Memorial Infectious Disease Group - Medicare Primary Care in New York, NY

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Memorial Infectious Disease Group is a medicare enrolled primary clinic (Internal Medicine - Infectious Disease) in New York, New York. The current practice location for Memorial Infectious Disease Group is 1275 York Ave, New York, New York. For appointments, you can reach them via phone at (646) 227-3813. The mailing address for Memorial Infectious Disease Group is 633 3rd Ave, Box 3, New York, New York and phone number is () -.

Memorial Infectious Disease Group is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1619948189. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (646) 227-3813.

Contact Information

Memorial Infectious Disease Group
1275 York Ave
New York
NY 10065-6007
(646) 227-3813
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMemorial Infectious Disease Group
SpecialityInternal Medicine
Location1275 York Ave, New York, New York
Authorized Official Name and PositionSalvatore M Andreozzi (ASSOCIATE DIRECTOR)
Authorized Official Contact6462273751
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Memorial Infectious Disease Group
633 3rd Ave
Box 3
New York
NY 10017-6706

Ph: () -		Memorial Infectious Disease Group
1275 York Ave
New York
NY 10065-6007

Ph: (646) 227-3813

NPI Details:

NPI Number1619948189
Provider Enumeration Date01/31/2006
Last Update Date10/08/2007

Medicare PECOS Information:

Medicare PECOS PAC ID7618868746
Medicare Enrollment IDO20040320000158

Medical Identifiers

Medical identifiers for Memorial Infectious Disease Group such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619948189NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RI0200XInternal Medicine - Infectious Disease (* (Not Available))Primary
207RX0202XInternal Medicine - Medical Oncology (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Memorial Infectious Disease Group acts as a billing entity for following providers:
Provider NameMonika K Shah
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1144327891
PECOS PAC ID: 8527950666
Enrollment ID: I20040325000748
Provider NameTobias M Hohl
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1023143641
PECOS PAC ID: 0143312405
Enrollment ID: I20070816000685
Provider NameMini Kamboj
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1396867891
PECOS PAC ID: 1658468863
Enrollment ID: I20071106000115
Provider NameYing Taur
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1568634996
PECOS PAC ID: 3274684634
Enrollment ID: I20090624000473
Provider NameAnna Kaltsas
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1114167053
PECOS PAC ID: 3375667835
Enrollment ID: I20100907000035
Provider NameSusan K Seo
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1043281900
PECOS PAC ID: 9032234026
Enrollment ID: I20100914001135
Provider NameGenovefa A Papanicolaou
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1497726301
PECOS PAC ID: 7618092198
Enrollment ID: I20100921001020
Provider NameMichael S Glickman
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1366413155
PECOS PAC ID: 0840485926
Enrollment ID: I20101115000928
Provider NameKent A Sepkowitz
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1578534434
PECOS PAC ID: 6709071889
Enrollment ID: I20101115000992
Provider NamePeter A Mead
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1245497742
PECOS PAC ID: 6406024389
Enrollment ID: I20110720000247
Provider NameGil Redelman-sidi
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1619150331
PECOS PAC ID: 1052555877
Enrollment ID: I20130918000174
Provider NameCesar J Figueroa Ortiz
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1205137767
PECOS PAC ID: 8729214713
Enrollment ID: I20131121001325
Provider NameYeon Joo Lee
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1013245869
PECOS PAC ID: 2365677275
Enrollment ID: I20150129001043
Provider NameJaclyn D Newfield
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912395088
PECOS PAC ID: 8224345178
Enrollment ID: I20150910000147
Provider NameLena Heung
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1326257106
PECOS PAC ID: 0143516120
Enrollment ID: I20160831002057
Provider NameSejal Morjaria
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1073749735
PECOS PAC ID: 8224282603
Enrollment ID: I20161122002153
Provider NameDaniel D Billings
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1639539539
PECOS PAC ID: 0840561460
Enrollment ID: I20170801000010
Provider NameJeanok Youn
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013464502
PECOS PAC ID: 1850664111
Enrollment ID: I20170907003106
Provider NameJulia Cereda
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790204865
PECOS PAC ID: 2264794833
Enrollment ID: I20180319001421
Provider NameLisa A Fitzgerald
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790144475
PECOS PAC ID: 9234422007
Enrollment ID: I20180319001923
Provider NameJustin C Laracy
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1548655954
PECOS PAC ID: 8729334966
Enrollment ID: I20180702001495
Provider NamePuja H Nambiar
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1871881979
PECOS PAC ID: 2961704242
Enrollment ID: I20210107000904
Provider NameTarring T Huang
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245823442
PECOS PAC ID: 0941699243
Enrollment ID: I20211108000789
Provider NameKhayala Balabayova
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1306291182
PECOS PAC ID: 1254671076
Enrollment ID: I20221110002228
Provider NamePenina P Ben-yosef
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275263667
PECOS PAC ID: 3173994605
Enrollment ID: I20230120001225
Provider NameAutumn Chandler Guyer
Provider TypePractitioner - Allergy/immunology
Provider IdentifiersNPI Number: 1205099777
PECOS PAC ID: 9638337363
Enrollment ID: I20230127000035
Provider NameZainab Shahid
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1033318696
PECOS PAC ID: 0446305106
Enrollment ID: I20230209000327
Provider NameIrene Petrocelli
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053039701
PECOS PAC ID: 8325412281
Enrollment ID: I20230316002008
Provider NameRich T Kodama
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1881190304
PECOS PAC ID: 5890159669
Enrollment ID: I20230912002707
Provider NamePaula Yoon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285365643
PECOS PAC ID: 0941684203
Enrollment ID: I20231030003075

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