| Mount Sinai School Of Medicine | |
|
1 Healthy Way Oceanside NY 11572-1551 | |
| (516) 632-3670 | |
| (516) 336-5309 |
| Full Name | Mount Sinai School Of Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1 Healthy Way, Oceanside, New York |
| Authorized Official Name and Position | Alicia Gresham (VP NETWORK OPERATIONS) |
| Authorized Official Contact | 2126599038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Sinai School Of Medicine 1 Healthy Way Oceanside NY 11572-1551 Ph: (516) 632-3670 | Mount Sinai School Of Medicine 1 Healthy Way Oceanside NY 11572-1551 Ph: (516) 632-3670 |
| NPI Number | 1508127531 |
|---|---|
| Provider Enumeration Date | 06/06/2012 |
| Last Update Date | 10/24/2018 |
| Medicare PECOS PAC ID | 6406096544 |
|---|---|
| Medicare Enrollment ID | O20130712000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508127531 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RB0002X | Internal Medicine - Obesity Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Dmitry Konsky |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1720085061 PECOS PAC ID: 8820900251 Enrollment ID: I20031104000132 |
| Provider Name | Indra Daniels |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1740266493 PECOS PAC ID: 9537071998 Enrollment ID: I20031104000220 |
| Provider Name | Anuradha Singh |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033127089 PECOS PAC ID: 8820994734 Enrollment ID: I20031211000082 |
| Provider Name | Carina Biggs |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1508832304 PECOS PAC ID: 5395642987 Enrollment ID: I20031212000537 |
| Provider Name | Anser N Lone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407851637 PECOS PAC ID: 3375445760 Enrollment ID: I20040126000305 |
| Provider Name | Jason S Freeman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538244843 PECOS PAC ID: 4688563539 Enrollment ID: I20040310001573 |
| Provider Name | Kevin Kay |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306835533 PECOS PAC ID: 1355232216 Enrollment ID: I20040322001158 |
| Provider Name | Richard M Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1033118229 PECOS PAC ID: 6507858289 Enrollment ID: I20040401001031 |
| Provider Name | Rajiv Datta |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457347601 PECOS PAC ID: 5395739668 Enrollment ID: I20040409000537 |
| Provider Name | Edward E Mullen |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1104824606 PECOS PAC ID: 2567457682 Enrollment ID: I20040419000312 |
| Provider Name | Lee B Weitzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821058124 PECOS PAC ID: 9032104799 Enrollment ID: I20040420000968 |
| Provider Name | Susan I Kane |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225204324 PECOS PAC ID: 4688660335 Enrollment ID: I20040420001669 |
| Provider Name | Audrey Saitta |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1831143213 PECOS PAC ID: 0840289757 Enrollment ID: I20040506001675 |
| Provider Name | Hai-wen Ma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952344038 PECOS PAC ID: 8224028857 Enrollment ID: I20040515000381 |
| Provider Name | Kerin B Hausknecht |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1295750099 PECOS PAC ID: 4587654116 Enrollment ID: I20040515000387 |
| Provider Name | Asif M Rehman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1992813190 PECOS PAC ID: 9234112558 Enrollment ID: I20040609000286 |
| Provider Name | Pinchi S Srinivasan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043262900 PECOS PAC ID: 2163405366 Enrollment ID: I20040609000890 |
| Provider Name | Michael D Smar |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457349706 PECOS PAC ID: 1153306469 Enrollment ID: I20040621001945 |
| Provider Name | David Weinstock |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1003806290 PECOS PAC ID: 8123004884 Enrollment ID: I20040624001717 |
| Provider Name | Brenda L Janotha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770666117 PECOS PAC ID: 3870570195 Enrollment ID: I20040706000419 |
| Provider Name | Christine Hodyl |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1689641029 PECOS PAC ID: 3072592815 Enrollment ID: I20040715001139 |
| Provider Name | Eric H Steinberg |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1477621076 PECOS PAC ID: 2365421823 Enrollment ID: I20040717000247 |
| Provider Name | Linda Russo |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1972663011 PECOS PAC ID: 0941271621 Enrollment ID: I20040804001941 |
| Provider Name | Lincoln J Ferguson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1356423222 PECOS PAC ID: 4688633217 Enrollment ID: I20041007000744 |
| Provider Name | Dinesh Sethi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194763920 PECOS PAC ID: 0244292407 Enrollment ID: I20041029000753 |
| Provider Name | Jay Itzkowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881646321 PECOS PAC ID: 1355303306 Enrollment ID: I20041101001217 |
| Provider Name | Audrey Paulssen-soranno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780614891 PECOS PAC ID: 0941264758 Enrollment ID: I20041112000001 |
| Provider Name | Stavros Stavropoulos |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679657019 PECOS PAC ID: 5799740957 Enrollment ID: I20041130000172 |
| Provider Name | Joseph Eichenbaum |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053301267 PECOS PAC ID: 6901862564 Enrollment ID: I20041206000284 |
| Provider Name | Eric Shoenfeld |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902984115 PECOS PAC ID: 9335105634 Enrollment ID: I20041208000728 |
| Provider Name | Richard L Addes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861569964 PECOS PAC ID: 8022067149 Enrollment ID: I20050115000047 |
| Provider Name | Scott F Ippolito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619962586 PECOS PAC ID: 6901857267 Enrollment ID: I20050203000391 |
| Provider Name | Russell W Porter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275511560 PECOS PAC ID: 8527012608 Enrollment ID: I20050311000027 |
| Provider Name | Ann L Buhl |
|---|---|
| Provider Type | Practitioner - Gynecological Oncology |
| Provider Identifiers | NPI Number: 1710986278 PECOS PAC ID: 7618922808 Enrollment ID: I20050321000954 |
| Provider Name | Jeffrey A Kurta |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144201468 PECOS PAC ID: 0648226456 Enrollment ID: I20050324000702 |
| Provider Name | Steven M Harris |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1861474918 PECOS PAC ID: 8022045541 Enrollment ID: I20050726000725 |
| Provider Name | Dina El Kady |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497807960 PECOS PAC ID: 2668404781 Enrollment ID: I20050908001118 |
| Provider Name | Alla R Joutovsky |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1730141847 PECOS PAC ID: 3779517818 Enrollment ID: I20050919000983 |
| Provider Name | Stanley Ring |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1205879335 PECOS PAC ID: 0941228860 Enrollment ID: I20051109000064 |
| Provider Name | Rafael Sezan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699862276 PECOS PAC ID: 2062432172 Enrollment ID: I20051205000552 |
| Provider Name | Neil Soskel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417942210 PECOS PAC ID: 5496778631 Enrollment ID: I20060113000239 |
| Provider Name | Francis Gress |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851473631 PECOS PAC ID: 8224928437 Enrollment ID: I20060222000810 |
| Provider Name | Raul Mendoza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457357667 PECOS PAC ID: 2062426216 Enrollment ID: I20060301000498 |
| Provider Name | Van-hong Nguyen |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548231277 PECOS PAC ID: 6406866888 Enrollment ID: I20060429000007 |
| Provider Name | Newsha Z Ghodsi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1811968613 PECOS PAC ID: 9739199399 Enrollment ID: I20060429000008 |
| Provider Name | Olga Liberman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518982610 PECOS PAC ID: 0749283794 Enrollment ID: I20060814000271 |
| Provider Name | Robert M Dean |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1679561518 PECOS PAC ID: 6204839061 Enrollment ID: I20060816000372 |
| Provider Name | Lawrence J Kanner |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1851498430 PECOS PAC ID: 5799889697 Enrollment ID: I20070403000213 |
| Provider Name | Kyusang S Lee |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1932190147 PECOS PAC ID: 2163527094 Enrollment ID: I20070420000242 |
| Provider Name | Imtiaz Ahmad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265509988 PECOS PAC ID: 8022117522 Enrollment ID: I20070625000402 |
| Provider Name | Farokh E Tarapore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003839945 PECOS PAC ID: 6305937913 Enrollment ID: I20070811000073 |
| Provider Name | Chaim Fishfeld |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1851454953 PECOS PAC ID: 2062504426 Enrollment ID: I20070815000751 |
| Provider Name | Lara V Marcuse |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1467643965 PECOS PAC ID: 3678665460 Enrollment ID: I20071106000481 |
| Provider Name | Leester D Wu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770601692 PECOS PAC ID: 9032207808 Enrollment ID: I20071112000364 |
| Provider Name | Skender Driza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487844270 PECOS PAC ID: 8527156157 Enrollment ID: I20071115000551 |
| Provider Name | Naeem Ur Rehman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801967252 PECOS PAC ID: 5698863025 Enrollment ID: I20071117000106 |
| Provider Name | David I Tarkoff |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1982611109 PECOS PAC ID: 5890882328 Enrollment ID: I20071126000107 |
| Provider Name | Donna M Thomas |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1609070838 PECOS PAC ID: 8729177480 Enrollment ID: I20071203000410 |
| Provider Name | Karen Ann Isaacs-charles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750391629 PECOS PAC ID: 7911087838 Enrollment ID: I20080104000431 |
| Provider Name | Steven A Drexler |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1548222862 PECOS PAC ID: 7214017953 Enrollment ID: I20080205000085 |
| Provider Name | George K Turi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1518920933 PECOS PAC ID: 9133202773 Enrollment ID: I20080206000130 |
| Provider Name | Cathy C Li |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710196803 PECOS PAC ID: 8527141647 Enrollment ID: I20080213000399 |
| Provider Name | James C Maurer |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1508889437 PECOS PAC ID: 8921184805 Enrollment ID: I20080319000097 |
| Provider Name | Ricardo J Cruz |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1427262427 PECOS PAC ID: 3678645850 Enrollment ID: I20080703000077 |
| Provider Name | Imrana Ali |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376716894 PECOS PAC ID: 9931272283 Enrollment ID: I20080718000447 |
| Provider Name | Doron Weiner |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1881751634 PECOS PAC ID: 0244308823 Enrollment ID: I20081009000282 |
| Provider Name | Liying Chen |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1124275813 PECOS PAC ID: 7416015433 Enrollment ID: I20081021000174 |
| Provider Name | Swati A Salunke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265695324 PECOS PAC ID: 2668530361 Enrollment ID: I20081024000311 |
| Provider Name | Jean Herold Ancion |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265609127 PECOS PAC ID: 0042378465 Enrollment ID: I20081029000001 |
| Provider Name | Ivana Santopietro |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1255513255 PECOS PAC ID: 8820157266 Enrollment ID: I20081030000300 |
| Provider Name | Carolyne M Mchyman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043252604 PECOS PAC ID: 5597726828 Enrollment ID: I20081209000367 |
| Provider Name | Lygia Dsa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235201518 PECOS PAC ID: 8527123801 Enrollment ID: I20090220000200 |
| Provider Name | Susan Wu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1477543403 PECOS PAC ID: 1850457607 Enrollment ID: I20090304000189 |
| Provider Name | Madeline C Fields |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1962667360 PECOS PAC ID: 8123185949 Enrollment ID: I20090324000068 |
| Provider Name | Gonna Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104990472 PECOS PAC ID: 4284781444 Enrollment ID: I20090406000391 |
| Provider Name | Daniel S Mccally |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1710920830 PECOS PAC ID: 8820141419 Enrollment ID: I20090729000578 |
| Provider Name | Panina Niyazova |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396909990 PECOS PAC ID: 5799838165 Enrollment ID: I20090803000134 |
| Provider Name | Peter L Shue |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851578991 PECOS PAC ID: 0244386779 Enrollment ID: I20090924000071 |
| Provider Name | Alan D Garely |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891788931 PECOS PAC ID: 5991841108 Enrollment ID: I20091001000215 |
| Provider Name | Pilar A Stevens-haynes |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063438810 PECOS PAC ID: 3375680978 Enrollment ID: I20091031000029 |
| Provider Name | Muhammad A Ahmad |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811125339 PECOS PAC ID: 4688716582 Enrollment ID: I20100114000663 |
| Provider Name | Emad Hanna |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912992785 PECOS PAC ID: 4183768443 Enrollment ID: I20100224000604 |
| Provider Name | Steven M Weiss |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1114912144 PECOS PAC ID: 5991831299 Enrollment ID: I20100325000679 |
| Provider Name | Margaret Marion Odonnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982817482 PECOS PAC ID: 1052448776 Enrollment ID: I20100428000484 |
| Provider Name | Sheldon Gorbacz |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1801850631 PECOS PAC ID: 6002946571 Enrollment ID: I20100609000717 |
| Provider Name | Linda M Roethel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801881677 PECOS PAC ID: 6507998531 Enrollment ID: I20100709000553 |
| Provider Name | Andrew Mark Goldstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215940531 PECOS PAC ID: 2567594674 Enrollment ID: I20100724000017 |
| Provider Name | Fredric Moon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1104819242 PECOS PAC ID: 5698807766 Enrollment ID: I20100726000278 |
| Provider Name | Samuel Sandowski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952396723 PECOS PAC ID: 9931223526 Enrollment ID: I20100903000184 |
| Provider Name | Alexander Gorny |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881910636 PECOS PAC ID: 9638294259 Enrollment ID: I20100920000009 |
| Provider Name | Mary K Leung |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023278306 PECOS PAC ID: 0143346122 Enrollment ID: I20100928000149 |
| Provider Name | Jason L Esses |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1326200916 PECOS PAC ID: 8022200047 Enrollment ID: I20101008001001 |
| Provider Name | Regine Fortune |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649432766 PECOS PAC ID: 1456547819 Enrollment ID: I20101124000213 |
| Provider Name | Farzana Arif |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1912100777 PECOS PAC ID: 8123182797 Enrollment ID: I20110110000915 |
| Provider Name | Joel Loewenstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174501795 PECOS PAC ID: 9830378686 Enrollment ID: I20110125001056 |
| Provider Name | Anthony J Lyon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609197458 PECOS PAC ID: 9537349634 Enrollment ID: I20110207000677 |
| Provider Name | Carlos H Montoya-iraheta |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447292578 PECOS PAC ID: 8224211743 Enrollment ID: I20110322000129 |
| Provider Name | Steven Jeffrey Friedman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174567101 PECOS PAC ID: 3274716048 Enrollment ID: I20110401000020 |
| Provider Name | Christina A Ramirez |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1346493566 PECOS PAC ID: 0749464410 Enrollment ID: I20110405000872 |
| Provider Name | Sarabjit S Phokela |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518938141 PECOS PAC ID: 6305020884 Enrollment ID: I20110407000172 |
| Provider Name | Ritha Alhindawi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750460408 PECOS PAC ID: 4082899612 Enrollment ID: I20110426000474 |
| Provider Name | Weiyi Gao |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1760642961 PECOS PAC ID: 3971780354 Enrollment ID: I20110613000332 |
| Provider Name | Michael P Herman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1144487943 PECOS PAC ID: 4981882008 Enrollment ID: I20110620000601 |
| Provider Name | Alice L Crowley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528056652 PECOS PAC ID: 1153509047 Enrollment ID: I20110623000513 |
| Provider Name | Samantha Cohen |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1477713477 PECOS PAC ID: 0941488860 Enrollment ID: I20110624000015 |
| Provider Name | Gina S Caso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720076060 PECOS PAC ID: 4082660246 Enrollment ID: I20110627000102 |
| Provider Name | Ioannis P Kariolis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518129501 PECOS PAC ID: 9436337060 Enrollment ID: I20110629000345 |
| Provider Name | Sherry Megalla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912162793 PECOS PAC ID: 7517135122 Enrollment ID: I20110727000030 |
| Provider Name | Cheryl Lois Rosner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396899027 PECOS PAC ID: 8729257787 Enrollment ID: I20110808000563 |
| Provider Name | Jamil U Ahmed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205120185 PECOS PAC ID: 3072783026 Enrollment ID: I20110830000270 |
| Provider Name | Hui Liu |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1720240468 PECOS PAC ID: 4688845084 Enrollment ID: I20110915000160 |
| Provider Name | Mohammad F Ellahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750619722 PECOS PAC ID: 6002087988 Enrollment ID: I20110926000676 |
| Provider Name | Alain Berthold |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538320403 PECOS PAC ID: 7315119773 Enrollment ID: I20111006000289 |
| Provider Name | Marian Kolarsky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790920643 PECOS PAC ID: 9830362979 Enrollment ID: I20111104000428 |
| Provider Name | Kenneth J Becker |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1336104959 PECOS PAC ID: 4385818194 Enrollment ID: I20111114000015 |
| Provider Name | Joyce Robert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104088350 PECOS PAC ID: 7315112851 Enrollment ID: I20111212000117 |
| Provider Name | Mubasir Mundia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1619250925 PECOS PAC ID: 5890954002 Enrollment ID: I20120307000783 |
| Provider Name | Raymond C Sultan |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1033364351 PECOS PAC ID: 3476718222 Enrollment ID: I20120629000430 |
| Provider Name | Juan M Baez |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1881832871 PECOS PAC ID: 3476719253 Enrollment ID: I20120723000800 |
| Provider Name | Eric D Seitelman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1750601241 PECOS PAC ID: 6204082456 Enrollment ID: I20120803000610 |
| Provider Name | Charles C Sticco |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1255643276 PECOS PAC ID: 8224284914 Enrollment ID: I20120813000337 |
| Provider Name | Jillian Sonkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639473267 PECOS PAC ID: 2062669922 Enrollment ID: I20120828000496 |
| Provider Name | Pavel Gozenput |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558599381 PECOS PAC ID: 5496903080 Enrollment ID: I20120925000179 |
| Provider Name | James J Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780953919 PECOS PAC ID: 3476703919 Enrollment ID: I20121018000674 |
| Provider Name | Twana Jackson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245564020 PECOS PAC ID: 3779735212 Enrollment ID: I20121210000304 |
| Provider Name | Zesong Zhang |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1649522392 PECOS PAC ID: 8325292386 Enrollment ID: I20130129000440 |
| Provider Name | Harmandeep Singh |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1619110525 PECOS PAC ID: 6507037348 Enrollment ID: I20130301000331 |
| Provider Name | Lesly G Michel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194983429 PECOS PAC ID: 6608021100 Enrollment ID: I20130307000443 |
| Provider Name | Ji Yeoun Yoo |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1891981981 PECOS PAC ID: 6901049980 Enrollment ID: I20130823000009 |
| Provider Name | Ravella Jainarain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205185444 PECOS PAC ID: 7517101538 Enrollment ID: I20130913000001 |
| Provider Name | Cheriyan Thomas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619248481 PECOS PAC ID: 6305080946 Enrollment ID: I20130920000206 |
| Provider Name | Ayesha Anwarullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528356433 PECOS PAC ID: 2860628930 Enrollment ID: I20131119001526 |
| Provider Name | Mushtaq Nabi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1386660017 PECOS PAC ID: 4688749229 Enrollment ID: I20131202001212 |
| Provider Name | Gang He |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164613667 PECOS PAC ID: 5294821914 Enrollment ID: I20131204000479 |
| Provider Name | Clotaire Ariste |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1669816948 PECOS PAC ID: 9032346663 Enrollment ID: I20131205001420 |
| Provider Name | Harkirat Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124273388 PECOS PAC ID: 9032384078 Enrollment ID: I20140217000896 |
| Provider Name | Vivianne M Sambour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821436239 PECOS PAC ID: 3870725724 Enrollment ID: I20140408002229 |
| Provider Name | Marsha A Niles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558604223 PECOS PAC ID: 6204069958 Enrollment ID: I20140502001085 |
| Provider Name | Jean K Lee |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1548429517 PECOS PAC ID: 9032338512 Enrollment ID: I20140916000197 |
| Provider Name | Salma Rahimi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1780974337 PECOS PAC ID: 6800119678 Enrollment ID: I20141231000758 |
| Provider Name | Craig R Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073918041 PECOS PAC ID: 9830413376 Enrollment ID: I20150112000022 |
| Provider Name | Narinder Paul Grewal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144657560 PECOS PAC ID: 0840514188 Enrollment ID: I20150115001133 |
| Provider Name | Evis Baftjari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659798825 PECOS PAC ID: 5799003570 Enrollment ID: I20150407000396 |
| Provider Name | Mary K Ellis |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134447329 PECOS PAC ID: 4880838721 Enrollment ID: I20150422001580 |
| Provider Name | Hyewon Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477940542 PECOS PAC ID: 6800116419 Enrollment ID: I20150522000061 |
| Provider Name | Dhvani Thakker |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1477796175 PECOS PAC ID: 9739492745 Enrollment ID: I20150721000140 |
| Provider Name | Jonathan Y Rosner |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396900569 PECOS PAC ID: 3072826676 Enrollment ID: I20150724010347 |
| Provider Name | Michael R Sood |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1861798217 PECOS PAC ID: 1355655150 Enrollment ID: I20150807013883 |
| Provider Name | Keith William Brennan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659668580 PECOS PAC ID: 7719128974 Enrollment ID: I20150810000489 |
| Provider Name | Shehzad Khizar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588067847 PECOS PAC ID: 3072822865 Enrollment ID: I20151019000057 |
| Provider Name | Angela M Webb |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215249446 PECOS PAC ID: 8325358385 Enrollment ID: I20151104001118 |
| Provider Name | Rupinder Kaur |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1629416318 PECOS PAC ID: 9234439092 Enrollment ID: I20151130001335 |
| Provider Name | Luzanna K Plancarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760820344 PECOS PAC ID: 6406157718 Enrollment ID: I20151210001176 |
| Provider Name | Aaron Eli Glatt |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1104837525 PECOS PAC ID: 4587798327 Enrollment ID: I20160114000072 |
| Provider Name | Philip E Veith |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1841549912 PECOS PAC ID: 5890099451 Enrollment ID: I20160203000064 |
| Provider Name | Buelah L Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760803365 PECOS PAC ID: 1052617321 Enrollment ID: I20160311002178 |
| Provider Name | Conrad Li |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013271741 PECOS PAC ID: 0244539534 Enrollment ID: I20160509002081 |
| Provider Name | Adrienne Rudden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417312935 PECOS PAC ID: 2567751324 Enrollment ID: I20160518000027 |
| Provider Name | Sergina Jean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073936647 PECOS PAC ID: 2668763145 Enrollment ID: I20160614002289 |
| Provider Name | Kasim Kazbay |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265747489 PECOS PAC ID: 0749279206 Enrollment ID: I20160629002251 |
| Provider Name | Pragati Tandon |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1215252556 PECOS PAC ID: 2163714080 Enrollment ID: I20160713000160 |
| Provider Name | Le Yu Naing |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043659808 PECOS PAC ID: 8820211790 Enrollment ID: I20160817001867 |
| Provider Name | Kaushik Mandal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285024034 PECOS PAC ID: 3678869500 Enrollment ID: I20160901000925 |
| Provider Name | Athanasios Smyrlis |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1871721175 PECOS PAC ID: 0840435525 Enrollment ID: I20160913000616 |
| Provider Name | Rossy E Duarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689013328 PECOS PAC ID: 7214224831 Enrollment ID: I20160926002137 |
| Provider Name | Patty S Yu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669793972 PECOS PAC ID: 2264710565 Enrollment ID: I20161020000655 |
| Provider Name | Foula C Kontonicolas |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1407176696 PECOS PAC ID: 1355620741 Enrollment ID: I20161107001532 |
| Provider Name | Maryanne Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730551540 PECOS PAC ID: 2466731781 Enrollment ID: I20161109001121 |
| Provider Name | Valerie Kremer |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1134445497 PECOS PAC ID: 5092094318 Enrollment ID: I20161109001188 |
| Provider Name | Zar Chi Win |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215278312 PECOS PAC ID: 9638470305 Enrollment ID: I20161111000917 |
| Provider Name | Naamah Badian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558718114 PECOS PAC ID: 2961781745 Enrollment ID: I20161118000708 |
| Provider Name | Lois Shallow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013383116 PECOS PAC ID: 5799067419 Enrollment ID: I20170112002344 |
| Provider Name | Meghan Costigan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356895049 PECOS PAC ID: 0345522025 Enrollment ID: I20170113001001 |
| Provider Name | Frances J Peredo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952728255 PECOS PAC ID: 0244512747 Enrollment ID: I20170118000554 |
| Provider Name | Kelly Cash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104370642 PECOS PAC ID: 7214210996 Enrollment ID: I20170202001595 |
| Provider Name | Judith Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437693116 PECOS PAC ID: 5698058295 Enrollment ID: I20170206000982 |
| Provider Name | Katie R Forman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1265664692 PECOS PAC ID: 0840576690 Enrollment ID: I20170411001496 |
| Provider Name | Rosemarie Keating |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154866689 PECOS PAC ID: 1658657127 Enrollment ID: I20170418000236 |
| Provider Name | Amit Hurgobind Sachdev |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528330313 PECOS PAC ID: 7911275706 Enrollment ID: I20170620002034 |
| Provider Name | Chasidy Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437683869 PECOS PAC ID: 0345518064 Enrollment ID: I20170621000093 |
| Provider Name | Gylynthia E Trotman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1871753376 PECOS PAC ID: 0840446233 Enrollment ID: I20170627000447 |
| Provider Name | Lee Cartagena-negron |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1821336215 PECOS PAC ID: 7416245097 Enrollment ID: I20170713002771 |
| Provider Name | James J Young |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1104265768 PECOS PAC ID: 1456622893 Enrollment ID: I20170803002665 |
| Provider Name | Gary Mak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801208954 PECOS PAC ID: 3072886621 Enrollment ID: I20170905000288 |
| Provider Name | Grace L Greer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730591082 PECOS PAC ID: 0749553238 Enrollment ID: I20170905002342 |
| Provider Name | Kristin M Sobeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376904128 PECOS PAC ID: 2860765195 Enrollment ID: I20170907001557 |
| Provider Name | Anubhav Agarwal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568709244 PECOS PAC ID: 0042506735 Enrollment ID: I20170919000315 |
| Provider Name | Bianca N Redhead |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1093032302 PECOS PAC ID: 2264707314 Enrollment ID: I20170929000982 |
| Provider Name | Lachonne A Anderson |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992115984 PECOS PAC ID: 8325313216 Enrollment ID: I20171003004865 |
| Provider Name | Brigit C Palathra |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1447379755 PECOS PAC ID: 0749386415 Enrollment ID: I20171010000136 |
| Provider Name | Amber Vitale |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083149785 PECOS PAC ID: 1153697628 Enrollment ID: I20171027002103 |
| Provider Name | Nay Lin Oo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962893941 PECOS PAC ID: 4981964764 Enrollment ID: I20180216001677 |
| Provider Name | Won Jun Park |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1144645979 PECOS PAC ID: 6800105545 Enrollment ID: I20180226001199 |
| Provider Name | Jennifer L Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336652726 PECOS PAC ID: 0446511604 Enrollment ID: I20180302001929 |
| Provider Name | Jin Zhou |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1437593118 PECOS PAC ID: 1355619503 Enrollment ID: I20180309000937 |
| Provider Name | Man Yu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720412786 PECOS PAC ID: 5991050387 Enrollment ID: I20180627000184 |
| Provider Name | Kevin Gurcharran |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1881951739 PECOS PAC ID: 2769739432 Enrollment ID: I20180726001025 |
| Provider Name | Renee A Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174010284 PECOS PAC ID: 7012265325 Enrollment ID: I20180802002224 |
| Provider Name | Alexandra Gutman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710395348 PECOS PAC ID: 5597014860 Enrollment ID: I20180820002056 |
| Provider Name | Cynthia Lamour |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003296807 PECOS PAC ID: 1759630882 Enrollment ID: I20180822001254 |
| Provider Name | Josiah E Petersen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1376938902 PECOS PAC ID: 7214233832 Enrollment ID: I20180830000531 |
| Provider Name | Hideo Takahashi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083055958 PECOS PAC ID: 4880944263 Enrollment ID: I20180905002908 |
| Provider Name | Roselia Guillen-santana |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1235140922 PECOS PAC ID: 9537385372 Enrollment ID: I20180920002101 |
| Provider Name | Muhammad S Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083097885 PECOS PAC ID: 5799038899 Enrollment ID: I20181018002131 |
| Provider Name | Clifford F Feiner |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1851470363 PECOS PAC ID: 8921278920 Enrollment ID: I20181019000865 |
| Provider Name | Anila Nazli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619355120 PECOS PAC ID: 4981957750 Enrollment ID: I20181024000984 |
| Provider Name | Hari G Rajagopal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548605140 PECOS PAC ID: 1557615747 Enrollment ID: I20181106001971 |
| Provider Name | Sabrina Dukach |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043655087 PECOS PAC ID: 0941554695 Enrollment ID: I20181115000340 |
| Provider Name | Kenneth Lee Angelino |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1376802405 PECOS PAC ID: 2163654302 Enrollment ID: I20181121002257 |
| Provider Name | Jane Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174011068 PECOS PAC ID: 4385984905 Enrollment ID: I20190319000659 |
| Provider Name | Tindu Arikupurathu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912472010 PECOS PAC ID: 3577803063 Enrollment ID: I20190320000565 |
| Provider Name | Syed Ali R Rizvi |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578882916 PECOS PAC ID: 9234400714 Enrollment ID: I20190401000207 |
| Provider Name | Phillip Smith |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1194905299 PECOS PAC ID: 0244550044 Enrollment ID: I20190524000303 |
| Provider Name | Reena Antony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801371653 PECOS PAC ID: 3072856327 Enrollment ID: I20190530000601 |
| Provider Name | Kristin L Sticco |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1932497286 PECOS PAC ID: 6406197664 Enrollment ID: I20190610001675 |
| Provider Name | Jordan Baum |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1447694682 PECOS PAC ID: 7113251562 Enrollment ID: I20190619000854 |
| Provider Name | Goustina Adly |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1689051054 PECOS PAC ID: 5799022679 Enrollment ID: I20190718000525 |
| Provider Name | Jessy Paul |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790179265 PECOS PAC ID: 2365757507 Enrollment ID: I20190828000362 |
| Provider Name | Benhoor Shamian |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1841435989 PECOS PAC ID: 0244530616 Enrollment ID: I20190828001971 |
| Provider Name | Pranay Srivastava |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316332984 PECOS PAC ID: 2163751157 Enrollment ID: I20190917002808 |
| Provider Name | Cheryl L Dinglas |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619239001 PECOS PAC ID: 8527391341 Enrollment ID: I20190918001820 |
| Provider Name | Iman Andalib |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1144585126 PECOS PAC ID: 4082978358 Enrollment ID: I20191004001797 |
| Provider Name | Yelena Nalbandyan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376990879 PECOS PAC ID: 2860739810 Enrollment ID: I20191113002807 |
| Provider Name | Andrew W Awad |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548617061 PECOS PAC ID: 9739426727 Enrollment ID: I20191114000498 |
| Provider Name | Robert Brinson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487741237 PECOS PAC ID: 0547498032 Enrollment ID: I20191120002196 |
| Provider Name | Leah Blank |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1912239815 PECOS PAC ID: 4789833492 Enrollment ID: I20191205001252 |
| Provider Name | Marianne Frances Jarboe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639736663 PECOS PAC ID: 8628404274 Enrollment ID: I20200130001921 |
| Provider Name | Miriam Keena |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417502758 PECOS PAC ID: 1456787589 Enrollment ID: I20200207001213 |
| Provider Name | Mini Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609348309 PECOS PAC ID: 1658708276 Enrollment ID: I20200220001791 |
| Provider Name | Kenya Crafton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093367294 PECOS PAC ID: 4183051709 Enrollment ID: I20200220001905 |
| Provider Name | Sadat Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811375850 PECOS PAC ID: 8729418918 Enrollment ID: I20200501001443 |
| Provider Name | Farhana Iqbal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467848341 PECOS PAC ID: 6204260599 Enrollment ID: I20200701001742 |
| Provider Name | Vikas Patel |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1073870945 PECOS PAC ID: 4880012020 Enrollment ID: I20200921000298 |
| Provider Name | Lisa Podolsky Fiero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1548614001 PECOS PAC ID: 1951720747 Enrollment ID: I20200928002972 |
| Provider Name | Seanna P Thompson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073554614 PECOS PAC ID: 8426142480 Enrollment ID: I20201119002543 |
| Provider Name | Yair Saperstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1104271378 PECOS PAC ID: 0143631697 Enrollment ID: I20201204001554 |
| Provider Name | Ayanna Lewis |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962769414 PECOS PAC ID: 4082957253 Enrollment ID: I20201208000839 |
| Provider Name | Sarada Jaimungal |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1104055227 PECOS PAC ID: 1850600602 Enrollment ID: I20201209000803 |
| Provider Name | Leah A Montaque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801493135 PECOS PAC ID: 9739591553 Enrollment ID: I20201218000779 |
| Provider Name | Christina Dagrosa |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518357326 PECOS PAC ID: 1658787320 Enrollment ID: I20210303002168 |
| Provider Name | Erik G Lyons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073169785 PECOS PAC ID: 7517374564 Enrollment ID: I20210318002411 |
| Provider Name | Farrah Munir |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972949881 PECOS PAC ID: 2062786569 Enrollment ID: I20210322002122 |
| Provider Name | Florian Radu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1902297807 PECOS PAC ID: 1658616602 Enrollment ID: I20210326000813 |
| Provider Name | Stephanie Esperance |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891310512 PECOS PAC ID: 5698182152 Enrollment ID: I20210329002174 |
| Provider Name | Effie A Tsomos |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1487041349 PECOS PAC ID: 6002149218 Enrollment ID: I20210408001766 |
| Provider Name | Oren Factor |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1205214400 PECOS PAC ID: 1557608163 Enrollment ID: I20210419000911 |
| Provider Name | Natasha Acosta Diaz |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1255748273 PECOS PAC ID: 9931487162 Enrollment ID: I20210615001083 |
| Provider Name | Saima Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407362452 PECOS PAC ID: 8325443005 Enrollment ID: I20210818001402 |
| Provider Name | Shaik Ahmed Sanai |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1285097469 PECOS PAC ID: 9133466527 Enrollment ID: I20210909001684 |
| Provider Name | Sunny Goel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1427498955 PECOS PAC ID: 7012251010 Enrollment ID: I20210924001083 |
| Provider Name | Muhammad Ishfaq |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801236807 PECOS PAC ID: 6406098730 Enrollment ID: I20210924001711 |
| Provider Name | Jozelle Hope Diaz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518558493 PECOS PAC ID: 8921405382 Enrollment ID: I20210928000666 |
| Provider Name | Manish Kumar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1003312323 PECOS PAC ID: 4486998598 Enrollment ID: I20210928001611 |
| Provider Name | Sara Tariq |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1336526763 PECOS PAC ID: 2163829565 Enrollment ID: I20210928002722 |
| Provider Name | Michelle L Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437507142 PECOS PAC ID: 9830587724 Enrollment ID: I20211026001831 |
| Provider Name | Mark Maloof |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487147823 PECOS PAC ID: 0749527711 Enrollment ID: I20220110000379 |
| Provider Name | Maxiana Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760152912 PECOS PAC ID: 3971995945 Enrollment ID: I20220125001489 |
| Provider Name | Gary Ka-lai Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144634221 PECOS PAC ID: 5698047348 Enrollment ID: I20220209001228 |
| Provider Name | Taryn Mcneil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003582941 PECOS PAC ID: 5193118180 Enrollment ID: I20220216000726 |
| Provider Name | Rohit Ranganath |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700147360 PECOS PAC ID: 8426303330 Enrollment ID: I20220216001900 |
| Provider Name | Ling Cui |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1306392675 PECOS PAC ID: 4183017064 Enrollment ID: I20220217001806 |
| Provider Name | Natalie Louisa Poppito |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1578213351 PECOS PAC ID: 2668489170 Enrollment ID: I20220531001035 |
| Provider Name | Shu-wei Hsu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1508395161 PECOS PAC ID: 2163800848 Enrollment ID: I20220608002667 |
| Provider Name | Steven A Greenstein |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1417362245 PECOS PAC ID: 6709119050 Enrollment ID: I20220823002338 |
| Provider Name | Calvin Ga Yu |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1407388374 PECOS PAC ID: 8123402740 Enrollment ID: I20220831002205 |
| Provider Name | Benjamin Felder |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003261041 PECOS PAC ID: 8628308509 Enrollment ID: I20220921001783 |
| Provider Name | Mark V Epelbaum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699236331 PECOS PAC ID: 3274863220 Enrollment ID: I20221110001344 |
| Provider Name | Evan G Kessler |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1316366404 PECOS PAC ID: 7618214768 Enrollment ID: I20230216001596 |
| Provider Name | Jonathan Solaimanzadeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386135036 PECOS PAC ID: 1951648906 Enrollment ID: I20230216002096 |
| Provider Name | Earclyn A Parkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255920112 PECOS PAC ID: 1052785169 Enrollment ID: I20230313000747 |
| Provider Name | Pushpinder Kaur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700381050 PECOS PAC ID: 1759746811 Enrollment ID: I20230426000103 |
| Provider Name | Ramnik Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1972956381 PECOS PAC ID: 7416241138 Enrollment ID: I20230426001874 |
| Provider Name | Sang Myung Han |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1700433398 PECOS PAC ID: 9739512278 Enrollment ID: I20230620001472 |
| Provider Name | Mehrdad Emami |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1063916559 PECOS PAC ID: 8527305663 Enrollment ID: I20230622002384 |
| Provider Name | David Aharonoff |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1669979951 PECOS PAC ID: 9931442845 Enrollment ID: I20230626002851 |
| Provider Name | Jordan Steinberg |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1346488046 PECOS PAC ID: 0143680900 Enrollment ID: I20230712002796 |
| Provider Name | Bhanu Singh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457714636 PECOS PAC ID: 6103164140 Enrollment ID: I20230815003388 |
| Provider Name | Afm Ashik Imran |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1336777929 PECOS PAC ID: 0244693364 Enrollment ID: I20230822004064 |
| Provider Name | Mehrab Tausif Islam |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1730747767 PECOS PAC ID: 7214390368 Enrollment ID: I20230823000748 |
| Provider Name | Kati Hoffman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891429437 PECOS PAC ID: 3870956279 Enrollment ID: I20230901001200 |
| Provider Name | Meihuan Lin |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1174145676 PECOS PAC ID: 7810341971 Enrollment ID: I20230925000955 |
| Provider Name | David Elliot Bernstein |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013544592 PECOS PAC ID: 7416301924 Enrollment ID: I20231002001343 |
| Provider Name | Hsu Tsai Chi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356760748 PECOS PAC ID: 1153756218 Enrollment ID: I20231117000960 |
| Provider Name | Amy Smithline |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538234240 PECOS PAC ID: 7416939756 Enrollment ID: I20231206001911 |
| Provider Name | Abhinav Rohatgi |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1073990107 PECOS PAC ID: 5395146526 Enrollment ID: I20240110004484 |
| Provider Name | James Anthony Ducey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528697836 PECOS PAC ID: 1951748573 Enrollment ID: I20240319001421 |
| Provider Name | Olufemi Soyemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407209554 PECOS PAC ID: 7214223858 Enrollment ID: I20240325003489 |
| Provider Name | Edmond O'leary |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811524887 PECOS PAC ID: 4486092780 Enrollment ID: I20240405000900 |
| Provider Name | Alison Claire Wiles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952862989 PECOS PAC ID: 5193055010 Enrollment ID: I20240507004180 |
| Provider Name | Rima Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306605175 PECOS PAC ID: 4789121971 Enrollment ID: I20240806002093 |
| Provider Name | Rita Lakshmi Iyer |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1912401852 PECOS PAC ID: 0749729754 Enrollment ID: I20240822000381 |
| Provider Name | Irving S Levine |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215462510 PECOS PAC ID: 3173861739 Enrollment ID: I20240828002543 |
| Provider Name | Susan Ninette Ramirez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1265019525 PECOS PAC ID: 0547700841 Enrollment ID: I20240913000840 |
| Provider Name | Farah Karim Gazi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598345977 PECOS PAC ID: 4981145182 Enrollment ID: I20240916000347 |
| Provider Name | Zachary Daitch |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1689103194 PECOS PAC ID: 1153699160 Enrollment ID: I20241001001312 |
| Provider Name | Melvin Mathai |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1982284220 PECOS PAC ID: 6103358841 Enrollment ID: I20241018001474 |
| Provider Name | Uzair Sherza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699352146 PECOS PAC ID: 1850824780 Enrollment ID: I20241030001440 |
| Provider Name | Da Eun Md Cha |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639601099 PECOS PAC ID: 0345602728 Enrollment ID: I20241127002284 |
| Provider Name | Nissim Elimelech Levy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619556677 PECOS PAC ID: 6204347644 Enrollment ID: I20250613001040 |
Harmony Health Care Long Island Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3227 Long Beach Rd Ste 2, Oceanside, NY 11572 Phone: 516-678-0900 Fax: 516-431-1600 | |
Mes Medical Consultingpc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 Elaine Dr, Oceanside, NY 11572 Phone: 516-286-0094 | |
William H. Simon, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2940 Lincoln Ave, Suite201, Oceanside, NY 11572 Phone: 516-766-6808 Fax: 516-766-5218 | |
Icahn School Of Medicine At Mount Sinai Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 196 Merrick Rd, Oceanside, NY 11572 Phone: 516-255-8400 | |
Icahn School Of Medicine At Mount Sinai Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 Long Beach Rd, Oceanside, NY 11572 Phone: 516-593-8953 | |
Mount Sinai School Of Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2965 Long Beach Rd, Oceanside, NY 11572 Phone: 516-992-5626 | |
Dwell Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2710 Long Beach Rd, 2nd Floor, Oceanside, NY 11572 Phone: 516-558-7858 Fax: 516-812-3975 |