| Richmond Physician Group | |
|
91 Tompkins Ave Staten Island NY 10304-2601 | |
| (718) 931-9700 | |
| Not Available |
| Full Name | Richmond Physician Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 91 Tompkins Ave, Staten Island, New York |
| Authorized Official Name and Position | Kenneth Rozenberg (MEMBER) |
| Authorized Official Contact | 7189319700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richmond Physician Group 4770 White Plains Rd Bronx NY 10470-1104 Ph: (718) 931-9700 | Richmond Physician Group 91 Tompkins Ave Staten Island NY 10304-2601 Ph: (718) 931-9700 |
| NPI Number | 1396003182 |
|---|---|
| Provider Enumeration Date | 04/30/2012 |
| Last Update Date | 12/31/2019 |
| Medicare PECOS PAC ID | 2365601093 |
|---|---|
| Medicare Enrollment ID | O20130122000209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396003182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Syed M Ali |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144316639 PECOS PAC ID: 2860440831 Enrollment ID: I20050106000185 |
| Provider Name | Susan Jacobowitz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1306812441 PECOS PAC ID: 6204868813 Enrollment ID: I20050902000737 |
| Provider Name | Christin Montalbano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1093700510 PECOS PAC ID: 8729188321 Enrollment ID: I20070711000935 |
| Provider Name | Fouzia Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750569075 PECOS PAC ID: 0648349456 Enrollment ID: I20080520000558 |
| Provider Name | Georges R Ramalanjaona |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104811785 PECOS PAC ID: 4587688429 Enrollment ID: I20081119000554 |
| Provider Name | Amit Saxena |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851507362 PECOS PAC ID: 6507927977 Enrollment ID: I20081203000531 |
| Provider Name | Gifty J Appiah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730345745 PECOS PAC ID: 6406905249 Enrollment ID: I20090527000272 |
| Provider Name | Vladimir Lekht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023208386 PECOS PAC ID: 5496895302 Enrollment ID: I20091224000044 |
| Provider Name | William E Putman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245226778 PECOS PAC ID: 5597898882 Enrollment ID: I20100806000790 |
| Provider Name | Ambreen Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063564268 PECOS PAC ID: 2163618406 Enrollment ID: I20101129000173 |
| Provider Name | Peyman Eli Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20110202000565 |
| Provider Name | Jean Yves Dastain |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1417213299 PECOS PAC ID: 0143479576 Enrollment ID: I20120928000661 |
| Provider Name | Oluwatoyin Alonge |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467883819 PECOS PAC ID: 0244462687 Enrollment ID: I20140417000009 |
| Provider Name | Stephanie Adigun Akunne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962809392 PECOS PAC ID: 7911220843 Enrollment ID: I20141230001625 |
| Provider Name | Nandita Sinha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093063976 PECOS PAC ID: 4284952789 Enrollment ID: I20150414000059 |
| Provider Name | Alaaddin Sharha |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1073908943 PECOS PAC ID: 3870804628 Enrollment ID: I20150619000814 |
| Provider Name | Lewis Rogatnick |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1780680389 PECOS PAC ID: 1052209590 Enrollment ID: I20160511000407 |
| Provider Name | Louis C Marotta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578794731 PECOS PAC ID: 1153611074 Enrollment ID: I20160606001972 |
| Provider Name | Ricardo Mowassee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316393051 PECOS PAC ID: 9638461940 Enrollment ID: I20160707000412 |
| Provider Name | Manjit Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477001253 PECOS PAC ID: 7416237953 Enrollment ID: I20161129002242 |
| Provider Name | Sobha Panicker-thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134678022 PECOS PAC ID: 9739462599 Enrollment ID: I20170202000518 |
| Provider Name | Jong Ok Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396283479 PECOS PAC ID: 0042594103 Enrollment ID: I20170309000986 |
| Provider Name | Lotoya Kadeshia Lewin-harris Bey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205201332 PECOS PAC ID: 6002177672 Enrollment ID: I20180221002800 |
| Provider Name | Shayla Shachi |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1144762329 PECOS PAC ID: 2365704582 Enrollment ID: I20180327002190 |
| Provider Name | Arash Arvin |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1982048872 PECOS PAC ID: 5092078907 Enrollment ID: I20180405002386 |
| Provider Name | Andrea L Evola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477006443 PECOS PAC ID: 6204175102 Enrollment ID: I20190311000993 |
| Provider Name | Yun S Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528603479 PECOS PAC ID: 2860827979 Enrollment ID: I20200120000064 |
| Provider Name | Maryanne Onitolo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861645160 PECOS PAC ID: 3971918061 Enrollment ID: I20210223003001 |
| Provider Name | Christine Louise Lutrario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932718855 PECOS PAC ID: 5294127627 Enrollment ID: I20220117000355 |
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