| Multiviz Medical Services Pc | |
|
529 Beach 20th St Far Rockaway NY 11691-3645 | |
| (718) 327-7307 | |
| (718) 327-3294 |
| Full Name | Multiviz Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 529 Beach 20th St, Far Rockaway, New York |
| Authorized Official Name and Position | Abiola Familusi (PRESIDENT/CEO) |
| Authorized Official Contact | 7183277307 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Multiviz Medical Services Pc 529 Beach 20th St Far Rockaway NY 11691-3645 Ph: (718) 327-7307 | Multiviz Medical Services Pc 529 Beach 20th St Far Rockaway NY 11691-3645 Ph: (718) 327-7307 |
| NPI Number | 1720373293 |
|---|---|
| Provider Enumeration Date | 06/13/2011 |
| Last Update Date | 06/13/2011 |
| Medicare PECOS PAC ID | 1557274735 |
|---|---|
| Medicare Enrollment ID | O20031112000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720373293 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (New York) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | (New York) | Secondary |
| Provider Name | Olusegun Ogunfowora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275602963 PECOS PAC ID: 4789578535 Enrollment ID: I20040211001197 |
| Provider Name | Kolawole A Odulaja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043384654 PECOS PAC ID: 7416935309 Enrollment ID: I20040708000430 |
| Provider Name | Abiola Familusi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649351214 PECOS PAC ID: 5890608079 Enrollment ID: I20041012000584 |
| Provider Name | Polina Khanina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285679498 PECOS PAC ID: 0143280446 Enrollment ID: I20041012000729 |
| Provider Name | Marie A Bernard |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1093750127 PECOS PAC ID: 0446253728 Enrollment ID: I20060808000127 |
| Provider Name | Carlos A Hleap |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942247390 PECOS PAC ID: 1658379854 Enrollment ID: I20061125000006 |
| Provider Name | Adeola R Uthman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649204959 PECOS PAC ID: 4385794189 Enrollment ID: I20090617000441 |
| Provider Name | Herlande Penn Durandisse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790937894 PECOS PAC ID: 5597816165 Enrollment ID: I20090623000207 |
| Provider Name | Adesuwa Ruby Okesanya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194982579 PECOS PAC ID: 9032241658 Enrollment ID: I20100717000241 |
| Provider Name | Neeraj Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356594873 PECOS PAC ID: 3173716735 Enrollment ID: I20101015000449 |
| Provider Name | Jean Antoine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386727279 PECOS PAC ID: 8527253160 Enrollment ID: I20101109001203 |
| Provider Name | Muhammad T Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720044258 PECOS PAC ID: 8022205582 Enrollment ID: I20101209000441 |
| Provider Name | Ajay Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558353763 PECOS PAC ID: 2062498371 Enrollment ID: I20101228000335 |
| Provider Name | Margaret Amodemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265527501 PECOS PAC ID: 3173700663 Enrollment ID: I20110609000660 |
| Provider Name | Sarika Sharma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770744682 PECOS PAC ID: 9739357377 Enrollment ID: I20110726000178 |
| Provider Name | Mohammad F Ellahi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750619722 PECOS PAC ID: 6002087988 Enrollment ID: I20110926000676 |
| Provider Name | Faisal Hamid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1063791572 PECOS PAC ID: 6204093750 Enrollment ID: I20120210000381 |
| Provider Name | Stella Polvanova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013201557 PECOS PAC ID: 0941446538 Enrollment ID: I20130427000000 |
| Provider Name | Lionel Narcisse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295073450 PECOS PAC ID: 4183854284 Enrollment ID: I20140312001096 |
| Provider Name | Nathalie J Monfiston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992197743 PECOS PAC ID: 4789904145 Enrollment ID: I20150526002491 |
| Provider Name | Emil Trevis Fernando |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982968129 PECOS PAC ID: 2567787237 Enrollment ID: I20151201000284 |
| Provider Name | Afolabi Poroye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386956654 PECOS PAC ID: 8022240183 Enrollment ID: I20160202002674 |
| Provider Name | Saqif M Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518377951 PECOS PAC ID: 6305141441 Enrollment ID: I20160928002630 |
| Provider Name | Mariama Hubbard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518946763 PECOS PAC ID: 8628033156 Enrollment ID: I20181212002848 |
| Provider Name | Roland K Ngum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730651878 PECOS PAC ID: 2860731791 Enrollment ID: I20190311002280 |
| Provider Name | Derek F Ugwendum |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831654086 PECOS PAC ID: 1850631185 Enrollment ID: I20190322000631 |
| Provider Name | Renee Rebert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043785074 PECOS PAC ID: 4587905849 Enrollment ID: I20190415001283 |
| Provider Name | Olivia Nwaedozie |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376109405 PECOS PAC ID: 8123359965 Enrollment ID: I20191009002722 |
| Provider Name | Hina Niyazi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114566320 PECOS PAC ID: 4486084365 Enrollment ID: I20200416001033 |
| Provider Name | Precious Bamawo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447549894 PECOS PAC ID: 5294155636 Enrollment ID: I20201023000453 |
| Provider Name | Rhonda Whatley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346598679 PECOS PAC ID: 9133552052 Enrollment ID: I20220617000245 |
| Provider Name | Theresa Clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497350383 PECOS PAC ID: 7517337371 Enrollment ID: I20230112001294 |
| Provider Name | Carissa Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821307646 PECOS PAC ID: 2264627132 Enrollment ID: I20230215002097 |
| Provider Name | Gurpreet Kaur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730797861 PECOS PAC ID: 9830518927 Enrollment ID: I20230321001047 |
| Provider Name | Jasmine Marshall-anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205504180 PECOS PAC ID: 8426435454 Enrollment ID: I20240319001324 |
| Provider Name | Marilyn Ek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487745493 PECOS PAC ID: 8022907906 Enrollment ID: I20240517000602 |
| Provider Name | Lesly Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073188843 PECOS PAC ID: 5597167767 Enrollment ID: I20240822000172 |
| Provider Name | Darya Sledzinskaya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952169807 PECOS PAC ID: 5294266714 Enrollment ID: I20241008001071 |
| Provider Name | Tasleema Ahmadi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245076520 PECOS PAC ID: 7517491426 Enrollment ID: I20241114003851 |
| Provider Name | Hassan Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790584035 PECOS PAC ID: 1153844410 Enrollment ID: I20250327000130 |
| Provider Name | Stephanie Lumsden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467215707 PECOS PAC ID: 7113461088 Enrollment ID: I20250404002495 |
| Provider Name | Olutayo Olaide Olasupo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114713054 PECOS PAC ID: 9133644057 Enrollment ID: I20250423000931 |
St John's Medical Services Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 327 Beach 19th St, Far Rockaway, NY 11691 Phone: 718-869-7641 Fax: 718-869-8507 | |
Su Salud Family Health Np Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1922 Mott Ave, Far Rockaway, NY 11691 Phone: 718-868-8282 Fax: 718-471-2865 | |
Cedarhurst Medical Associates P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 Beach 20th Street, Far Rockaway, NY 11691 Phone: 718-471-7010 Fax: 718-337-1548 | |
Good Will Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 15 Beach Channel Drive, Peninsula Hospital, Far Rockaway, NY 11691 Phone: 718-734-2345 Fax: 718-734-2808 | |
M&l Medical Services. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2004 Seagirt Blvd, Far Rockaway, NY 11691 Phone: 718-868-8620 Fax: 718-868-8611 | |
Samuel Bavli, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Beach 19th St, Department Of Medicine, Far Rockaway, NY 11691 Phone: 718-869-7315 | |
Fegs Far Rockaway Mntl Hlth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Central Ave, Far Rockaway, NY 11691 Phone: 718-327-1600 Fax: 718-868-4792 |