| Sjr Medical, Pc | |
|
1088 North Broadway Yonkers NY 10701 | |
| (914) 207-0004 | |
| (914) 965-0107 |
| Full Name | Sjr Medical, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1088 North Broadway, Yonkers, New York |
| Authorized Official Name and Position | Paul P. Antonecchia (M.D) |
| Authorized Official Contact | 9149644965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sjr Medical, Pc Po Box 998 Attn: Riverside Management Services Org Yonkers NY 10703-0998 Ph: (914) 966-9787 | Sjr Medical, Pc 1088 North Broadway Yonkers NY 10701 Ph: (914) 207-0004 |
| NPI Number | 1366468936 |
|---|---|
| Provider Enumeration Date | 07/15/2006 |
| Last Update Date | 07/23/2021 |
| Medicare PECOS PAC ID | 5991608440 |
|---|---|
| Medicare Enrollment ID | O20040130000847 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366468936 | NPI | - | NPPES |
| 02384247 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Michael Schreiber |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659307734 PECOS PAC ID: 7315859865 Enrollment ID: I20031103000536 |
| Provider Name | Robert E Dematteo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083610125 PECOS PAC ID: 5092627554 Enrollment ID: I20031103000557 |
| Provider Name | Venkatesh Sawkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588647242 PECOS PAC ID: 7113821893 Enrollment ID: I20031124000579 |
| Provider Name | Binod P Shah |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1346334604 PECOS PAC ID: 5395630073 Enrollment ID: I20040220000450 |
| Provider Name | Ana S Androne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295744902 PECOS PAC ID: 9931099058 Enrollment ID: I20040319001031 |
| Provider Name | Jose A Martinez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619072154 PECOS PAC ID: 9234121948 Enrollment ID: I20040401001168 |
| Provider Name | Louis C Androne |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518976000 PECOS PAC ID: 1355338088 Enrollment ID: I20040426001851 |
| Provider Name | Carol O Iheagwara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376560870 PECOS PAC ID: 8426047366 Enrollment ID: I20040507000117 |
| Provider Name | Binaya Shrestha |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1346343639 PECOS PAC ID: 4486643012 Enrollment ID: I20040510000575 |
| Provider Name | David E Lent |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1942289541 PECOS PAC ID: 6709876519 Enrollment ID: I20040513001595 |
| Provider Name | Kesavarao Mittapalli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043258023 PECOS PAC ID: 4284613522 Enrollment ID: I20040719001237 |
| Provider Name | Prasert Itharat |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1043254865 PECOS PAC ID: 4284614397 Enrollment ID: I20040721000110 |
| Provider Name | Eric M Spencer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1245219856 PECOS PAC ID: 0244202851 Enrollment ID: I20040812000537 |
| Provider Name | Theodore I Nowakiwskyj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699744318 PECOS PAC ID: 3274592472 Enrollment ID: I20041116000741 |
| Provider Name | Charles Edelson |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1578542296 PECOS PAC ID: 9032173133 Enrollment ID: I20041118000206 |
| Provider Name | Andrew M Fader |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689747248 PECOS PAC ID: 4880639525 Enrollment ID: I20050623000313 |
| Provider Name | Thomas R Apuzzo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750459921 PECOS PAC ID: 2365471877 Enrollment ID: I20050804001103 |
| Provider Name | Lester N Dennis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1669474995 PECOS PAC ID: 5092730085 Enrollment ID: I20051010000077 |
| Provider Name | Orest J Kozicky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861496481 PECOS PAC ID: 1254346992 Enrollment ID: I20060216000118 |
| Provider Name | Klaudia Nowakiwskyj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790742104 PECOS PAC ID: 2365453255 Enrollment ID: I20060505000910 |
| Provider Name | Linda Beyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790711786 PECOS PAC ID: 3274546866 Enrollment ID: I20060727000161 |
| Provider Name | Marlene D Galizi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568436319 PECOS PAC ID: 2668472069 Enrollment ID: I20070109000415 |
| Provider Name | Rolando J Chumaceiro |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578678900 PECOS PAC ID: 4587660113 Enrollment ID: I20070720000384 |
| Provider Name | Michael Digiorno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366409229 PECOS PAC ID: 8820175490 Enrollment ID: I20080407000310 |
| Provider Name | Savely Meyerzon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730357088 PECOS PAC ID: 7517014533 Enrollment ID: I20090409000066 |
| Provider Name | Christopher J Digiorno |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356589725 PECOS PAC ID: 6406905504 Enrollment ID: I20090608000037 |
| Provider Name | Michel-ange Camille |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164452009 PECOS PAC ID: 4082769617 Enrollment ID: I20090903000668 |
| Provider Name | Nirav S Patel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992951925 PECOS PAC ID: 3678612231 Enrollment ID: I20091120000454 |
| Provider Name | Adnan Yunus |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174843213 PECOS PAC ID: 0941326391 Enrollment ID: I20100923000387 |
| Provider Name | Lawrence Fayez Neshiwat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003832437 PECOS PAC ID: 9638243538 Enrollment ID: I20101220000091 |
| Provider Name | Dean S Spellman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1578574935 PECOS PAC ID: 2769583855 Enrollment ID: I20110223000671 |
| Provider Name | Gayle T Newshan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568495786 PECOS PAC ID: 3173707833 Enrollment ID: I20110405000785 |
| Provider Name | Jolly Mathew |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1881782985 PECOS PAC ID: 6204994015 Enrollment ID: I20120131000653 |
| Provider Name | Mario Voloshin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063673416 PECOS PAC ID: 5799948279 Enrollment ID: I20120618000142 |
| Provider Name | Maria Lufrano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639326424 PECOS PAC ID: 6204087000 Enrollment ID: I20121102000379 |
| Provider Name | Ashok C Chopra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174887830 PECOS PAC ID: 8729228929 Enrollment ID: I20130711000720 |
| Provider Name | Wei Cheng |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699938142 PECOS PAC ID: 2860634334 Enrollment ID: I20130813000292 |
| Provider Name | Paul P Antonecchia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437178860 PECOS PAC ID: 0042273278 Enrollment ID: I20131220001176 |
| Provider Name | Andrei Klein |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1184924565 PECOS PAC ID: 3274762687 Enrollment ID: I20140206000074 |
| Provider Name | Evelyn Y Santamaria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043621170 PECOS PAC ID: 7618196494 Enrollment ID: I20140909001449 |
| Provider Name | Katherine L Elliott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093784381 PECOS PAC ID: 0547587651 Enrollment ID: I20150331000956 |
| Provider Name | Stephen A Erosa |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760825210 PECOS PAC ID: 8325395957 Enrollment ID: I20180727000509 |
| Provider Name | Mark W Kozicky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891058228 PECOS PAC ID: 5193060606 Enrollment ID: I20190102001464 |
| Provider Name | Shalom Z Frager |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1740523125 PECOS PAC ID: 2567885890 Enrollment ID: I20200706001113 |
| Provider Name | Marc M Fafalak |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1629504741 PECOS PAC ID: 8022352632 Enrollment ID: I20201105002739 |
| Provider Name | Marlene Damian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861085334 PECOS PAC ID: 4789091091 Enrollment ID: I20210405001080 |
| Provider Name | Denise M Ciardullo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508417825 PECOS PAC ID: 2062821432 Enrollment ID: I20210514002127 |
| Provider Name | Mark N Sayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700374360 PECOS PAC ID: 6103160643 Enrollment ID: I20210810003477 |
| Provider Name | Kiranprit Kaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1306333968 PECOS PAC ID: 2567726607 Enrollment ID: I20220511002213 |
| Provider Name | Ghassan P Sayegh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164874186 PECOS PAC ID: 5294118493 Enrollment ID: I20220822001560 |
| Provider Name | George Kk Banning |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184120727 PECOS PAC ID: 6002292232 Enrollment ID: I20220926002060 |
| Provider Name | Travis B Howlette |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164953949 PECOS PAC ID: 8527304047 Enrollment ID: I20221212000111 |
| Provider Name | Kristie A Cannova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225622756 PECOS PAC ID: 3072986629 Enrollment ID: I20230301000416 |
| Provider Name | Frederic Wien |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639141054 PECOS PAC ID: 5496728685 Enrollment ID: I20231121000277 |
| Provider Name | Sylvia Hawkins |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1134904592 PECOS PAC ID: 0446608756 Enrollment ID: I20231128000738 |
| Provider Name | Marissa Lau |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1013623651 PECOS PAC ID: 5890143101 Enrollment ID: I20231128000791 |
Blue Dot Medical Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 970 N Broadway Ste 104, Yonkers, NY 10701 Phone: 914-886-2446 Fax: 914-631-3850 | |
Mmc Cross County Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Cross County Practice, 1010 Central Avenue, Yonkers, NY 10704 Phone: 914-377-4722 | |
Jose L. Lantin, Md, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1086 N Broadway Ste 50, Yonkers, NY 10701 Phone: 929-441-6911 Fax: 607-246-5337 | |
Montefiore Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Corporate Blvd S, Suite 200, Yonkers, NY 10701 Phone: 914-709-3800 | |
Maggie Tavdy Endocrinology Metabolism, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 875 Yonkers Ave, Yonkers, NY 10704 Phone: 914-237-4377 Fax: 914-375-4405 | |
Endocrinology, Diabetes And Osteoporosis Consultants Llp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 770b Mclean Ave, Yonkers, NY 10704 Phone: 914-237-3636 Fax: 914-237-6319 | |
Mohsin Qadri Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Chase Ave, Yonkers, NY 10703 Phone: 646-269-5558 |