| Rani Medical, Pc | |
|
3350 Victory Blvd Unit #a Staten Island NY 10314-6700 | |
| (718) 934-6714 | |
| Not Available |
| Full Name | Rani Medical, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 3350 Victory Blvd, Staten Island, New York |
| Authorized Official Name and Position | Pramod Sanghi (PRESIDENT) |
| Authorized Official Contact | 7346266735 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rani Medical, Pc 3350 Victory Blvd Unit #a Staten Island NY 10314-6700 Ph: () - | Rani Medical, Pc 3350 Victory Blvd Unit #a Staten Island NY 10314-6700 Ph: (718) 934-6714 |
| NPI Number | 1629474283 |
|---|---|
| Provider Enumeration Date | 11/10/2014 |
| Last Update Date | 12/13/2021 |
| Medicare PECOS PAC ID | 7315339447 |
|---|---|
| Medicare Enrollment ID | O20220121000524 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629474283 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 272095 (New York) | Primary |
| Provider Name | Nachmy Bronstein |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1568535342 PECOS PAC ID: 4082526306 Enrollment ID: I20031104000422 |
| Provider Name | Elaine R Williams |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1710959945 PECOS PAC ID: 4082606561 Enrollment ID: I20040402000629 |
| Provider Name | Lyudmila Poretskaya |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1558386409 PECOS PAC ID: 7315938008 Enrollment ID: I20040520001582 |
| Provider Name | Joseph F Dorsten |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1477590396 PECOS PAC ID: 2062493117 Enrollment ID: I20040526000095 |
| Provider Name | Shan Nagendra |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1164533659 PECOS PAC ID: 2062467442 Enrollment ID: I20050526000575 |
| Provider Name | Billy Ford |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1871524538 PECOS PAC ID: 4486675063 Enrollment ID: I20051210000083 |
| Provider Name | Jose Paul Loor |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1982906723 PECOS PAC ID: 4880864875 Enrollment ID: I20120920000071 |
| Provider Name | Pramod Sanghi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285845370 PECOS PAC ID: 0547354003 Enrollment ID: I20151005002185 |
| Provider Name | Shilpika R Varma |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104196211 PECOS PAC ID: 9739323858 Enrollment ID: I20160224001530 |
| Provider Name | Nicole Hidalgo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093264079 PECOS PAC ID: 4082021613 Enrollment ID: I20210329000520 |
| Provider Name | Mishkina Terrane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528667409 PECOS PAC ID: 0941608053 Enrollment ID: I20211004002512 |
| Provider Name | Shana Malette |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972193845 PECOS PAC ID: 8820496193 Enrollment ID: I20211018002274 |
| Provider Name | Elisabeth H Supp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023775798 PECOS PAC ID: 2163814278 Enrollment ID: I20220124001370 |
| Provider Name | Kayla Lynn Barry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902532492 PECOS PAC ID: 6002271533 Enrollment ID: I20230504002761 |
| Provider Name | Annmarie Andersen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831652874 PECOS PAC ID: 9830556166 Enrollment ID: I20230601001110 |
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