| R Joudeh Medical Pavilion, Pllc | |
|
466 Bay Ridge Ave Brooklyn NY 11220-5906 | |
| (718) 491-2003 | |
| (718) 491-2007 |
| Full Name | R Joudeh Medical Pavilion, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 466 Bay Ridge Ave, Brooklyn, New York |
| Authorized Official Name and Position | Ramsey Joudeh (SOLE MEMBER) |
| Authorized Official Contact | 7184912003 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| R Joudeh Medical Pavilion, Pllc 466 Bay Ridge Ave Brooklyn NY 11220-5906 Ph: (718) 491-2003 | R Joudeh Medical Pavilion, Pllc 466 Bay Ridge Ave Brooklyn NY 11220-5906 Ph: (718) 491-2003 |
| NPI Number | 1134504376 |
|---|---|
| Provider Enumeration Date | 07/29/2015 |
| Last Update Date | 12/14/2015 |
| Medicare PECOS PAC ID | 8527360700 |
|---|---|
| Medicare Enrollment ID | O20160105001360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134504376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 276139 (New York) | Primary |
| Provider Name | Samir Haddad |
|---|---|
| Provider Type | Practitioner - Neuropsychiatry |
| Provider Identifiers | NPI Number: 1841248234 PECOS PAC ID: 2860380086 Enrollment ID: I20040309000898 |
| Provider Name | Grigory Shtender |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1952316614 PECOS PAC ID: 1850375635 Enrollment ID: I20040617001142 |
| Provider Name | Leonid Goldin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770631186 PECOS PAC ID: 1951359736 Enrollment ID: I20050107000845 |
| Provider Name | Basel Alhaddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487741120 PECOS PAC ID: 7810903812 Enrollment ID: I20060228000807 |
| Provider Name | Adib Alhaddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124118831 PECOS PAC ID: 7416959085 Enrollment ID: I20070210000121 |
| Provider Name | Mohammad S Ibrahim |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1114938404 PECOS PAC ID: 7719080522 Enrollment ID: I20070316000020 |
| Provider Name | Omar S Duqmaq |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245418706 PECOS PAC ID: 9436290913 Enrollment ID: I20100106000118 |
| Provider Name | Julya A Keselman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1881917748 PECOS PAC ID: 0648303982 Enrollment ID: I20100806000167 |
| Provider Name | George A Apergis |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1760657183 PECOS PAC ID: 9234317124 Enrollment ID: I20110623000521 |
| Provider Name | Christos L Paras |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437314457 PECOS PAC ID: 1951597236 Enrollment ID: I20120124000961 |
| Provider Name | Ihab Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083876809 PECOS PAC ID: 9638308240 Enrollment ID: I20140130001759 |
| Provider Name | Ramsey Joudeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174819353 PECOS PAC ID: 3274752639 Enrollment ID: I20140917000160 |
| Provider Name | Jean Atallah-vinograd |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942444393 PECOS PAC ID: 3173835816 Enrollment ID: I20150708002729 |
| Provider Name | Mohammad Z Rimawi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952752248 PECOS PAC ID: 2264787928 Enrollment ID: I20180620002156 |
| Provider Name | Nichole Leahna Adams |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871771790 PECOS PAC ID: 9032450200 Enrollment ID: I20190416002875 |
| Provider Name | Michelle Clay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851837967 PECOS PAC ID: 8426461724 Enrollment ID: I20210105003057 |
| Provider Name | Nermeen Botros |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114440229 PECOS PAC ID: 6800204827 Enrollment ID: I20210412002389 |
| Provider Name | Tanya Zarkhina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710602552 PECOS PAC ID: 4880068139 Enrollment ID: I20230328001432 |
| Provider Name | Juliana Raslan Aziz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538842729 PECOS PAC ID: 4385098516 Enrollment ID: I20230921003191 |
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