| Memorial Medical Consultation Group | |
|
1275 York Ave New York NY 10065-6007 | |
| (646) 227-3813 | |
| Not Available |
| Full Name | Memorial Medical Consultation Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 1275 York Ave, New York, New York |
| Authorized Official Name and Position | Salvatore M Andreozzi (ASSOCIATE DIRECTOR) |
| Authorized Official Contact | 6462273751 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Memorial Medical Consultation Group 633 3rd Ave Box 3 New York NY 10017-6706 Ph: () - | Memorial Medical Consultation Group 1275 York Ave New York NY 10065-6007 Ph: (646) 227-3813 |
| NPI Number | 1053382523 |
|---|---|
| Provider Enumeration Date | 01/31/2006 |
| Last Update Date | 10/04/2007 |
| Medicare PECOS PAC ID | 6406755081 |
|---|---|
| Medicare Enrollment ID | O20040102000372 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053382523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Koshy Alexander |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1922190602 PECOS PAC ID: 9638162258 Enrollment ID: I20040407001212 |
| Provider Name | Beatriz Korc-grodzicki |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1336115617 PECOS PAC ID: 8628057817 Enrollment ID: I20040720000857 |
| Provider Name | Sung Wu Sun |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1487628350 PECOS PAC ID: 9133193063 Enrollment ID: I20040825000615 |
| Provider Name | Deborah R Korenstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912925793 PECOS PAC ID: 1557339058 Enrollment ID: I20040922000791 |
| Provider Name | Farnia Amirnia |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1154321032 PECOS PAC ID: 3375504087 Enrollment ID: I20041025001036 |
| Provider Name | Emily Smith Tonorezos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215987482 PECOS PAC ID: 9032160130 Enrollment ID: I20050207000309 |
| Provider Name | Amsale Ketema |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629049663 PECOS PAC ID: 8123098027 Enrollment ID: I20050322001197 |
| Provider Name | Barbara C Egan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376514307 PECOS PAC ID: 0042266991 Enrollment ID: I20050324000104 |
| Provider Name | Christine A Liebertz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225175680 PECOS PAC ID: 1850307612 Enrollment ID: I20060302000611 |
| Provider Name | Rosetta M Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407961386 PECOS PAC ID: 0840207171 Enrollment ID: I20060313000082 |
| Provider Name | Shellie L Gumbs |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710064712 PECOS PAC ID: 9032119342 Enrollment ID: I20070111000167 |
| Provider Name | Cori Salvit |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417046715 PECOS PAC ID: 3971505413 Enrollment ID: I20070212000675 |
| Provider Name | Sheila A Foote |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518024983 PECOS PAC ID: 2769586767 Enrollment ID: I20070402000048 |
| Provider Name | Marina Rozenberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275735391 PECOS PAC ID: 4486741055 Enrollment ID: I20071029000537 |
| Provider Name | Kathleen T Keenan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144378811 PECOS PAC ID: 1355427436 Enrollment ID: I20080331000059 |
| Provider Name | Steven C Martin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316057268 PECOS PAC ID: 7113005166 Enrollment ID: I20080416000535 |
| Provider Name | Robin Rawlins-duell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518188762 PECOS PAC ID: 3870671787 Enrollment ID: I20080417000375 |
| Provider Name | Zana Correa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003013061 PECOS PAC ID: 7315025178 Enrollment ID: I20080418000173 |
| Provider Name | Rebecca W Repetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669642559 PECOS PAC ID: 8325117955 Enrollment ID: I20080521000760 |
| Provider Name | Jennifer M Cagney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205016789 PECOS PAC ID: 7315017548 Enrollment ID: I20080530000510 |
| Provider Name | Nelson F Sanchez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598963233 PECOS PAC ID: 4082780101 Enrollment ID: I20080913000004 |
| Provider Name | Douglas J Koo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801088380 PECOS PAC ID: 4981770005 Enrollment ID: I20080913000014 |
| Provider Name | Chhavi B Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265637011 PECOS PAC ID: 0143396267 Enrollment ID: I20080913000027 |
| Provider Name | Michelle Steffers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215000435 PECOS PAC ID: 4486714177 Enrollment ID: I20081126000103 |
| Provider Name | Zsofia K Stadler |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1154511251 PECOS PAC ID: 9739242447 Enrollment ID: I20090107000067 |
| Provider Name | Yekaterina D Tayban |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649447574 PECOS PAC ID: 8224182829 Enrollment ID: I20090817000524 |
| Provider Name | Heidi M Yulico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265583439 PECOS PAC ID: 8022154905 Enrollment ID: I20091007000062 |
| Provider Name | Latasha D Anderson Dunkley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275785362 PECOS PAC ID: 3678619574 Enrollment ID: I20091007000163 |
| Provider Name | Mei Ling Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285870790 PECOS PAC ID: 2961548763 Enrollment ID: I20091008000404 |
| Provider Name | Megan Dunne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619135456 PECOS PAC ID: 6709914286 Enrollment ID: I20100504000042 |
| Provider Name | Adrienne Vincenzino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225009954 PECOS PAC ID: 6305961830 Enrollment ID: I20100921000384 |
| Provider Name | Anna R Marcelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437120482 PECOS PAC ID: 4981729464 Enrollment ID: I20100921001028 |
| Provider Name | Laurie Brusco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871818716 PECOS PAC ID: 6800082330 Enrollment ID: I20101123001096 |
| Provider Name | Kathleen M Leary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508091273 PECOS PAC ID: 7911194675 Enrollment ID: I20101207000513 |
| Provider Name | Carlos D Flombaum |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1326074014 PECOS PAC ID: 7810185790 Enrollment ID: I20101218000057 |
| Provider Name | Peter D Stetson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639277387 PECOS PAC ID: 8527256742 Enrollment ID: I20110103000425 |
| Provider Name | Robert Sidlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720182207 PECOS PAC ID: 2567644685 Enrollment ID: I20110310000963 |
| Provider Name | Kristen M Cognetti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023311537 PECOS PAC ID: 4880876762 Enrollment ID: I20110314000976 |
| Provider Name | Rose A Ruddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629383955 PECOS PAC ID: 0547443285 Enrollment ID: I20110317000868 |
| Provider Name | Rebecca F Steed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144538232 PECOS PAC ID: 7810170560 Enrollment ID: I20110318000036 |
| Provider Name | Tabitha N Goring |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477641728 PECOS PAC ID: 8820061930 Enrollment ID: I20110324000078 |
| Provider Name | William D Tap |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1538193446 PECOS PAC ID: 0547278566 Enrollment ID: I20110621000165 |
| Provider Name | Amer Assal |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1952577884 PECOS PAC ID: 2961670955 Enrollment ID: I20110718000702 |
| Provider Name | Kathleen R Atlas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720247026 PECOS PAC ID: 0244408284 Enrollment ID: I20110719000426 |
| Provider Name | Lisa C Diamond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972684470 PECOS PAC ID: 5890889265 Enrollment ID: I20110728000009 |
| Provider Name | Amy R Devigne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245487412 PECOS PAC ID: 9931370046 Enrollment ID: I20110921000799 |
| Provider Name | Joanne L Candela |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194897348 PECOS PAC ID: 0547432015 Enrollment ID: I20111005000101 |
| Provider Name | Rose B Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477886729 PECOS PAC ID: 3274709803 Enrollment ID: I20120104000242 |
| Provider Name | Sincere S Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447588371 PECOS PAC ID: 3375710973 Enrollment ID: I20120123000697 |
| Provider Name | Karen R Drucker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629375480 PECOS PAC ID: 7315106606 Enrollment ID: I20120306000438 |
| Provider Name | Helen H Chung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164559852 PECOS PAC ID: 6709982010 Enrollment ID: I20120307000410 |
| Provider Name | Maureen E Cannon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992080931 PECOS PAC ID: 9032373683 Enrollment ID: I20120611000323 |
| Provider Name | Benjamin A Krantz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154564243 PECOS PAC ID: 9638333164 Enrollment ID: I20120614000134 |
| Provider Name | Alison M Mainardi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194012435 PECOS PAC ID: 6002062890 Enrollment ID: I20120810000012 |
| Provider Name | Maria I Carlo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831327212 PECOS PAC ID: 3577710169 Enrollment ID: I20120905000104 |
| Provider Name | Erin C Diament |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760649636 PECOS PAC ID: 0345498564 Enrollment ID: I20120913000300 |
| Provider Name | Heather Danielle Kurtis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710144381 PECOS PAC ID: 8628225018 Enrollment ID: I20121008000138 |
| Provider Name | Anjali A Nigalaye |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1962639500 PECOS PAC ID: 0840440426 Enrollment ID: I20121016000532 |
| Provider Name | Barbara A Seidel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982963369 PECOS PAC ID: 0749430296 Enrollment ID: I20121018000801 |
| Provider Name | Andrea L Fry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780717868 PECOS PAC ID: 2264684521 Enrollment ID: I20121212000528 |
| Provider Name | Adriana M Olivo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003156423 PECOS PAC ID: 1254571557 Enrollment ID: I20130710000443 |
| Provider Name | Sheila A Kenny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588823918 PECOS PAC ID: 3779723705 Enrollment ID: I20130715000691 |
| Provider Name | Lara A Dunn |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1740416197 PECOS PAC ID: 6800037326 Enrollment ID: I20130726000001 |
| Provider Name | Magalie Bruneus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1952537581 PECOS PAC ID: 3678716727 Enrollment ID: I20130821000636 |
| Provider Name | Nirupa J Raghunathan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982846564 PECOS PAC ID: 7719120641 Enrollment ID: I20130826000319 |
| Provider Name | Linda M Mckenna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669810313 PECOS PAC ID: 6002059441 Enrollment ID: I20130904000004 |
| Provider Name | Janet T Mckiernan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861838161 PECOS PAC ID: 0941434187 Enrollment ID: I20131002000025 |
| Provider Name | Joshua W Allen-dicker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902127566 PECOS PAC ID: 2062646169 Enrollment ID: I20131003000119 |
| Provider Name | Amparo G Camacho |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003165374 PECOS PAC ID: 2769616614 Enrollment ID: I20131008000442 |
| Provider Name | Dyana K Sumner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083885578 PECOS PAC ID: 6507094125 Enrollment ID: I20140106000371 |
| Provider Name | Alison B Hergianto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790927259 PECOS PAC ID: 2769610161 Enrollment ID: I20140110000088 |
| Provider Name | Rachael A Lerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659603553 PECOS PAC ID: 0143443317 Enrollment ID: I20140516000809 |
| Provider Name | Elina Tsyvkin |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1750437570 PECOS PAC ID: 7113142233 Enrollment ID: I20140703001839 |
| Provider Name | Maday C Gonzalez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841599388 PECOS PAC ID: 7810115557 Enrollment ID: I20140821002306 |
| Provider Name | Soo Jung Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215370150 PECOS PAC ID: 7810214459 Enrollment ID: I20150319002226 |
| Provider Name | Madeline B Merrill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346581816 PECOS PAC ID: 6406177419 Enrollment ID: I20150603000128 |
| Provider Name | Anuja Kriplani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831484419 PECOS PAC ID: 7315258472 Enrollment ID: I20150617000194 |
| Provider Name | Taimur Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144517673 PECOS PAC ID: 6800107426 Enrollment ID: I20150623000869 |
| Provider Name | Kathryn C Arbour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366741191 PECOS PAC ID: 0446561864 Enrollment ID: I20150625001191 |
| Provider Name | Akosua A Darkwah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992108906 PECOS PAC ID: 1759693898 Enrollment ID: I20150702001460 |
| Provider Name | Odessa M Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992193395 PECOS PAC ID: 5395058432 Enrollment ID: I20150720001219 |
| Provider Name | Dominica Potenza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871977504 PECOS PAC ID: 3779898564 Enrollment ID: I20150824001333 |
| Provider Name | Anjali V Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699036376 PECOS PAC ID: 9931415114 Enrollment ID: I20150902002081 |
| Provider Name | Jose O. Aleman-diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134362858 PECOS PAC ID: 3476869652 Enrollment ID: I20150902002134 |
| Provider Name | Cilian J White |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932476215 PECOS PAC ID: 0345556403 Enrollment ID: I20150903001762 |
| Provider Name | Ancy M George |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417218496 PECOS PAC ID: 0244546273 Enrollment ID: I20150904001265 |
| Provider Name | Nancy Tray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306112677 PECOS PAC ID: 7214243252 Enrollment ID: I20150904001709 |
| Provider Name | Jennifer S Gorelov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326449331 PECOS PAC ID: 8921314915 Enrollment ID: I20150908000559 |
| Provider Name | Elizabeth N Maina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790041960 PECOS PAC ID: 1951618735 Enrollment ID: I20150910001592 |
| Provider Name | Caroline J Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659660785 PECOS PAC ID: 0143537407 Enrollment ID: I20150918000553 |
| Provider Name | Jennifer A Heinen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366708737 PECOS PAC ID: 8224345285 Enrollment ID: I20150923002522 |
| Provider Name | Leslie A Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649531781 PECOS PAC ID: 5890003958 Enrollment ID: I20151009001037 |
| Provider Name | Jason P Meadows |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1326335217 PECOS PAC ID: 2466761077 Enrollment ID: I20151022000638 |
| Provider Name | Anna I Foskin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265751929 PECOS PAC ID: 1759687692 Enrollment ID: I20160302002453 |
| Provider Name | Mary Kate Kasler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497923700 PECOS PAC ID: 3779889381 Enrollment ID: I20160308002118 |
| Provider Name | Carrie Mancini |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982081261 PECOS PAC ID: 1557668092 Enrollment ID: I20160328001502 |
| Provider Name | Mirna Germano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689044364 PECOS PAC ID: 1355648718 Enrollment ID: I20160330000343 |
| Provider Name | Horatio Edward Holzer |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790050110 PECOS PAC ID: 3577860675 Enrollment ID: I20160404001440 |
| Provider Name | Heather J Dials |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861809758 PECOS PAC ID: 2466750385 Enrollment ID: I20160411000037 |
| Provider Name | Lauren J Cutrone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487021846 PECOS PAC ID: 1153616503 Enrollment ID: I20160824000483 |
| Provider Name | David Williams Rawson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477996643 PECOS PAC ID: 1759677636 Enrollment ID: I20160831002406 |
| Provider Name | Marissa Naomi Karpoff |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659613347 PECOS PAC ID: 9638465537 Enrollment ID: I20160831002908 |
| Provider Name | Stacy L Anderson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619210648 PECOS PAC ID: 7719273655 Enrollment ID: I20160901001501 |
| Provider Name | Gabriela Bambrick-santoyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619310265 PECOS PAC ID: 0547556151 Enrollment ID: I20160908000749 |
| Provider Name | David S Ellenberg |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1144581836 PECOS PAC ID: 2062709884 Enrollment ID: I20160922000995 |
| Provider Name | Karen A Carthew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922466374 PECOS PAC ID: 8628366895 Enrollment ID: I20161004002655 |
| Provider Name | Alanna Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245524628 PECOS PAC ID: 9537448592 Enrollment ID: I20161115000096 |
| Provider Name | Danielle L Alleva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104370022 PECOS PAC ID: 6002197696 Enrollment ID: I20161219001584 |
| Provider Name | Nicole M Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356893697 PECOS PAC ID: 6709169717 Enrollment ID: I20170216000794 |
| Provider Name | Tammy Son |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659533156 PECOS PAC ID: 4880977818 Enrollment ID: I20170216001792 |
| Provider Name | Peggy G Lynch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215198874 PECOS PAC ID: 8628352218 Enrollment ID: I20170227001399 |
| Provider Name | Caroline Andrew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134461338 PECOS PAC ID: 5991080962 Enrollment ID: I20170315000620 |
| Provider Name | Jamie C Riches |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1801232566 PECOS PAC ID: 4587940531 Enrollment ID: I20170406000520 |
| Provider Name | Ann Kuo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790030005 PECOS PAC ID: 6608182704 Enrollment ID: I20170407000108 |
| Provider Name | Stephanie M Ochman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376951624 PECOS PAC ID: 3072890045 Enrollment ID: I20170428000546 |
| Provider Name | Georgia Rose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700324704 PECOS PAC ID: 2961789938 Enrollment ID: I20170428000647 |
| Provider Name | Dhwani Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720407174 PECOS PAC ID: 9739466129 Enrollment ID: I20170512001565 |
| Provider Name | Christopher M Gal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467890012 PECOS PAC ID: 5395013247 Enrollment ID: I20170616001657 |
| Provider Name | Dimitra Papaspyridi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538574462 PECOS PAC ID: 8022389030 Enrollment ID: I20170810000062 |
| Provider Name | Nabeela A Patail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780002782 PECOS PAC ID: 5294008801 Enrollment ID: I20170901002023 |
| Provider Name | Christina Leung-job |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598000986 PECOS PAC ID: 2365715984 Enrollment ID: I20170901002500 |
| Provider Name | Kelley L Coffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578974762 PECOS PAC ID: 1456624980 Enrollment ID: I20170906000845 |
| Provider Name | Idania M Flete-olmeda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003938614 PECOS PAC ID: 0244532430 Enrollment ID: I20170921000357 |
| Provider Name | Perry H Dubin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427468792 PECOS PAC ID: 9830464601 Enrollment ID: I20171004000956 |
| Provider Name | Carolyn N Erickson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043572126 PECOS PAC ID: 6305167206 Enrollment ID: I20171023002118 |
| Provider Name | Christianne C Supan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225448129 PECOS PAC ID: 7618194671 Enrollment ID: I20171025001078 |
| Provider Name | Amanda E Hughes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306298401 PECOS PAC ID: 5597053587 Enrollment ID: I20171026002285 |
| Provider Name | Sarah Mccaskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750801460 PECOS PAC ID: 3779840152 Enrollment ID: I20171121000905 |
| Provider Name | Milagros G Gordillo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841698008 PECOS PAC ID: 6800175381 Enrollment ID: I20171207000626 |
| Provider Name | Kate S Boskey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538537915 PECOS PAC ID: 5890095517 Enrollment ID: I20171211002038 |
| Provider Name | Zachary D Epstein-peterson |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1811314354 PECOS PAC ID: 2567786262 Enrollment ID: I20180320001914 |
| Provider Name | Cristen F Staiano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720593577 PECOS PAC ID: 3577827633 Enrollment ID: I20180426001202 |
| Provider Name | Alison G Massey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003104787 PECOS PAC ID: 7416188735 Enrollment ID: I20180427000343 |
| Provider Name | Krishna A Chokshi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659790301 PECOS PAC ID: 9537423405 Enrollment ID: I20180430001436 |
| Provider Name | Christina Ferraro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538679055 PECOS PAC ID: 3870857378 Enrollment ID: I20180509002097 |
| Provider Name | Erica M Palma |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366951170 PECOS PAC ID: 1153685557 Enrollment ID: I20180511001250 |
| Provider Name | Cy R Wilkins |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1114298056 PECOS PAC ID: 2062631492 Enrollment ID: I20180516000927 |
| Provider Name | Sharon Zhuo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1528453818 PECOS PAC ID: 1850646167 Enrollment ID: I20180608001558 |
| Provider Name | Michelle A Clark |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215488168 PECOS PAC ID: 9739434978 Enrollment ID: I20180612002178 |
| Provider Name | Emily M Eichenberger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861810442 PECOS PAC ID: 2062768914 Enrollment ID: I20180706000916 |
| Provider Name | Lorraine V Edwards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164968426 PECOS PAC ID: 0648526384 Enrollment ID: I20180710003100 |
| Provider Name | Evan M Stewart |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821475773 PECOS PAC ID: 2961751045 Enrollment ID: I20180822003447 |
| Provider Name | Ross C Ehmke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104211358 PECOS PAC ID: 5991054090 Enrollment ID: I20180823000316 |
| Provider Name | Winston Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801280714 PECOS PAC ID: 0749539856 Enrollment ID: I20180823000703 |
| Provider Name | Jennifer L Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043681042 PECOS PAC ID: 2264781277 Enrollment ID: I20180824001791 |
| Provider Name | Joan Hartnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043482615 PECOS PAC ID: 2567779580 Enrollment ID: I20180828004210 |
| Provider Name | Chika I. Okoli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689054116 PECOS PAC ID: 2668785254 Enrollment ID: I20180829002993 |
| Provider Name | Alicia J Latham |
|---|---|
| Provider Type | Practitioner - Medical Genetics And Genomics |
| Provider Identifiers | NPI Number: 1023456845 PECOS PAC ID: 8325261779 Enrollment ID: I20180831002031 |
| Provider Name | Michael P Wagner |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568857647 PECOS PAC ID: 1951651009 Enrollment ID: I20180911001763 |
| Provider Name | Celia J Oliver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669993267 PECOS PAC ID: 7012268428 Enrollment ID: I20180925001096 |
| Provider Name | Erica G Orenstein |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043441330 PECOS PAC ID: 9739470097 Enrollment ID: I20180925002642 |
| Provider Name | Kristine A Cooper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184131567 PECOS PAC ID: 1951653955 Enrollment ID: I20181002002092 |
| Provider Name | Samantha K Newman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1508244690 PECOS PAC ID: 6800140252 Enrollment ID: I20181121001003 |
| Provider Name | Mikel Ross |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376021097 PECOS PAC ID: 4688918584 Enrollment ID: I20181204001774 |
| Provider Name | David R Kraft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366606378 PECOS PAC ID: 7517201254 Enrollment ID: I20181206000448 |
| Provider Name | Melissa M Emerzian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356860480 PECOS PAC ID: 7214271626 Enrollment ID: I20181211002692 |
| Provider Name | Alyssa Hall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316460637 PECOS PAC ID: 8628315264 Enrollment ID: I20190121001335 |
| Provider Name | Nicole M Zoller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518393842 PECOS PAC ID: 2466735188 Enrollment ID: I20190329000547 |
| Provider Name | Michael G Moskovitz |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1366857468 PECOS PAC ID: 7719248582 Enrollment ID: I20190329000856 |
| Provider Name | Virginia N Corbett |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1992190532 PECOS PAC ID: 5799025771 Enrollment ID: I20190329001189 |
| Provider Name | Marie L Mcgovern |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902345333 PECOS PAC ID: 6305102575 Enrollment ID: I20190401001693 |
| Provider Name | Anna Vagner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790209286 PECOS PAC ID: 0941541924 Enrollment ID: I20190402000652 |
| Provider Name | Kristin Marie Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346765906 PECOS PAC ID: 2062753999 Enrollment ID: I20190403000253 |
| Provider Name | Shannon Marie Vangeffen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477074987 PECOS PAC ID: 4880951656 Enrollment ID: I20190403000375 |
| Provider Name | Jessica R Divanno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477083996 PECOS PAC ID: 8022378090 Enrollment ID: I20190405000071 |
| Provider Name | Kerry E Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770897464 PECOS PAC ID: 2365769445 Enrollment ID: I20190405001545 |
| Provider Name | Anna M Beri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437407426 PECOS PAC ID: 7810128956 Enrollment ID: I20190410001761 |
| Provider Name | Julia S Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407375561 PECOS PAC ID: 8123389657 Enrollment ID: I20190424003045 |
| Provider Name | Nilima S Shet |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932593332 PECOS PAC ID: 6507173069 Enrollment ID: I20190501002589 |
| Provider Name | Bryan Baracaldo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528599396 PECOS PAC ID: 7618210030 Enrollment ID: I20190528000537 |
| Provider Name | Suhavi K Tucker |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497119051 PECOS PAC ID: 9638423130 Enrollment ID: I20190823002279 |
| Provider Name | Johann Hasbun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164885398 PECOS PAC ID: 3375887532 Enrollment ID: I20190823002786 |
| Provider Name | Amare M Assefa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356799399 PECOS PAC ID: 0648508960 Enrollment ID: I20190826000322 |
| Provider Name | Sheena Mathew |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992047146 PECOS PAC ID: 7416241161 Enrollment ID: I20190826000477 |
| Provider Name | Timothy P Tiutan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629432646 PECOS PAC ID: 2466781315 Enrollment ID: I20190903001079 |
| Provider Name | Vicky Chiang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003262890 PECOS PAC ID: 2264725522 Enrollment ID: I20190903001490 |
| Provider Name | Ariel Peleg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467808626 PECOS PAC ID: 8224367198 Enrollment ID: I20190903001857 |
| Provider Name | Bradley H Lankowsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851748651 PECOS PAC ID: 8224329164 Enrollment ID: I20190903002242 |
| Provider Name | Anna Y Qiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306209960 PECOS PAC ID: 6002152824 Enrollment ID: I20190923001084 |
| Provider Name | Liana Nisimova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992159313 PECOS PAC ID: 6901150499 Enrollment ID: I20190925000277 |
| Provider Name | Karen J Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306293246 PECOS PAC ID: 1254661861 Enrollment ID: I20190925000768 |
| Provider Name | Liubou Uslar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225492002 PECOS PAC ID: 4789920018 Enrollment ID: I20190925002671 |
| Provider Name | Ana P Villacis Velez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427524826 PECOS PAC ID: 5597003533 Enrollment ID: I20191122000375 |
| Provider Name | Joseph Wallins |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215349824 PECOS PAC ID: 8921352287 Enrollment ID: I20191122002570 |
| Provider Name | Joie Siran Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407110232 PECOS PAC ID: 8921341678 Enrollment ID: I20191127001829 |
| Provider Name | Corey A Lucius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558916825 PECOS PAC ID: 4082047964 Enrollment ID: I20191206001411 |
| Provider Name | Brianna L Russo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891221230 PECOS PAC ID: 2365875911 Enrollment ID: I20191212000591 |
| Provider Name | Annah Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306404249 PECOS PAC ID: 7315371796 Enrollment ID: I20191217002150 |
| Provider Name | Alexa N Segna |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972159929 PECOS PAC ID: 6709210750 Enrollment ID: I20191227000453 |
| Provider Name | Ellen M Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669946810 PECOS PAC ID: 8224462841 Enrollment ID: I20200107001040 |
| Provider Name | Kathleen M Mincone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104460245 PECOS PAC ID: 1355777913 Enrollment ID: I20200130002449 |
| Provider Name | Marcelo X Hernandez Cuchillas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083067094 PECOS PAC ID: 2264778455 Enrollment ID: I20200511000989 |
| Provider Name | Minru Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396267043 PECOS PAC ID: 7618390840 Enrollment ID: I20200707002353 |
| Provider Name | Amanda Serra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538633300 PECOS PAC ID: 4082037973 Enrollment ID: I20200710001702 |
| Provider Name | Morie W Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285002246 PECOS PAC ID: 6901196849 Enrollment ID: I20200723002389 |
| Provider Name | Katherine L Feinberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043768278 PECOS PAC ID: 9436426228 Enrollment ID: I20200923002517 |
| Provider Name | Melissa A Muller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104446749 PECOS PAC ID: 6800215682 Enrollment ID: I20200928002351 |
| Provider Name | Rezana Mara |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295264570 PECOS PAC ID: 2668719832 Enrollment ID: I20201014001412 |
| Provider Name | Jaspreet M Banga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770017907 PECOS PAC ID: 1850637992 Enrollment ID: I20201021001422 |
| Provider Name | Samuel F Freedman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649701707 PECOS PAC ID: 0749527745 Enrollment ID: I20201022000787 |
| Provider Name | Margot A Hedlin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295269728 PECOS PAC ID: 3476891284 Enrollment ID: I20201022000919 |
| Provider Name | Rachel See |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942708276 PECOS PAC ID: 3173943586 Enrollment ID: I20201022002819 |
| Provider Name | Lauren E Eddy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346661980 PECOS PAC ID: 3173943594 Enrollment ID: I20201022003802 |
| Provider Name | Michael J Hession |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417481722 PECOS PAC ID: 3577890136 Enrollment ID: I20201022003957 |
| Provider Name | Moe L Norton-westbrook |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730798042 PECOS PAC ID: 1052731486 Enrollment ID: I20201023000177 |
| Provider Name | Christa Varnadoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922634393 PECOS PAC ID: 3779903109 Enrollment ID: I20201023000226 |
| Provider Name | Andrew M Yaeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952834293 PECOS PAC ID: 1850711284 Enrollment ID: I20201023000267 |
| Provider Name | Matthew J Kerwin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1548791114 PECOS PAC ID: 6608146329 Enrollment ID: I20201023000937 |
| Provider Name | Nina N Kogekar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710418090 PECOS PAC ID: 0941546683 Enrollment ID: I20201023001096 |
| Provider Name | Raphael Rabinowitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457886327 PECOS PAC ID: 2668726050 Enrollment ID: I20201028001608 |
| Provider Name | Nisha Md Rao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730612672 PECOS PAC ID: 1153669171 Enrollment ID: I20201028001808 |
| Provider Name | Eric J Schultz |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568993707 PECOS PAC ID: 7416367693 Enrollment ID: I20201028002212 |
| Provider Name | Brian Yum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326572231 PECOS PAC ID: 6406266683 Enrollment ID: I20201028002299 |
| Provider Name | Karolina Jaluba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225565633 PECOS PAC ID: 7911317151 Enrollment ID: I20201029001599 |
| Provider Name | Roseann Tucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023290905 PECOS PAC ID: 6709297328 Enrollment ID: I20201202002022 |
| Provider Name | Jillian E Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891315081 PECOS PAC ID: 0244642478 Enrollment ID: I20201214000112 |
| Provider Name | Lori J Lang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841808839 PECOS PAC ID: 1658783758 Enrollment ID: I20201215000153 |
| Provider Name | Erin Conlon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790931780 PECOS PAC ID: 2860804499 Enrollment ID: I20201223001449 |
| Provider Name | Tarik Al-bermani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093241168 PECOS PAC ID: 8123431319 Enrollment ID: I20210107001255 |
| Provider Name | Julienne Szabo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093320020 PECOS PAC ID: 9032522255 Enrollment ID: I20210107002325 |
| Provider Name | Jennifer Tempesta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063660389 PECOS PAC ID: 7315166378 Enrollment ID: I20210125000484 |
| Provider Name | Maya Viavant |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336511849 PECOS PAC ID: 5597179960 Enrollment ID: I20210126001102 |
| Provider Name | Julian A Waksal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295266047 PECOS PAC ID: 9234476276 Enrollment ID: I20210126001397 |
| Provider Name | Jenna P Wenzel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952854283 PECOS PAC ID: 6800175597 Enrollment ID: I20210406000730 |
| Provider Name | Rebecca R Wunder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902408735 PECOS PAC ID: 8729496476 Enrollment ID: I20210416001681 |
| Provider Name | Cathy Jensen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922694140 PECOS PAC ID: 7214345461 Enrollment ID: I20210428000551 |
| Provider Name | Christopher Rafael Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619579505 PECOS PAC ID: 1951719103 Enrollment ID: I20210428000834 |
| Provider Name | Lauren H Shelley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194337287 PECOS PAC ID: 0840694006 Enrollment ID: I20210810002256 |
| Provider Name | Tarah Auguste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841827185 PECOS PAC ID: 7214331487 Enrollment ID: I20210810002713 |
| Provider Name | Marta N Dzyadyk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265920623 PECOS PAC ID: 1254678774 Enrollment ID: I20210901001261 |
| Provider Name | Victoria G Gore |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699263442 PECOS PAC ID: 2769720242 Enrollment ID: I20210901002490 |
| Provider Name | Blaine E Huss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689162356 PECOS PAC ID: 2961748678 Enrollment ID: I20210902001927 |
| Provider Name | Heather J Kagan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720576580 PECOS PAC ID: 3274882014 Enrollment ID: I20210903000925 |
| Provider Name | Fatimah Rimawi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881181766 PECOS PAC ID: 2466858170 Enrollment ID: I20210903001989 |
| Provider Name | Emma J Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932780004 PECOS PAC ID: 3375940927 Enrollment ID: I20210923002462 |
| Provider Name | Nicole Elizabeth Kusche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609540483 PECOS PAC ID: 3375941545 Enrollment ID: I20211004000445 |
| Provider Name | Colleen Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619546090 PECOS PAC ID: 8527456946 Enrollment ID: I20211103002327 |
| Provider Name | Rainier Abrenilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508452301 PECOS PAC ID: 9133518475 Enrollment ID: I20211108002155 |
| Provider Name | Stephanie M Glavan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750054375 PECOS PAC ID: 2466841630 Enrollment ID: I20211109001252 |
| Provider Name | Amara M Huber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790355048 PECOS PAC ID: 6709275985 Enrollment ID: I20211109001499 |
| Provider Name | Jacquelyn S Stathis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124591052 PECOS PAC ID: 2163764697 Enrollment ID: I20211110001336 |
| Provider Name | Katherine Sturm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861063620 PECOS PAC ID: 9335538453 Enrollment ID: I20211111001046 |
| Provider Name | Hira Chaudhary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467958660 PECOS PAC ID: 3577952282 Enrollment ID: I20211118002686 |
| Provider Name | Carly M Ward |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245907146 PECOS PAC ID: 8729470067 Enrollment ID: I20220119002082 |
| Provider Name | Regan Marooney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639849805 PECOS PAC ID: 0244622447 Enrollment ID: I20220120002033 |
| Provider Name | Lina Silber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851063986 PECOS PAC ID: 7719379940 Enrollment ID: I20220121000363 |
| Provider Name | Herolinda Cuca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447847199 PECOS PAC ID: 0840683017 Enrollment ID: I20220210001862 |
| Provider Name | Michelle Minoux |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033871397 PECOS PAC ID: 7911392428 Enrollment ID: I20220321000887 |
| Provider Name | Christine M Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922568500 PECOS PAC ID: 7012245509 Enrollment ID: I20220815002602 |
| Provider Name | Sheila L Spencer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578147443 PECOS PAC ID: 0547646457 Enrollment ID: I20220929003187 |
| Provider Name | Erica Corredera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306306691 PECOS PAC ID: 8224366836 Enrollment ID: I20220930000525 |
| Provider Name | Leuk M Woldeyohannes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194284927 PECOS PAC ID: 3870979545 Enrollment ID: I20221004000311 |
| Provider Name | Shaan A Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225691611 PECOS PAC ID: 3375871981 Enrollment ID: I20221017002788 |
| Provider Name | Brittany L Baldwin-hunter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487117537 PECOS PAC ID: 0648508374 Enrollment ID: I20221020003013 |
| Provider Name | Cathleen T Cuddihy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609409689 PECOS PAC ID: 8729454426 Enrollment ID: I20221020003362 |
| Provider Name | Elena Abascal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518623974 PECOS PAC ID: 8729455456 Enrollment ID: I20221109000217 |
| Provider Name | Christine R Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275961252 PECOS PAC ID: 5294041331 Enrollment ID: I20221114000893 |
| Provider Name | Meaghan J Mcguire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093160889 PECOS PAC ID: 1951693837 Enrollment ID: I20221116002673 |
| Provider Name | Virginia R Whetstone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053059329 PECOS PAC ID: 8628446903 Enrollment ID: I20221117000061 |
| Provider Name | Sukhbir Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356804843 PECOS PAC ID: 5991036261 Enrollment ID: I20221117000297 |
| Provider Name | Kelley M Qualters |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124761671 PECOS PAC ID: 6901274091 Enrollment ID: I20221121002598 |
| Provider Name | Alana R Siev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811459639 PECOS PAC ID: 9638547466 Enrollment ID: I20221128002594 |
| Provider Name | Kristina L Demilt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871225144 PECOS PAC ID: 9537530894 Enrollment ID: I20230124001509 |
| Provider Name | Huiqian Han |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659009017 PECOS PAC ID: 5496126526 Enrollment ID: I20230127000052 |
| Provider Name | Ellie J Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619695608 PECOS PAC ID: 5496128084 Enrollment ID: I20230301002453 |
| Provider Name | Christina M Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689390148 PECOS PAC ID: 5395118418 Enrollment ID: I20230310000160 |
| Provider Name | Tia A Kellman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972230779 PECOS PAC ID: 7517331580 Enrollment ID: I20230315001352 |
| Provider Name | Bibi Mohamed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487300661 PECOS PAC ID: 5698149524 Enrollment ID: I20230316001004 |
| Provider Name | Romina A Tara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700525797 PECOS PAC ID: 0042684821 Enrollment ID: I20230317000539 |
| Provider Name | Hope Walden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588275424 PECOS PAC ID: 6709205933 Enrollment ID: I20230317001058 |
| Provider Name | Julia H Aronson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730640426 PECOS PAC ID: 6002147188 Enrollment ID: I20230417000946 |
| Provider Name | Adam B Greenfest |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306306188 PECOS PAC ID: 4486982022 Enrollment ID: I20230418000590 |
| Provider Name | Nicole W Huang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376261438 PECOS PAC ID: 1951776350 Enrollment ID: I20230418000886 |
| Provider Name | Ishmam H Ibtida |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396309084 PECOS PAC ID: 3072988344 Enrollment ID: I20230419001438 |
| Provider Name | Richard Li |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720792955 PECOS PAC ID: 6608238092 Enrollment ID: I20230817000153 |
| Provider Name | Sarah N Micley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477240083 PECOS PAC ID: 1951763226 Enrollment ID: I20230817003994 |
| Provider Name | Kyle R Guillory |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558924092 PECOS PAC ID: 3678807435 Enrollment ID: I20230824002022 |
| Provider Name | Mariya Kononenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194352781 PECOS PAC ID: 5496118291 Enrollment ID: I20230828000512 |
| Provider Name | Manik D Uppal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023638905 PECOS PAC ID: 2860855673 Enrollment ID: I20230828000877 |
| Provider Name | Jordan M Poles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831718667 PECOS PAC ID: 4183087901 Enrollment ID: I20230828001177 |
| Provider Name | Benedicta Yankey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629730023 PECOS PAC ID: 7810374907 Enrollment ID: I20231030002778 |
| Provider Name | Michael A Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215620463 PECOS PAC ID: 6406202175 Enrollment ID: I20231101001163 |
| Provider Name | Meghan E Hendershot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497435747 PECOS PAC ID: 6901253012 Enrollment ID: I20231111000287 |
| Provider Name | Anne B Mcgroarty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760181101 PECOS PAC ID: 3173970282 Enrollment ID: I20231111000304 |
| Provider Name | Wendy A Marussich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316635956 PECOS PAC ID: 3072960186 Enrollment ID: I20231111000347 |
| Provider Name | Francis Augusto Augusto Gonzales-gottlieb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891376893 PECOS PAC ID: 0840640405 Enrollment ID: I20231221002897 |
| Provider Name | Nora J Meaney |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063118842 PECOS PAC ID: 6800239344 Enrollment ID: I20240212002254 |
| Provider Name | Naveed Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730717661 PECOS PAC ID: 4789028408 Enrollment ID: I20240221000396 |
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 | |
Vincent Esposito Md 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 |