| Ion Oltean Physician Pc | |
| 
					139 66 35th Ave Bayside NY 11354  | |
| (718) 963-3350 | |
| Not Available | 
| Full Name | Ion Oltean Physician Pc | 
|---|---|
| Speciality | Internal Medicine | 
| Location | 139 66 35th Ave, Bayside, New York | 
| Authorized Official Name and Position | Ion Oltean (PRESIDENT) | 
| Authorized Official Contact | 7186310500 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ion Oltean Physician Pc 62 Seasongood Rd Forest Hills NY 11375-6033 Ph: (718) 631-0500  | Ion Oltean Physician Pc 139 66 35th Ave Bayside NY 11354 Ph: (718) 963-3350  | 
| NPI Number | 1912236811 | 
|---|---|
| Provider Enumeration Date | 12/24/2009 | 
| Last Update Date | 12/24/2009 | 
| Medicare PECOS PAC ID | 6406990860 | 
|---|---|
| Medicare Enrollment ID | O20100223000519 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1912236811 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | 218142 (New York) | Primary | 
| Provider Name | Jaikumar Ravunniarath Menon | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1427000934 PECOS PAC ID: 9436117173 Enrollment ID: I20041228000313  | 
| Provider Name | Ion Oltean | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1184729113 PECOS PAC ID: 2163486432 Enrollment ID: I20041228000459  | 
| Provider Name | Elizabeth Goldstein | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1104834449 PECOS PAC ID: 2365444767 Enrollment ID: I20070214000305  | 
| Provider Name | Shonette Miller Costen | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1770770323 PECOS PAC ID: 1951567379 Enrollment ID: I20120730000161  | 
| Provider Name | Dainelle S Kich | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1982962460 PECOS PAC ID: 3375790389 Enrollment ID: I20120827000717  | 
| Provider Name | Marilyn Bien-aime | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1467641449 PECOS PAC ID: 2860539772 Enrollment ID: I20140226001018  | 
| Provider Name | Kevin Tin | 
|---|---|
| Provider Type | Practitioner - Gastroenterology | 
| Provider Identifiers | NPI Number: 1174812044 PECOS PAC ID: 9830415728 Enrollment ID: I20150312001295  | 
| Provider Name | Evelyn Uwakwe | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1578816344 PECOS PAC ID: 5395058994 Enrollment ID: I20150724010532  | 
| Provider Name | Roshin Mathews | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1740657311 PECOS PAC ID: 5395055453 Enrollment ID: I20160527001249  | 
| Provider Name | Bibi S Ali Mohamed | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1033588124 PECOS PAC ID: 1456639913 Enrollment ID: I20161103001564  | 
| Provider Name | Beena Varughese | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1417402355 PECOS PAC ID: 3870873110 Enrollment ID: I20161202001965  | 
| Provider Name | Su Jung Lee | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1649711607 PECOS PAC ID: 3779869391 Enrollment ID: I20170417000052  | 
| Provider Name | Fatima Olude | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1740707975 PECOS PAC ID: 3870855406 Enrollment ID: I20180320001101  | 
| Provider Name | Elizabeth Nosier-turenne | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1841701711 PECOS PAC ID: 6709148000 Enrollment ID: I20180327000766  | 
| Provider Name | Zahida Kabir | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1861807943 PECOS PAC ID: 7315209327 Enrollment ID: I20180402001047  | 
| Provider Name | Marjorie Wilson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1174043491 PECOS PAC ID: 3971868720 Enrollment ID: I20180525000493  | 
| Provider Name | Jasvir Kaur | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750878450 PECOS PAC ID: 7315296308 Enrollment ID: I20180824000621  | 
| Provider Name | Rosamma Saji | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1861978561 PECOS PAC ID: 7517217730 Enrollment ID: I20180910002816  | 
| Provider Name | Rosanna Paknoush | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1750880142 PECOS PAC ID: 5294087144 Enrollment ID: I20181004001294  | 
| Provider Name | Valentyna Oleksyuk | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1780163790 PECOS PAC ID: 5092068494 Enrollment ID: I20181101002176  | 
| Provider Name | Evaline Awuor Obare | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1881240380 PECOS PAC ID: 8921337098 Enrollment ID: I20190916001160  | 
| Provider Name | Dawn Woods | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1417504721 PECOS PAC ID: 3577990555 Enrollment ID: I20200304001140  | 
| Provider Name | Syed Zaidi | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1609415736 PECOS PAC ID: 9436588555 Enrollment ID: I20200410000299  | 
| Provider Name | Crystal Nevins | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1801047469 PECOS PAC ID: 0345651949 Enrollment ID: I20201203001841  | 
| Provider Name | Latrina M Dubois-hornsby | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1609457332 PECOS PAC ID: 6608276449 Enrollment ID: I20210615002920  | 
| Provider Name | Cassandra D Mc Koy | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1760672950 PECOS PAC ID: 5496159196 Enrollment ID: I20210803000991  | 
| Provider Name | Shante Brady | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1669072344 PECOS PAC ID: 6507254521 Enrollment ID: I20211025002307  | 
| Provider Name | Shreen Pamela Bell | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1417218660 PECOS PAC ID: 0244559557 Enrollment ID: I20220111000318  | 
| Provider Name | Oluwaseyi Temitope Oyelaja | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1811650039 PECOS PAC ID: 4284011495 Enrollment ID: I20220509002049  | 
| Provider Name | Rujina Munim | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1265184097 PECOS PAC ID: 1052798204 Enrollment ID: I20220510000822  | 
| Provider Name | Herline Raphael | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1326584046 PECOS PAC ID: 4385911080 Enrollment ID: I20221123002608  | 
| Provider Name | Deslene Thomas | 
|---|---|
| Provider Type | Practitioner - General Practice | 
| Provider Identifiers | NPI Number: 1962086868 PECOS PAC ID: 4284094020 Enrollment ID: I20230712002134  | 
| Provider Name | Mohammed A Munim | 
|---|---|
| Provider Type | Practitioner - Internal Medicine | 
| Provider Identifiers | NPI Number: 1043941776 PECOS PAC ID: 4880130152 Enrollment ID: I20240723001384  | 
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