| Peyman Younesi MD PLLC | |
|
6136 170th St Apt M4 Fresh Meadows NY 11365-1957 | |
| (718) 709-0940 | |
| Not Available |
| Full Name | Peyman Younesi MD PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 6136 170th St Apt M4, Fresh Meadows, New York |
| Authorized Official Name and Position | Peyman Younesi (PRESIDENT) |
| Authorized Official Contact | 3107091236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Peyman Younesi MD PLLC 3307 164th St Suite #2 Flushing NY 11358-1441 Ph: (347) 709-3133 | Peyman Younesi MD PLLC 6136 170th St Apt M4 Fresh Meadows NY 11365-1957 Ph: (718) 709-0940 |
| NPI Number | 1891053328 |
|---|---|
| Provider Enumeration Date | 05/03/2012 |
| Last Update Date | 11/29/2021 |
| Certification Date | 11/29/2021 |
| Medicare PECOS PAC ID | 4981860202 |
|---|---|
| Medicare Enrollment ID | O20120731000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891053328 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 2581181 (New York) | Primary |
| Provider Name | Marushka Bindra |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467522631 PECOS PAC ID: 4688663446 Enrollment ID: I20040713001236 |
| Provider Name | Emerth L Coburn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477544096 PECOS PAC ID: 8022088806 Enrollment ID: I20040728001712 |
| Provider Name | Russell J Warren |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598702615 PECOS PAC ID: 4880664457 Enrollment ID: I20040729001501 |
| Provider Name | Raul Alberto Ulloa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841330107 PECOS PAC ID: 9436113776 Enrollment ID: I20041116000720 |
| Provider Name | Jaikumar Ravunniarath Menon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427000934 PECOS PAC ID: 9436117173 Enrollment ID: I20041228000313 |
| Provider Name | Michael D Hargrove |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336114115 PECOS PAC ID: 8527013986 Enrollment ID: I20050317001084 |
| Provider Name | Maria P Noya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912010943 PECOS PAC ID: 0840236592 Enrollment ID: I20050701000908 |
| Provider Name | Amy J Schwartzman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1215910062 PECOS PAC ID: 2769473115 Enrollment ID: I20050812000720 |
| Provider Name | Seema S Rizvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053341586 PECOS PAC ID: 6204882376 Enrollment ID: I20051013000293 |
| Provider Name | Janine M Kramer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205891405 PECOS PAC ID: 4981613486 Enrollment ID: I20060411000610 |
| Provider Name | Richard S Zito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366555849 PECOS PAC ID: 4789693292 Enrollment ID: I20060411000734 |
| Provider Name | Ravindra Kashyap |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639128366 PECOS PAC ID: 4688686264 Enrollment ID: I20060623000060 |
| Provider Name | Anna Dibona |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881629053 PECOS PAC ID: 6002819331 Enrollment ID: I20060807000108 |
| Provider Name | Stacey Laurito |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1114980729 PECOS PAC ID: 5294706032 Enrollment ID: I20060907000391 |
| Provider Name | Roseline N Ihim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790979391 PECOS PAC ID: 4183703663 Enrollment ID: I20080825000123 |
| Provider Name | Georges R Ramalanjaona |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104811785 PECOS PAC ID: 4587688429 Enrollment ID: I20081119000554 |
| Provider Name | Maria Lourdes Bunque |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578702809 PECOS PAC ID: 5092872689 Enrollment ID: I20090326000168 |
| Provider Name | Michelle Fried |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659510642 PECOS PAC ID: 0244380723 Enrollment ID: I20090603000367 |
| Provider Name | Sheri Klass |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235161290 PECOS PAC ID: 7416090287 Enrollment ID: I20100202000141 |
| Provider Name | Mazal Agazarova |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1508188087 PECOS PAC ID: 6507993656 Enrollment ID: I20100421000218 |
| Provider Name | Rozy Nelofar Wani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245295492 PECOS PAC ID: 7113092339 Enrollment ID: I20100503000026 |
| Provider Name | Florence Pua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124105036 PECOS PAC ID: 3971796483 Enrollment ID: I20101015001206 |
| Provider Name | Peyman Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20110202000565 |
| Provider Name | Bilqees Abdallah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336440130 PECOS PAC ID: 3870775679 Enrollment ID: I20110316000200 |
| Provider Name | Emmanuel Z De Jesus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1962798736 PECOS PAC ID: 0840478426 Enrollment ID: I20110630000063 |
| Provider Name | Nidhi Dugar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588656771 PECOS PAC ID: 6507804721 Enrollment ID: I20110705000236 |
| Provider Name | Faisal M Ali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952520017 PECOS PAC ID: 7113195660 Enrollment ID: I20110727000577 |
| Provider Name | Arash Shifteh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154622421 PECOS PAC ID: 0446429724 Enrollment ID: I20110802000450 |
| Provider Name | Jody Ann R Buckle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295043032 PECOS PAC ID: 1759556657 Enrollment ID: I20111205000311 |
| Provider Name | Sonia Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639451636 PECOS PAC ID: 4789847005 Enrollment ID: I20120524000489 |
| Provider Name | Bobbie T Eapen |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1326338153 PECOS PAC ID: 4880842251 Enrollment ID: I20120911000177 |
| Provider Name | Surinder a Pal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538245139 PECOS PAC ID: 5294987624 Enrollment ID: I20121212000217 |
| Provider Name | Wu Tan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518236181 PECOS PAC ID: 4486894003 Enrollment ID: I20130702000618 |
| Provider Name | Jennifer M Figueroa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164655270 PECOS PAC ID: 8426290875 Enrollment ID: I20130814000302 |
| Provider Name | Christina Goldsmith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821377813 PECOS PAC ID: 6709003403 Enrollment ID: I20140804000486 |
| Provider Name | Jason Sarzosa |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1144623695 PECOS PAC ID: 6608098645 Enrollment ID: I20141107000291 |
| Provider Name | Hiu Lam NG |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497966386 PECOS PAC ID: 3375869134 Enrollment ID: I20150313001358 |
| Provider Name | Cheol Woong Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881086874 PECOS PAC ID: 3971823824 Enrollment ID: I20150518001182 |
| Provider Name | Ali Tabarroki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952794489 PECOS PAC ID: 5395065049 Enrollment ID: I20150520000335 |
| Provider Name | Ethan John Liebler |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770677809 PECOS PAC ID: 1052308608 Enrollment ID: I20150716000153 |
| Provider Name | Cheriee T Mcdonald |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1104153857 PECOS PAC ID: 8527295906 Enrollment ID: I20150724011518 |
| Provider Name | Tricia Ronak Narine |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609212190 PECOS PAC ID: 5395966139 Enrollment ID: I20150817001633 |
| Provider Name | Afolabi Poroye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386956654 PECOS PAC ID: 8022240183 Enrollment ID: I20160202002674 |
| Provider Name | Anthony R. Rizzitiello-brestolli |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396106878 PECOS PAC ID: 8820397730 Enrollment ID: I20160427001871 |
| Provider Name | Ishtiaq Hossain |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104261379 PECOS PAC ID: 0345472999 Enrollment ID: I20160817000893 |
| Provider Name | Zoneera Hameed |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831647601 PECOS PAC ID: 4284922345 Enrollment ID: I20161005003019 |
| Provider Name | Georgey Easow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083637805 PECOS PAC ID: 6204114572 Enrollment ID: I20161021000609 |
| Provider Name | Osama Almanastirly |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1023480290 PECOS PAC ID: 3476831835 Enrollment ID: I20161107000256 |
| Provider Name | Marisa L Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790113355 PECOS PAC ID: 7517274822 Enrollment ID: I20170404000313 |
| Provider Name | Jennifer Schoenfeld |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437460524 PECOS PAC ID: 4183856412 Enrollment ID: I20170424000412 |
| Provider Name | Michael Penhasov |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1336676527 PECOS PAC ID: 6305114281 Enrollment ID: I20170619000155 |
| Provider Name | Phyllis Andrews |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1659590198 PECOS PAC ID: 9739453184 Enrollment ID: I20170922002110 |
| Provider Name | Ellis Enabosi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669866158 PECOS PAC ID: 3274890272 Enrollment ID: I20171129002536 |
| Provider Name | Azmatullah Syed Hussaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366725335 PECOS PAC ID: 4587972906 Enrollment ID: I20180222001497 |
| Provider Name | Derek Bershad |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1578053526 PECOS PAC ID: 1355606260 Enrollment ID: I20180524001038 |
| Provider Name | Valentyna Oleksyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780163790 PECOS PAC ID: 5092068494 Enrollment ID: I20181101002176 |
| Provider Name | Daniella Fireman |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1750856928 PECOS PAC ID: 1052665502 Enrollment ID: I20181119003245 |
| Provider Name | Ryanna Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285112441 PECOS PAC ID: 3274878301 Enrollment ID: I20181218003386 |
| Provider Name | Ashley Munroe |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407230428 PECOS PAC ID: 1456616663 Enrollment ID: I20190123001921 |
| Provider Name | Eric Parker |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528522240 PECOS PAC ID: 0648518258 Enrollment ID: I20190206001418 |
| Provider Name | Pamela Cornacchia |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1124565858 PECOS PAC ID: 6608934344 Enrollment ID: I20190408002016 |
| Provider Name | Andrea Gomez Ugarelli |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497235857 PECOS PAC ID: 7012242183 Enrollment ID: I20190711001224 |
| Provider Name | Michell Valeria Peralta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1710350020 PECOS PAC ID: 9638408057 Enrollment ID: I20190911000455 |
| Provider Name | Sheena Rismany |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1033766274 PECOS PAC ID: 5698005619 Enrollment ID: I20190918000346 |
| Provider Name | Asha Kuniyil |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1710152558 PECOS PAC ID: 5193055606 Enrollment ID: I20190926001176 |
| Provider Name | Mohammed Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306232046 PECOS PAC ID: 9830521582 Enrollment ID: I20191118002498 |
| Provider Name | Jamika Mack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225595523 PECOS PAC ID: 9032541487 Enrollment ID: I20191122002399 |
| Provider Name | Ahmed H Abdo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457999336 PECOS PAC ID: 9133553969 Enrollment ID: I20200102001149 |
| Provider Name | Bobbette K Syders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538638762 PECOS PAC ID: 5597190744 Enrollment ID: I20200115002281 |
| Provider Name | Miguel F Noble |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649817032 PECOS PAC ID: 5193152650 Enrollment ID: I20200221001060 |
| Provider Name | Simone V Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437620200 PECOS PAC ID: 2163850652 Enrollment ID: I20200316002262 |
| Provider Name | Melinda Simmons |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649816125 PECOS PAC ID: 9436588415 Enrollment ID: I20200327000178 |
| Provider Name | Nayale Lafleur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821591603 PECOS PAC ID: 6901227818 Enrollment ID: I20200602000592 |
| Provider Name | Rajeena a Pillai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104453653 PECOS PAC ID: 5890117659 Enrollment ID: I20200624000834 |
| Provider Name | Precious Bamawo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447549894 PECOS PAC ID: 5294155636 Enrollment ID: I20201023000453 |
| Provider Name | Shyan Jagdeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205459534 PECOS PAC ID: 7810308111 Enrollment ID: I20201117002010 |
| Provider Name | Mohammadreza Feizi Lighvan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699392894 PECOS PAC ID: 3678985587 Enrollment ID: I20201217003008 |
| Provider Name | Genna S Rubenstein |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538727490 PECOS PAC ID: 2163834078 Enrollment ID: I20201218000181 |
| Provider Name | Crysti Mincey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881231967 PECOS PAC ID: 1850703513 Enrollment ID: I20201222001141 |
| Provider Name | Arash Arvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982048872 PECOS PAC ID: 5092078907 Enrollment ID: I20210217001340 |
| Provider Name | Devin Clark |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760915425 PECOS PAC ID: 7719242163 Enrollment ID: I20210309000071 |
| Provider Name | Carine R Renois |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740894237 PECOS PAC ID: 7113334848 Enrollment ID: I20210325000999 |
| Provider Name | Samantha Veres |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1538733753 PECOS PAC ID: 6103235403 Enrollment ID: I20210517000759 |
| Provider Name | Marvin Mathieu |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1649668708 PECOS PAC ID: 1456750611 Enrollment ID: I20210520002671 |
| Provider Name | Mirlande Paul-denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104301753 PECOS PAC ID: 0941613798 Enrollment ID: I20210524002540 |
| Provider Name | Natalie Ocasio |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932780129 PECOS PAC ID: 5597165167 Enrollment ID: I20210618000740 |
| Provider Name | Carisa J Thompson-patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861097644 PECOS PAC ID: 7618378100 Enrollment ID: I20210622000170 |
| Provider Name | Priyanka Tushar Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1396142071 PECOS PAC ID: 0244633741 Enrollment ID: I20210721002168 |
| Provider Name | Mina Fawzy Adams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538833371 PECOS PAC ID: 7113322272 Enrollment ID: I20210901003476 |
| Provider Name | Amit Mandal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093206567 PECOS PAC ID: 9436547452 Enrollment ID: I20211025002201 |
| Provider Name | Sarah Churba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841882990 PECOS PAC ID: 7214326636 Enrollment ID: I20211105000399 |
| Provider Name | Merrin Abraham |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1306467253 PECOS PAC ID: 5597158584 Enrollment ID: I20220216000587 |
| Provider Name | Jerry Cadet |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1841954013 PECOS PAC ID: 7911398516 Enrollment ID: I20220216002313 |
| Provider Name | Benjamin Penn |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1417527649 PECOS PAC ID: 3274927462 Enrollment ID: I20220304000756 |
| Provider Name | Merjona Saliaj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427417187 PECOS PAC ID: 7113258872 Enrollment ID: I20220318001824 |
| Provider Name | Amina Djozo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467193383 PECOS PAC ID: 1456748680 Enrollment ID: I20220418002099 |
| Provider Name | Badri Taparia |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1902944408 PECOS PAC ID: 9830299163 Enrollment ID: I20220504000479 |
| Provider Name | Jonathan Bechor |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1629720644 PECOS PAC ID: 3375920697 Enrollment ID: I20220506000443 |
| Provider Name | Dhara Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215674304 PECOS PAC ID: 3678952728 Enrollment ID: I20220620001213 |
| Provider Name | Adebola Yewande Afolayan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1740917913 PECOS PAC ID: 3779966890 Enrollment ID: I20220822002782 |
| Provider Name | Monica Leli |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1528575735 PECOS PAC ID: 0042686925 Enrollment ID: I20221018001296 |
| Provider Name | Handeep Singh |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1043968654 PECOS PAC ID: 0345617361 Enrollment ID: I20221104000585 |
| Provider Name | Hasina Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689390007 PECOS PAC ID: 9133597164 Enrollment ID: I20221123001762 |
| Provider Name | Claudette Nelson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457911059 PECOS PAC ID: 4284002189 Enrollment ID: I20221128001290 |
| Provider Name | Zohra Moshref |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093339848 PECOS PAC ID: 4486024130 Enrollment ID: I20221221002325 |
| Provider Name | Rebecca Leibowitz |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1215331798 PECOS PAC ID: 6901129667 Enrollment ID: I20221221002678 |
| Provider Name | Fariahh Fazil |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053954503 PECOS PAC ID: 8527490598 Enrollment ID: I20230125003297 |
| Provider Name | Tambi Isaac |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578275251 PECOS PAC ID: 0244602068 Enrollment ID: I20230203002031 |
| Provider Name | Osa C Guobadia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306402268 PECOS PAC ID: 9537560602 Enrollment ID: I20230209002229 |
| Provider Name | Sarah Michelle Teague |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922360148 PECOS PAC ID: 2961875141 Enrollment ID: I20230309000732 |
| Provider Name | Ryan Joseph Mumpar Buzon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760181028 PECOS PAC ID: 9638543192 Enrollment ID: I20230323001712 |
| Provider Name | Monica M Flanagan |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1417697251 PECOS PAC ID: 7618342866 Enrollment ID: I20230331001743 |
| Provider Name | Ryan Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689389868 PECOS PAC ID: 2466416813 Enrollment ID: I20230419001284 |
| Provider Name | Iram Qureshi |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932894441 PECOS PAC ID: 4587020110 Enrollment ID: I20230523003410 |
| Provider Name | Andrew Toenniessen |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1518580612 PECOS PAC ID: 0648692186 Enrollment ID: I20230605002139 |
| Provider Name | Jordan Rosen Schneider |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205527090 PECOS PAC ID: 9133586761 Enrollment ID: I20230613001071 |
| Provider Name | Kristen Catania |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1457036477 PECOS PAC ID: 7113387911 Enrollment ID: I20230712000683 |
| Provider Name | Chadwick J Baugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205529567 PECOS PAC ID: 3577924455 Enrollment ID: I20230726000581 |
| Provider Name | Raghini Esther Paulina Raja |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306520978 PECOS PAC ID: 2163884891 Enrollment ID: I20230814000448 |
| Provider Name | Yves H Jean |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1003590266 PECOS PAC ID: 4486016128 Enrollment ID: I20230814000644 |
| Provider Name | Alexandria Marcella Hutchins |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013792654 PECOS PAC ID: 8527422070 Enrollment ID: I20230915002979 |
| Provider Name | Keyla Reyes Denis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801579065 PECOS PAC ID: 5496102220 Enrollment ID: I20231115002691 |
| Provider Name | Christian Defournoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093041501 PECOS PAC ID: 6305238890 Enrollment ID: I20231121000656 |
| Provider Name | Shivani Vani |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1366946147 PECOS PAC ID: 6800244344 Enrollment ID: I20231122001499 |
| Provider Name | Momna Wazir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033988654 PECOS PAC ID: 3375994049 Enrollment ID: I20240106000251 |
| Provider Name | Meredith Kate Maud |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1932976230 PECOS PAC ID: 0042661126 Enrollment ID: I20240112003389 |
| Provider Name | Yusupha M Dukureh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447700562 PECOS PAC ID: 7113379116 Enrollment ID: I20240116000478 |
| Provider Name | Brian Cujilan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376319210 PECOS PAC ID: 6901259647 Enrollment ID: I20240129003648 |
| Provider Name | Arwinder Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982468005 PECOS PAC ID: 2961847140 Enrollment ID: I20240227003567 |
| Provider Name | Sandra M Guiteau |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154044006 PECOS PAC ID: 6901261593 Enrollment ID: I20240227003758 |
| Provider Name | Amir Hanna |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699464214 PECOS PAC ID: 2264877968 Enrollment ID: I20240305000404 |
| Provider Name | Dayo Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1104683226 PECOS PAC ID: 6204273899 Enrollment ID: I20240319000516 |
| Provider Name | Esther Mateo |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548028434 PECOS PAC ID: 6709223241 Enrollment ID: I20240320001983 |
| Provider Name | Mohammad Kamrul Hasan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386402089 PECOS PAC ID: 5890132146 Enrollment ID: I20240321002341 |
| Provider Name | Fahmina Quader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407611072 PECOS PAC ID: 8224476908 Enrollment ID: I20240401000328 |
| Provider Name | Stephen Dane Frank |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467080465 PECOS PAC ID: 1153769849 Enrollment ID: I20240401000605 |
| Provider Name | Erin Callahan |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1497514822 PECOS PAC ID: 1355789686 Enrollment ID: I20240405002215 |
| Provider Name | David Alarcon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912491226 PECOS PAC ID: 1153760723 Enrollment ID: I20240415004033 |
| Provider Name | Jonathan Jean Sfeir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699338244 PECOS PAC ID: 9335474535 Enrollment ID: I20240510001045 |
| Provider Name | Pamela Batista |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1275263451 PECOS PAC ID: 3476994161 Enrollment ID: I20240513001451 |
| Provider Name | Jodhvir S Mangat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679064000 PECOS PAC ID: 8123365624 Enrollment ID: I20240530001286 |
| Provider Name | Nikoleta Alijaj |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1528817640 PECOS PAC ID: 1456793777 Enrollment ID: I20240531000739 |
| Provider Name | Ayesha a Ranjah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003656950 PECOS PAC ID: 6800331034 Enrollment ID: I20240712000542 |
| Provider Name | Mousumi Barua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669217899 PECOS PAC ID: 5890230635 Enrollment ID: I20240716003775 |
| Provider Name | Ilana Ruchelman |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1245995745 PECOS PAC ID: 7315483849 Enrollment ID: I20240722000062 |
| Provider Name | Laudenicia Ramirez Moraleta |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1588081061 PECOS PAC ID: 4789120155 Enrollment ID: I20240722001805 |
| Provider Name | Amarachi Abanobi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891532990 PECOS PAC ID: 9931646825 Enrollment ID: I20240809001000 |
| Provider Name | Sonal Patel |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1356877260 PECOS PAC ID: 2860931573 Enrollment ID: I20240827000006 |
| Provider Name | Brianne Garcia |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1235899089 PECOS PAC ID: 4880134014 Enrollment ID: I20240913002252 |
| Provider Name | Suneet Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356928345 PECOS PAC ID: 3173923869 Enrollment ID: I20240916002319 |
| Provider Name | Chowdhury Shahriar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659104792 PECOS PAC ID: 7416498597 Enrollment ID: I20240916003925 |
| Provider Name | Rachel Abosede Aikulola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588975114 PECOS PAC ID: 8325589187 Enrollment ID: I20240919002360 |
| Provider Name | Sadaf Sanaullah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457187551 PECOS PAC ID: 8729529565 Enrollment ID: I20240920001309 |
| Provider Name | David Gyawu Kufuor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881421808 PECOS PAC ID: 8325589096 Enrollment ID: I20240920002870 |
| Provider Name | Luke Reynolds |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1679023287 PECOS PAC ID: 2365983830 Enrollment ID: I20240924003031 |
| Provider Name | Chukwukelue Nwabueze Uchefuna |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407683899 PECOS PAC ID: 8527509090 Enrollment ID: I20240924003039 |
| Provider Name | Janet Benjamin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265272850 PECOS PAC ID: 3274074653 Enrollment ID: I20240925003204 |
| Provider Name | Rachel Ann Aloisio |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1356867857 PECOS PAC ID: 9032640222 Enrollment ID: I20240928000039 |
| Provider Name | Vahid Davoudi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427875053 PECOS PAC ID: 1658802749 Enrollment ID: I20240930003742 |
| Provider Name | Zakia Irum |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275351090 PECOS PAC ID: 6103357785 Enrollment ID: I20241007003002 |
| Provider Name | Coriena Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730488958 PECOS PAC ID: 6305377730 Enrollment ID: I20241009001350 |
| Provider Name | Megan Lynn Jones |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1285364851 PECOS PAC ID: 4082147459 Enrollment ID: I20241024002115 |
| Provider Name | Madiha Naveed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467287151 PECOS PAC ID: 4789117706 Enrollment ID: I20241030000448 |
| Provider Name | Victoria Troost |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1447745799 PECOS PAC ID: 4183157001 Enrollment ID: I20241031000844 |
| Provider Name | Fazle Showon |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184290892 PECOS PAC ID: 8022542646 Enrollment ID: I20241105002518 |
| Provider Name | Serena Rachel Zomberg |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1790533933 PECOS PAC ID: 5597299842 Enrollment ID: I20241111000297 |
| Provider Name | Marline Attallah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306693981 PECOS PAC ID: 9335682426 Enrollment ID: I20241112002040 |
| Provider Name | Raquel Reichmann |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1720802267 PECOS PAC ID: 7618402256 Enrollment ID: I20241120000503 |
| Provider Name | Shiref Ezzat Bayoumi |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1295508216 PECOS PAC ID: 6204361363 Enrollment ID: I20241126002172 |
| Provider Name | Samuel Alao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780408625 PECOS PAC ID: 8224563127 Enrollment ID: I20241202002896 |
| Provider Name | Marie Aurore Felix |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174348767 PECOS PAC ID: 7214462001 Enrollment ID: I20241203003030 |
| Provider Name | Yassmin Azzam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740097336 PECOS PAC ID: 7315474731 Enrollment ID: I20241226000846 |
| Provider Name | Adriana Gonzalez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508689126 PECOS PAC ID: 1456888452 Enrollment ID: I20250102000933 |
| Provider Name | Arman Maqbool |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780493429 PECOS PAC ID: 9234667874 Enrollment ID: I20250110001434 |
| Provider Name | Kelsey Keryn Ruiz |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1639736911 PECOS PAC ID: 1658800644 Enrollment ID: I20250121000770 |
| Provider Name | Ulises Maria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952088189 PECOS PAC ID: 6002345972 Enrollment ID: I20250122000492 |
| Provider Name | Shamima Akter Nila |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508677030 PECOS PAC ID: 5799215935 Enrollment ID: I20250204000841 |
| Provider Name | Carly Michelle Rosen |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407493539 PECOS PAC ID: 7012447949 Enrollment ID: I20250207001154 |
| Provider Name | Alexander Fauci |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174103790 PECOS PAC ID: 0446780209 Enrollment ID: I20250207002791 |
| Provider Name | Nofisat Onatunde |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1851902613 PECOS PAC ID: 9830610112 Enrollment ID: I20250303001999 |
| Provider Name | Kennedy Amachi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831948363 PECOS PAC ID: 0042732521 Enrollment ID: I20250314000069 |
| Provider Name | Navdeep Kaur Grewal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326849001 PECOS PAC ID: 7810410370 Enrollment ID: I20250326001038 |
| Provider Name | Natalia Umanzor |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1033915962 PECOS PAC ID: 4880115674 Enrollment ID: I20250403002996 |
| Provider Name | Manage Vincent |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326818915 PECOS PAC ID: 8224552393 Enrollment ID: I20250410000809 |
| Provider Name | Mahwish Shujaa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891582243 PECOS PAC ID: 6204351182 Enrollment ID: I20250423002422 |
| Provider Name | Mohamed Mohamed Rahouma Ahmed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235800178 PECOS PAC ID: 7911423512 Enrollment ID: I20250428000947 |
| Provider Name | Shilpa Arcot |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275280919 PECOS PAC ID: 2567988504 Enrollment ID: I20250502000514 |
| Provider Name | Somtochi Udekwe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700674645 PECOS PAC ID: 2567981541 Enrollment ID: I20250522001270 |
| Provider Name | Cherryl Premdass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124274089 PECOS PAC ID: 3476790353 Enrollment ID: I20250522001273 |
| Provider Name | Sami Ahmed Ishag Salih |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639960701 PECOS PAC ID: 1951820943 Enrollment ID: I20250522001561 |
| Provider Name | Nicholas Baialardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801607866 PECOS PAC ID: 6709305006 Enrollment ID: I20250529001276 |
| Provider Name | Manjyot K Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467348557 PECOS PAC ID: 1456863158 Enrollment ID: I20250626001199 |
| Provider Name | Smarika Baral |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962392928 PECOS PAC ID: 5092220582 Enrollment ID: I20250714003534 |
| Provider Name | Pavan Bolla |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790670834 PECOS PAC ID: 8921513169 Enrollment ID: I20250716000665 |
| Provider Name | Eman Alamin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1285525014 PECOS PAC ID: 0648786558 Enrollment ID: I20250718000869 |
| Provider Name | Usman Bhatti |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1154212892 PECOS PAC ID: 9830605609 Enrollment ID: I20250718002271 |
| Provider Name | Motisola Lewis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578207791 PECOS PAC ID: 3072012194 Enrollment ID: I20250815003499 |
| Provider Name | Nurlan Davletalinov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124905179 PECOS PAC ID: 8224539705 Enrollment ID: I20250827002539 |
| Provider Name | Caroline Antony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043199631 PECOS PAC ID: 5597267435 Enrollment ID: I20250909000552 |
| Provider Name | Anahit Mkrtchyan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063393999 PECOS PAC ID: 5890299291 Enrollment ID: I20250918002856 |
| Provider Name | Evelyn Agu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972484897 PECOS PAC ID: 5395249304 Enrollment ID: I20250922000688 |
| Provider Name | Fernando Aguilera |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1215336623 PECOS PAC ID: 5597044594 Enrollment ID: I20250925003256 |
| Provider Name | Tetiana Ustinov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124606421 PECOS PAC ID: 1557858396 Enrollment ID: I20251015000060 |
| Provider Name | Susmeet Sunil Tailor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225903214 PECOS PAC ID: 9335637446 Enrollment ID: I20251021003784 |
| Provider Name | Olaniyi David Ogundeji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568350643 PECOS PAC ID: 2769971852 Enrollment ID: I20251029002331 |
| Provider Name | Asif Mohammed Shaikh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720956832 PECOS PAC ID: 2163912080 Enrollment ID: I20251107002695 |
| Provider Name | Swapneel Tailor |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700753076 PECOS PAC ID: 1557851300 Enrollment ID: I20251110000519 |
| Provider Name | Olubunmi Abigail Olojede |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023981628 PECOS PAC ID: 0941792295 Enrollment ID: I20251124002594 |
| Provider Name | Fatima a Bhutta |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1699517979 PECOS PAC ID: 7911490933 Enrollment ID: I20251208000467 |
| Provider Name | Monica Beatriz Arriola |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073476065 PECOS PAC ID: 9830683101 Enrollment ID: I20251213000387 |
| Provider Name | Mark Matus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780388165 PECOS PAC ID: 8123560307 Enrollment ID: I20251219002441 |
| Provider Name | Marike Van Niekerk |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184573651 PECOS PAC ID: 0749760346 Enrollment ID: I20260213000784 |
Rajesh Kalra M.d P.C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 178-11 Union Turnpike, Fresh Meadows, NY 11366 Phone: 516-729-7282 |
Metar Medical PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7716 164th St, Fresh Meadows, NY 11366 Phone: 718-969-6100 Fax: 718-969-6103 |
Bamshad Medical PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6925 170th St, Fresh Meadows, NY 11365 Phone: 646-217-2730 |
Crysti Mincey NP in Adult Health PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6143 186th St Ste 550, Fresh Meadows, NY 11365 Phone: 929-671-7849 Fax: 574-406-7610 |
Sara Malakov Medical PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7119 162nd St # Cf-c, Fresh Meadows, NY 11365 Phone: 718-475-0500 |
Frank Evanov MD PC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 19303 Union Tpke, Fresh Meadows, NY 11366 Phone: 718-217-8400 |