| Lifespire, Inc. | |
|
159 E 125th St New York NY 10035-1748 | |
| (212) 828-8506 | |
| (212) 876-8942 |
| Full Name | Lifespire, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 159 E 125th St, New York, New York |
| Authorized Official Name and Position | Keith Lee (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 2127410100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lifespire, Inc. One Whitehall Street, 9th Floor New York NY 10004-2141 Ph: (212) 741-0100 | Lifespire, Inc. 159 E 125th St New York NY 10035-1748 Ph: (212) 828-8506 |
| NPI Number | 1497709166 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 07/11/2012 |
| Medicare PECOS PAC ID | 5496644015 |
|---|---|
| Medicare Enrollment ID | O20040312000104 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497709166 | NPI | - | NPPES |
| 01500150 | Medicaid | NY | |
| 00347755 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New York) | Primary |
| Provider Name | Robert M Joseph |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770648172 PECOS PAC ID: 7517858392 Enrollment ID: I20040322001333 |
| Provider Name | Janet Pomerantz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1922181510 PECOS PAC ID: 2466443544 Enrollment ID: I20040518001590 |
| Provider Name | Lyubov Y Gorelik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528071545 PECOS PAC ID: 2062496581 Enrollment ID: I20040614001147 |
| Provider Name | Micah Duchan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174667349 PECOS PAC ID: 5991784480 Enrollment ID: I20040719000084 |
| Provider Name | Alan M Fisher |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629128848 PECOS PAC ID: 2769456417 Enrollment ID: I20040819001401 |
| Provider Name | Manoj V Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871626325 PECOS PAC ID: 1456382274 Enrollment ID: I20050822001022 |
| Provider Name | Amy Muskin Galan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710042288 PECOS PAC ID: 5799791240 Enrollment ID: I20060221000887 |
| Provider Name | Lyonel De Sagun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275576787 PECOS PAC ID: 7214949643 Enrollment ID: I20060628000333 |
| Provider Name | Carol Wynter Jones |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396892741 PECOS PAC ID: 6608959564 Enrollment ID: I20080215000133 |
| Provider Name | Lee E Stryker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811100670 PECOS PAC ID: 2860579844 Enrollment ID: I20080402000249 |
| Provider Name | Aderemi I Adeyemi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1386818128 PECOS PAC ID: 1658444153 Enrollment ID: I20080716000552 |
| Provider Name | Paul A Digiovanni |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013054048 PECOS PAC ID: 2466515119 Enrollment ID: I20090107000358 |
| Provider Name | Claudette E Coke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477742559 PECOS PAC ID: 5496811127 Enrollment ID: I20090305000018 |
| Provider Name | Michael Lu |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1245393669 PECOS PAC ID: 4789741828 Enrollment ID: I20090317000608 |
| Provider Name | Ellen Lensky |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1942329081 PECOS PAC ID: 2163577651 Enrollment ID: I20090904000502 |
| Provider Name | Jacqueline A Oloughlin |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1134272883 PECOS PAC ID: 1557407699 Enrollment ID: I20091005000158 |
| Provider Name | Rajendraswamy Heggawadi |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1811023195 PECOS PAC ID: 8820135833 Enrollment ID: I20091023000494 |
| Provider Name | Nitun Kumar |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720125354 PECOS PAC ID: 3173662459 Enrollment ID: I20091125000539 |
| Provider Name | Anna Naboyshchikova |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831366756 PECOS PAC ID: 4082740766 Enrollment ID: I20100405000549 |
| Provider Name | Stephen P Daurio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942409404 PECOS PAC ID: 1557553831 Enrollment ID: I20101005000553 |
| Provider Name | Shaunna Eneya Hamilton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1760782338 PECOS PAC ID: 3971787458 Enrollment ID: I20110407000151 |
| Provider Name | Rebecca L Walsh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1598074023 PECOS PAC ID: 8729246434 Enrollment ID: I20120228000093 |
| Provider Name | Vinoth K Chandra Mohan |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1285921726 PECOS PAC ID: 5991969776 Enrollment ID: I20120606000552 |
| Provider Name | Ashly Mammen |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1720131394 PECOS PAC ID: 6800042623 Enrollment ID: I20120810000397 |
| Provider Name | Deborah J Marsh |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1649329202 PECOS PAC ID: 4880839406 Enrollment ID: I20130401000347 |
| Provider Name | Darlene Mcrae |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1841438710 PECOS PAC ID: 3072758655 Enrollment ID: I20130402000471 |
| Provider Name | George Mwangi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1114951464 PECOS PAC ID: 8527208768 Enrollment ID: I20130711000025 |
| Provider Name | Jeanette T Buss |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1558690750 PECOS PAC ID: 9931334349 Enrollment ID: I20131021000076 |
| Provider Name | Maria F Brun |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932320777 PECOS PAC ID: 5395971246 Enrollment ID: I20131122001769 |
| Provider Name | Ellaine A Thomas |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962540047 PECOS PAC ID: 4688801152 Enrollment ID: I20131209001689 |
| Provider Name | Kristal M Pierre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174899892 PECOS PAC ID: 9032341185 Enrollment ID: I20140404000008 |
| Provider Name | Violetta Carpini |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578710885 PECOS PAC ID: 2961622154 Enrollment ID: I20141010001345 |
| Provider Name | Yudelis Quinlan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1942452438 PECOS PAC ID: 5698997500 Enrollment ID: I20141110000850 |
| Provider Name | Banu Rajagopal |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1851448500 PECOS PAC ID: 3971828633 Enrollment ID: I20150221000164 |
| Provider Name | Sheika Hecker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659678845 PECOS PAC ID: 7719299791 Enrollment ID: I20150706000181 |
| Provider Name | Marianne Terrado |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407181340 PECOS PAC ID: 1658685771 Enrollment ID: I20150804003250 |
| Provider Name | Jeffrey H Smaller |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1821290016 PECOS PAC ID: 2961718739 Enrollment ID: I20150825004611 |
| Provider Name | Cristina M Sanchez |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1871841122 PECOS PAC ID: 4688981616 Enrollment ID: I20150923001677 |
| Provider Name | Rose E Nowack |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871867838 PECOS PAC ID: 2062720675 Enrollment ID: I20151001000972 |
| Provider Name | Lisa M. Doce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053576942 PECOS PAC ID: 9133438690 Enrollment ID: I20151023000114 |
| Provider Name | Tracey J Williamson |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831304641 PECOS PAC ID: 0143529487 Enrollment ID: I20160509000768 |
| Provider Name | Juan R Ceron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093087587 PECOS PAC ID: 5193085645 Enrollment ID: I20180201002367 |
| Provider Name | Jennifer Ann Lee |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1740668862 PECOS PAC ID: 9436407624 Enrollment ID: I20180803001792 |
| Provider Name | Regine Lamy |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1891240263 PECOS PAC ID: 9436408960 Enrollment ID: I20180816002551 |
| Provider Name | Zoobia Kousar |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1992290720 PECOS PAC ID: 2961742408 Enrollment ID: I20190320002450 |
| Provider Name | Sahar Marlowe |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1568903144 PECOS PAC ID: 9234568015 Enrollment ID: I20200330001979 |
| Provider Name | Darren L Bennett |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1831308493 PECOS PAC ID: 4385073998 Enrollment ID: I20200402002064 |
| Provider Name | Dawn Prawl |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588922744 PECOS PAC ID: 3779974589 Enrollment ID: I20220104002503 |
| Provider Name | Travis Barry |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1871253179 PECOS PAC ID: 9133513096 Enrollment ID: I20220221001049 |
| Provider Name | Sara M Mckeon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700399318 PECOS PAC ID: 2163819210 Enrollment ID: I20220420001839 |
| Provider Name | Valcuse Delma |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1013153154 PECOS PAC ID: 4082099502 Enrollment ID: I20220920003083 |
| Provider Name | Eric A Gerdner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285120832 PECOS PAC ID: 5193101772 Enrollment ID: I20221005001423 |
| Provider Name | Akintayo Fadoju |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184900300 PECOS PAC ID: 5890161848 Enrollment ID: I20221017002924 |
| Provider Name | James Antoine |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639484819 PECOS PAC ID: 9133590086 Enrollment ID: I20230201000556 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Upper West Side Family Medical Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |