Provider Name | Nazanin Maskan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1750195244 PECOS PAC ID: 7517477128 Enrollment ID: I20250611002722 |
| Provider Name | Liya Krikheli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356101406 PECOS PAC ID: 2062926868 Enrollment ID: I20250703002599 |
| Provider Name | Samantha Jean Matzio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881170884 PECOS PAC ID: 4981112414 Enrollment ID: I20250805001975 |
| Provider Name | Naveen Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174496178 PECOS PAC ID: 2264926799 Enrollment ID: I20251211003722 |
| Provider Name | Shailaja Antharam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669114005 PECOS PAC ID: 9335634989 Enrollment ID: I20251219003373 |
| Provider Name | Elvis Chukwunonso Uzomah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801757174 PECOS PAC ID: 9537655303 Enrollment ID: I20251231001513 |
| Provider Name | Shakila Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891339099 PECOS PAC ID: 8820429434 Enrollment ID: I20260206002947 |
| Provider Name | Sadia Khan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1851755599 PECOS PAC ID: 7012273717 Enrollment ID: I20260507001127 |
| Provider Name | Andy Nan |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104708254 PECOS PAC ID: 9436627361 Enrollment ID: I20260508000503 |
| Provider Name | Elizabeth Josephine Lau |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1447107073 PECOS PAC ID: 1759859606 Enrollment ID: I20260508001243 |
| Provider Name | Tanna Amari Altendorf |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1285585786 PECOS PAC ID: 6204306194 Enrollment ID: I20260601003789 |
| Provider Name | Rebecca Ramdass |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043141575 PECOS PAC ID: 4385116151 Enrollment ID: I20260611004863 |
| Provider Name | Nicholas Ribbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447132394 PECOS PAC ID: 0648777870 Enrollment ID: I20260616000706 |
Frank A. Monteleone, M.d.,p.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 173 Mineola Blvd, Suite 203, Mineola, NY 11501 Phone: 516-741-3560 Fax: 516-741-3562 |
Winthrop Infectious Disease Associates Univ Faculty Practice Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Station Plz N, Suite 432, Mineola, NY 11501 Phone: 516-663-2507 Fax: 516-663-3234 |
Winthrop Internal Medicine Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Station Plz N, Suite 310, Mineola, NY 11501 Phone: 516-663-2051 |
Winthrop Medical Affiliates Urgent Care University Faculty Practice C Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 222 Station Plz N, Suite 110, Mineola, NY 11501 Phone: 516-663-1111 |
Winthrop University Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 259 1st St, Mineola, NY 11501 Phone: 516-663-2288 |
Winthrop Geriatric Medicine Associates PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 222 Station Plz N, Suite 518, Mineola, NY 11501 Phone: 516-663-2588 Fax: 516-663-4644 |