Physician Affiliate Group Of New York Pc - Medicare Dietitian in New York, NY

Physician Affiliate Group Of New York Pc is a medicare enrolled "Dietitian, Registered" provider in New York, New York. Their current practice location is 506 Lenox Ave, New York, New York. You can reach out to their office (for appointments etc.) via phone at (212) 939-2467.

Physician Affiliate Group Of New York Pc is licensed to practice in New York (license number 001002) and it also participates in the medicare program. Physician Affiliate Group Of New York Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1013375526.

Contact Information

Physician Affiliate Group Of New York Pc
506 Lenox Ave,
New York, NY 10037-1802
(212) 939-2467
Not Available

Map and Direction




Healthcare Provider's Profile

Full NamePhysician Affiliate Group Of New York Pc
TypeFacility
SpecialityDietitian, Registered
Location506 Lenox Ave, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013375526
  • Provider Enumeration Date: 01/29/2016
  • Last Update Date: 09/15/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4688098833
  • Enrollment ID: O20200721001270

Medical Identifiers

Medical identifiers for Physician Affiliate Group Of New York Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013375526NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 001002 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Physician Affiliate Group Of New York Pc acts as a billing entity for following providers:
Provider NameRajendra K Bansal
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1588627988
PECOS PAC ID: 1951213404
Enrollment ID: I20031103000538
Provider NameIssac E Moradi
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1598742637
PECOS PAC ID: 2769395557
Enrollment ID: I20031107000429
Provider NameLeroy Herbert
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285635953
PECOS PAC ID: 7719882109
Enrollment ID: I20031126000488
Provider NameSofya Kagan
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1518041243
PECOS PAC ID: 8022913300
Enrollment ID: I20031201000167
Provider NameAmalia Merson
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992877419
PECOS PAC ID: 0840195020
Enrollment ID: I20031201000688
Provider NameRajeswari Pingle
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326048463
PECOS PAC ID: 8022914860
Enrollment ID: I20031211000324
Provider NameRam P Tiwari
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1538181730
PECOS PAC ID: 8921904541
Enrollment ID: I20031212000183
Provider NameSumankumar S Brahmbhatt
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1962456814
PECOS PAC ID: 9234036625
Enrollment ID: I20031215000475
Provider NameBruce C Cohen
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1427141696
PECOS PAC ID: 4183523368
Enrollment ID: I20040107000361
Provider NameVladimir K Gotlieb
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1073516142
PECOS PAC ID: 4789586306
Enrollment ID: I20040123000739
Provider NameDeborah Shapiro
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1306869078
PECOS PAC ID: 8426950643
Enrollment ID: I20040127000129
Provider NameAlan H Tafler
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1275516288
PECOS PAC ID: 2961395512
Enrollment ID: I20040206000094
Provider NameDenton B Allman
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1053370304
PECOS PAC ID: 6204726938
Enrollment ID: I20040317000704
Provider NameAlexis D Boro
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1457436131
PECOS PAC ID: 5395635569
Enrollment ID: I20040319000523
Provider NameGreg Kaufman
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1679658744
PECOS PAC ID: 5799676714
Enrollment ID: I20040322000177
Provider NameMila Yakoby
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1851300206
PECOS PAC ID: 8426940602
Enrollment ID: I20040325000425
Provider NameFrank D Ratzken
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1942295613
PECOS PAC ID: 0941192686
Enrollment ID: I20040326000984
Provider NameIbrahim Naim Soliman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891702379
PECOS PAC ID: 6305838582
Enrollment ID: I20040330001154
Provider NameDaniel Lasser
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1811084999
PECOS PAC ID: 2062404775
Enrollment ID: I20040401001161
Provider NameDebra A Taubel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1407801160
PECOS PAC ID: 7214929892
Enrollment ID: I20040401001672
Provider NameFenar Themistocle
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1518968916
PECOS PAC ID: 8426040973
Enrollment ID: I20040402000415
Provider NameMurray David Schwalb
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1851368468
PECOS PAC ID: 5597757054
Enrollment ID: I20040402000515
Provider NameJames P Casper
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1013014729
PECOS PAC ID: 4688668072
Enrollment ID: I20040408001547
Provider NameAubrey L Freiberg
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1659458784
PECOS PAC ID: 9133113426
Enrollment ID: I20040410000013
Provider NameDefne Nayman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1215078472
PECOS PAC ID: 4880689678
Enrollment ID: I20040420000422
Provider NameMary See
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1316939150
PECOS PAC ID: 8123013851
Enrollment ID: I20040420000784
Provider NameJay G Hochsztein
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134212301
PECOS PAC ID: 0446246169
Enrollment ID: I20040420001490
Provider NamePreeti Kishore
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1477634806
PECOS PAC ID: 2365438587
Enrollment ID: I20040422001528
Provider NameRobert L Davis
Provider TypePractitioner - Interventional Pain Management
Provider IdentifiersNPI Number: 1942279054
PECOS PAC ID: 8022004886
Enrollment ID: I20040426000524
Provider NameAlice F Seidler
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1215025333
PECOS PAC ID: 3072500537
Enrollment ID: I20040427000962
Provider NameSreedhar Kallakuri
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1285645028
PECOS PAC ID: 3072500313
Enrollment ID: I20040428000689
Provider NameMohammed S Nizam
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1407895089
PECOS PAC ID: 5294722591
Enrollment ID: I20040428001151
Provider NameRakhmin Yusupov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710996186
PECOS PAC ID: 3577550722
Enrollment ID: I20040428001587
Provider NameArash Gohari
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1134120983
PECOS PAC ID: 2769479740
Enrollment ID: I20040429001602
Provider NameLeonid Shegelman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1639182066
PECOS PAC ID: 2062400922
Enrollment ID: I20040501000161
Provider NameTasbeeh Fatima
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1972657997
PECOS PAC ID: 3678561032
Enrollment ID: I20040504000946
Provider NameNicole G Simon
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1922014596
PECOS PAC ID: 8426046657
Enrollment ID: I20040505000580
Provider NameKecia Gaither
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1174569586
PECOS PAC ID: 2062400062
Enrollment ID: I20040505001818
Provider NameSilvia Bercovici
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1639184294
PECOS PAC ID: 0244220861
Enrollment ID: I20040515000277
Provider NameFrantz R Atwell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1285629162
PECOS PAC ID: 3870583149
Enrollment ID: I20040518000044
Provider NameMarina Margulis
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376558817
PECOS PAC ID: 7719978618
Enrollment ID: I20040519001669
Provider NameKevin W Mennitt
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1487678603
PECOS PAC ID: 2365433836
Enrollment ID: I20040522000041
Provider NameAdel S El-hennawy
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1861403180
PECOS PAC ID: 9931180452
Enrollment ID: I20040528000894
Provider NameArthur Harris
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1720152424
PECOS PAC ID: 2163403668
Enrollment ID: I20040529000015
Provider NameStephen Chan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1386672053
PECOS PAC ID: 8628059029
Enrollment ID: I20040529000107
Provider NameLazar Popilevsky
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1568474021
PECOS PAC ID: 6406837822
Enrollment ID: I20040601000159
Provider NameSarwat K Amer
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1467435586
PECOS PAC ID: 6103808563
Enrollment ID: I20040601001248
Provider NameTatyana P Poblaguyev
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366528549
PECOS PAC ID: 3274528336
Enrollment ID: I20040602001507
Provider NameClaude Macaluso
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1306930300
PECOS PAC ID: 9638152853
Enrollment ID: I20040609001054
Provider NameChristopher Kruger
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1205815453
PECOS PAC ID: 2264415330
Enrollment ID: I20040609001519
Provider NameMuhammad Abdullah
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1053312645
PECOS PAC ID: 5496738320
Enrollment ID: I20040610001349
Provider NameAndrea M Nissenbaum
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255342325
PECOS PAC ID: 7113901703
Enrollment ID: I20040614000108
Provider NameLyubov Y Gorelik
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1528071545
PECOS PAC ID: 2062496581
Enrollment ID: I20040614001147
Provider NameClifford Glatzer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174534358
PECOS PAC ID: 3779567243
Enrollment ID: I20040614001489
Provider NameRichard G Conway
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235140542
PECOS PAC ID: 1052395431
Enrollment ID: I20040614001658
Provider NameMarcia C Deitz
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1952419665
PECOS PAC ID: 5991789398
Enrollment ID: I20040615000070
Provider NameEvan A Brathwaite
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386677656
PECOS PAC ID: 9133103484
Enrollment ID: I20040615001175
Provider NameMichael Lee Frankenthaler
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1275683187
PECOS PAC ID: 8022092907
Enrollment ID: I20040617000335
Provider NameSteven E Siegel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710998893
PECOS PAC ID: 4385628056
Enrollment ID: I20040618000073
Provider NameKoteswararao Popuri
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1679515209
PECOS PAC ID: 9830174937
Enrollment ID: I20040622001595
Provider NameArtem Babayan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1982623104
PECOS PAC ID: 0648256057
Enrollment ID: I20040626000240
Provider NameWinston Lee
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1396709143
PECOS PAC ID: 5698751568
Enrollment ID: I20040629001591
Provider NameDeborah Reynolds
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1376719492
PECOS PAC ID: 6608853163
Enrollment ID: I20040701001380
Provider NameRonald M Saintonge
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1205888203
PECOS PAC ID: 7416935200
Enrollment ID: I20040708001270
Provider NameTatyana Karachun
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1154350429
PECOS PAC ID: 8022096270
Enrollment ID: I20040713000690
Provider NameAllan J Jacobs
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1669435962
PECOS PAC ID: 4880673540
Enrollment ID: I20040715001326
Provider NameGeorge J Juang
Provider TypePractitioner - Cardiac Electrophysiology
Provider IdentifiersNPI Number: 1003802547
PECOS PAC ID: 3577542299
Enrollment ID: I20040716000245
Provider NameLorna C Co
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558390666
PECOS PAC ID: 0143124990
Enrollment ID: I20040719001273
Provider NameRobert H Leviton
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1164590139
PECOS PAC ID: 2769453927
Enrollment ID: I20040803000426
Provider NameNaheed Ansari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134208374
PECOS PAC ID: 2163494105
Enrollment ID: I20040810000656
Provider NameJohn Peter Koulos
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1760408512
PECOS PAC ID: 3870566292
Enrollment ID: I20040814000155
Provider NamePratap K Gadangi
Provider TypePractitioner - Colorectal Surgery (proctology)
Provider IdentifiersNPI Number: 1982621512
PECOS PAC ID: 8729051933
Enrollment ID: I20040817000002
Provider NameMartin Fletcher
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1497791081
PECOS PAC ID: 0547233751
Enrollment ID: I20040817000004
Provider NameCarlos G Forcade
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1093792236
PECOS PAC ID: 9032182092
Enrollment ID: I20040817001220
Provider NameVikram V Duvvi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1003995523
PECOS PAC ID: 9739153321
Enrollment ID: I20040820000164
Provider NameNitin P Ron
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1558459578
PECOS PAC ID: 5294709481
Enrollment ID: I20040824000153
Provider NameAndrea A Howard
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1588754329
PECOS PAC ID: 7416922059
Enrollment ID: I20040827000806
Provider NameJohn W Trillo
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1245345495
PECOS PAC ID: 1658347463
Enrollment ID: I20040902001198
Provider NameMoiz Mansur Kasubhai
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164596458
PECOS PAC ID: 5092781773
Enrollment ID: I20040903000275
Provider NameAmarjit Gill
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932122041
PECOS PAC ID: 4486620002
Enrollment ID: I20040906000000
Provider NameM Zakir Sabry
Provider TypePractitioner - Plastic And Reconstructive Surgery
Provider IdentifiersNPI Number: 1235184516
PECOS PAC ID: 6901872340
Enrollment ID: I20040907001070
Provider NameAlexander Shilkrut
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1801862529
PECOS PAC ID: 5395711329
Enrollment ID: I20040909001093
Provider NamePrajoy Kadkade
Provider TypePractitioner - Otolaryngology
Provider IdentifiersNPI Number: 1487687851
PECOS PAC ID: 1355318353
Enrollment ID: I20040910000192
Provider NameSatyagnani M Nagubandi
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1649297599
PECOS PAC ID: 1658348503
Enrollment ID: I20040911000022
Provider NameRaphael Novogrodsky
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1134161201
PECOS PAC ID: 0244207546
Enrollment ID: I20040915000963
Provider NameJon D Kirwin
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1093783078
PECOS PAC ID: 7416925029
Enrollment ID: I20040921001352
Provider NameLewis W Marshall
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841297223
PECOS PAC ID: 0042289050
Enrollment ID: I20040927001096
Provider NameAlan Michael Kantor
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1932100781
PECOS PAC ID: 3072572015
Enrollment ID: I20041006000611
Provider NameDusan I Pekovic
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1568532687
PECOS PAC ID: 1557321072
Enrollment ID: I20041018001196
Provider NameAnna Shostak
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1447275730
PECOS PAC ID: 6204896723
Enrollment ID: I20041018001254
Provider NameBrian K Davis-joseph
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1376575464
PECOS PAC ID: 6800857079
Enrollment ID: I20041020001409
Provider NameHans Leonhard Stohrer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1164442950
PECOS PAC ID: 8527029693
Enrollment ID: I20041021000864
Provider NameJulia E Vargas-jerez
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1780603324
PECOS PAC ID: 6709849474
Enrollment ID: I20041104000775
Provider NameAli Safavi
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1295728772
PECOS PAC ID: 6406819044
Enrollment ID: I20041104001230
Provider NameNatalia Elkin
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1306932991
PECOS PAC ID: 0042273583
Enrollment ID: I20041105000792
Provider NameBun B Jim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639267834
PECOS PAC ID: 4082677331
Enrollment ID: I20041108000472
Provider NameLawrence B Wolf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518929058
PECOS PAC ID: 3173588944
Enrollment ID: I20041122000671
Provider NameLijun Weng
Provider TypePractitioner - Nuclear Medicine
Provider IdentifiersNPI Number: 1447297924
PECOS PAC ID: 2668437898
Enrollment ID: I20041129000922
Provider NameDora G Soybelman
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1497749535
PECOS PAC ID: 2163488743
Enrollment ID: I20041206000500
Provider NameReynold L Trowers
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1811080575
PECOS PAC ID: 7618934647
Enrollment ID: I20041211000086
Provider NameYemina D Warshaver
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1942268685
PECOS PAC ID: 4183681968
Enrollment ID: I20041213001088
Provider NameQasim Siraj Sheikh
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1659395788
PECOS PAC ID: 5193782605
Enrollment ID: I20041216000453
Provider NameSayera Haque
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023060910
PECOS PAC ID: 4688631104
Enrollment ID: I20041216000503
Provider NameRichard B Rafal
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1164422689
PECOS PAC ID: 8426015801
Enrollment ID: I20041216001123
Provider NameGerald J Matthews
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1982681813
PECOS PAC ID: 3577520873
Enrollment ID: I20041218000118
Provider NameHerman L Anderson
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1881746139
PECOS PAC ID: 7911965959
Enrollment ID: I20041222000474
Provider NameMargaret Olibrice Saint-fleur
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1558460618
PECOS PAC ID: 3274591227
Enrollment ID: I20041222000549
Provider NameSteven A Inker
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1992757231
PECOS PAC ID: 7618935578
Enrollment ID: I20041222000656
Provider NameSusan Kim
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1154496958
PECOS PAC ID: 4284692955
Enrollment ID: I20041228000503
Provider NameBrian Donaldson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1932193331
PECOS PAC ID: 8123086816
Enrollment ID: I20041228000658
Provider NameAleksandr Shestak
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1801848981
PECOS PAC ID: 9830157411
Enrollment ID: I20041229000454
Provider NameTjark C Schliep
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1649291808
PECOS PAC ID: 0941258941
Enrollment ID: I20050106000443
Provider NameTyler S Lucas
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1497758734
PECOS PAC ID: 9133109978
Enrollment ID: I20050106000453
Provider NameVel Sivapalan
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1427005255
PECOS PAC ID: 9739152190
Enrollment ID: I20050106000469
Provider NameSharon B Mannheimer
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1083772693
PECOS PAC ID: 4183672116
Enrollment ID: I20050106000645
Provider NameMichelle V Soto
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1417042425
PECOS PAC ID: 0941259725
Enrollment ID: I20050119000493
Provider NameDavid J Aguilar
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1003973777
PECOS PAC ID: 2163471947
Enrollment ID: I20050119000541
Provider NameTanveer P Mir
Provider TypePractitioner - Hospice/palliative Care
Provider IdentifiersNPI Number: 1194895243
PECOS PAC ID: 4385693100
Enrollment ID: I20050119000837
Provider NameDominique Delma
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1700960333
PECOS PAC ID: 5799734265
Enrollment ID: I20050121000753
Provider NameIgor Kirzhner
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942311915
PECOS PAC ID: 4284610007
Enrollment ID: I20050125000669
Provider NameMohammad S Islam
Provider TypePractitioner - Physical Medicine And Rehabilitation
Provider IdentifiersNPI Number: 1902822257
PECOS PAC ID: 8820048523
Enrollment ID: I20050131000587
Provider NameBoris Tsemekhin
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1508885690
PECOS PAC ID: 2961453253
Enrollment ID: I20050203000571
Provider NameJoseph B Beacher
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1922021609
PECOS PAC ID: 0042261356
Enrollment ID: I20050203000707
Provider NameMagdy S El-hennawy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1770568990
PECOS PAC ID: 8426009242
Enrollment ID: I20050209000091
Provider NameOrlando A Ortiz
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1629012224
PECOS PAC ID: 6901859255
Enrollment ID: I20050225000672
Provider NameEdward M Baron
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1699770586
PECOS PAC ID: 2961455811
Enrollment ID: I20050302001058
Provider NameMaryann Julia Popiel
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1902914302
PECOS PAC ID: 9931153640
Enrollment ID: I20050305000076
Provider NameRobert J Rothenstein
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1942370069
PECOS PAC ID: 7315991791
Enrollment ID: I20050309000136
Provider NameNaser E Yazigi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598862484
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Provider IdentifiersNPI Number: 1699271833
PECOS PAC ID: 9830424712
Enrollment ID: I20220614001321
Provider NameMolly Findley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1164718938
PECOS PAC ID: 2062779671
Enrollment ID: I20220615001362
Provider NameRyan Schlobach
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144782012
PECOS PAC ID: 4587994645
Enrollment ID: I20220628000712
Provider NameKirk Rattanakorn
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1831693860
PECOS PAC ID: 5890176267
Enrollment ID: I20220715001604
Provider NameAdriana E Marachlian El Yammouni
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1134622236
PECOS PAC ID: 3870974934
Enrollment ID: I20220720002441
Provider NameAna Svibruck
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1639848336
PECOS PAC ID: 8527445360
Enrollment ID: I20220906002483
Provider NameParamjit Singh Chowdhry
Provider TypePractitioner - Interventional Radiology
Provider IdentifiersNPI Number: 1881080588
PECOS PAC ID: 0749577856
Enrollment ID: I20220908000464
Provider NameUgen Lhamu
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1861809170
PECOS PAC ID: 9234409277
Enrollment ID: I20220914002769
Provider NameJason R Raggi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366947210
PECOS PAC ID: 7517342355
Enrollment ID: I20220915001106
Provider NameKaushal N Khambhati
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1487158101
PECOS PAC ID: 9739428863
Enrollment ID: I20220920001839
Provider NameKamil Lupicki
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1326536087
PECOS PAC ID: 5294110706
Enrollment ID: I20220920002432
Provider NameSuvam Neupane
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1790274561
PECOS PAC ID: 7618354366
Enrollment ID: I20220920002934
Provider NameHasnain Afzal
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1194248401
PECOS PAC ID: 1456698976
Enrollment ID: I20220920003508
Provider NameAsim H Maher
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1619215167
PECOS PAC ID: 1557616968
Enrollment ID: I20220925000016
Provider NameGeorge Kk Banning
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1184120727
PECOS PAC ID: 6002292232
Enrollment ID: I20220926002060
Provider NameBea Genevieve A Leal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821584178
PECOS PAC ID: 8426434192
Enrollment ID: I20221004000253
Provider NameIngrid M Portillo Zepeda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831743244
PECOS PAC ID: 8325424096
Enrollment ID: I20221004000291
Provider NameNatalie A Mickhael
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144872185
PECOS PAC ID: 3274930698
Enrollment ID: I20221005000077
Provider NameAndrey Krapivin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407316110
PECOS PAC ID: 0446636906
Enrollment ID: I20221006001339
Provider NameDaniel D Alterman
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1346391034
PECOS PAC ID: 0244415974
Enrollment ID: I20221007001202
Provider NameMaria Rosa Velasquez Espiritu
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1205365210
PECOS PAC ID: 5799161030
Enrollment ID: I20221010002896
Provider NameLee Perry Gerson
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1801144332
PECOS PAC ID: 5395031009
Enrollment ID: I20221013001080
Provider NameMichelle Glick
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1699335414
PECOS PAC ID: 3678808839
Enrollment ID: I20221014000940
Provider NameJennifer Pusztay
Provider TypePractitioner - Osteopathic Manipulative Medicine
Provider IdentifiersNPI Number: 1891354403
PECOS PAC ID: 7810363934
Enrollment ID: I20221014000996
Provider NameUbaid Ur Rehman Sherwani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1033540646
PECOS PAC ID: 8729375183
Enrollment ID: I20221014001398
Provider NameBrenna Mccabe
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1619354842
PECOS PAC ID: 2567838139
Enrollment ID: I20221023000012
Provider NameFernando A Quesada Mata
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366004087
PECOS PAC ID: 3476929043
Enrollment ID: I20221023000016
Provider NameVani Dandolu
Provider TypePractitioner - Gynecological Oncology
Provider IdentifiersNPI Number: 1205824224
PECOS PAC ID: 4688647571
Enrollment ID: I20221023000021
Provider NameJose A Flores Castro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518529965
PECOS PAC ID: 4385010958
Enrollment ID: I20221023000028
Provider NameMikaila R Barba
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1619602240
PECOS PAC ID: 9739555335
Enrollment ID: I20221024001333
Provider NameRami M Al-sumairi
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1124468194
PECOS PAC ID: 5799028221
Enrollment ID: I20221027001238
Provider NameViktoriya Grager
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1306573621
PECOS PAC ID: 2062889959
Enrollment ID: I20221107000714
Provider NamePatricia L Camino
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1871026021
PECOS PAC ID: 1153666375
Enrollment ID: I20221118001978
Provider NamePrabhjot Singh
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1053758490
PECOS PAC ID: 0840673455
Enrollment ID: I20221202001942
Provider NameAbigail Elizabeth Cline
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1639606536
PECOS PAC ID: 7214307404
Enrollment ID: I20230104001821
Provider NameLinelle Campbell
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073044129
PECOS PAC ID: 6800290396
Enrollment ID: I20230106001617
Provider NameSatya Thapa
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1003461591
PECOS PAC ID: 5294105250
Enrollment ID: I20230109000656
Provider NameHannah Keppler
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1053844613
PECOS PAC ID: 1557776853
Enrollment ID: I20230202002175
Provider NameEric S Silverman
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1538275490
PECOS PAC ID: 6507822103
Enrollment ID: I20230222000788
Provider NameCameron Wilkinson
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1689390452
PECOS PAC ID: 1658744073
Enrollment ID: I20230307000179
Provider NameMahalakshmi Gopalakrishnamoorthy
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1699228296
PECOS PAC ID: 0143558759
Enrollment ID: I20230330000270
Provider NameEric W Carson
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1023187648
PECOS PAC ID: 6204885213
Enrollment ID: I20230331000355
Provider NameWilliam F Demas
Provider TypePractitioner - Radiation Oncology
Provider IdentifiersNPI Number: 1033100334
PECOS PAC ID: 0648163261
Enrollment ID: I20230411001792
Provider NameStacy-ann A Phillip
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1285015263
PECOS PAC ID: 5991160731
Enrollment ID: I20230428002339
Provider NameClariss Lovelle A Blanco
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1730600586
PECOS PAC ID: 5991160343
Enrollment ID: I20230508002251
Provider NameJohn M Denesopolis Iii
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1518320092
PECOS PAC ID: 7517207392
Enrollment ID: I20230608002182
Provider NameHue Thi Hong Marley
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1891355673
PECOS PAC ID: 7517327372
Enrollment ID: I20230712003134
Provider NameMuhammed-rilwan Muritala
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1881156883
PECOS PAC ID: 1759741275
Enrollment ID: I20230716000137
Provider NameAsia Frazier
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1497092274
PECOS PAC ID: 4789812355
Enrollment ID: I20230721002398
Provider NameAshley N Bonheur
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1235510470
PECOS PAC ID: 9335525310
Enrollment ID: I20230725001441
Provider NameRachel Kang
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1417410838
PECOS PAC ID: 3476914144
Enrollment ID: I20230727001187
Provider NameAlex Yu
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1912469172
PECOS PAC ID: 2860723384
Enrollment ID: I20230727003417
Provider NameLana B Irons
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1790244739
PECOS PAC ID: 0345601803
Enrollment ID: I20230731002319
Provider NamePaul A Johnston
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1912466889
PECOS PAC ID: 2466784202
Enrollment ID: I20230807002822
Provider NameZhengrui Xiao
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1689194904
PECOS PAC ID: 2365803343
Enrollment ID: I20230808000239
Provider NameJoseph M Rodriguez
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1174149694
PECOS PAC ID: 9537521877
Enrollment ID: I20230817002288
Provider NameSharika Gopakumar Menon
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1487148292
PECOS PAC ID: 0042610743
Enrollment ID: I20230822001571
Provider NameJaykumar P Unni
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912353277
PECOS PAC ID: 3072940600
Enrollment ID: I20230822003786
Provider NameMichael Nemytov
Provider TypePractitioner - Neurology
Provider IdentifiersNPI Number: 1093167421
PECOS PAC ID: 0749527810
Enrollment ID: I20230824002368
Provider NameSahil Gehlot
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1134780331
PECOS PAC ID: 9638532526
Enrollment ID: I20230824002942
Provider NameHaider Haider
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1669096517
PECOS PAC ID: 1153784681
Enrollment ID: I20230830002861
Provider NameAamir Bandagi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114487279
PECOS PAC ID: 0547624736
Enrollment ID: I20230926004085
Provider NameMartyna Devries
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487102802
PECOS PAC ID: 3375915572
Enrollment ID: I20230927000276
Provider NameJessica C Becker
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1386039204
PECOS PAC ID: 4183024169
Enrollment ID: I20231004002203
Provider NameJennifer Huang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1255693511
PECOS PAC ID: 4385950260
Enrollment ID: I20231020000772
Provider NameJason Koreen
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1457811648
PECOS PAC ID: 7113373713
Enrollment ID: I20231101003065
Provider NameSarah K Garrison
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215046230
PECOS PAC ID: 2163665134
Enrollment ID: I20231130001193
Provider NameJason Kennedy
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1457979171
PECOS PAC ID: 2264840461
Enrollment ID: I20231204000445
Provider NameHarriet W Mckinley
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1821174665
PECOS PAC ID: 3779829551
Enrollment ID: I20231211002166
Provider NameDushyat Damania
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1063804581
PECOS PAC ID: 1254725385
Enrollment ID: I20231221000771
Provider NameJuliet A Widoff
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679772024
PECOS PAC ID: 2264755495
Enrollment ID: I20240306000944
Provider NameKaitlin M Malone
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1356004527
PECOS PAC ID: 5395130314
Enrollment ID: I20240321001561
Provider NameBarbara A Dill
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1962458851
PECOS PAC ID: 9638359219
Enrollment ID: I20240404001366

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Physician Affiliate Group Of New York Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Physician Affiliate Group Of New York Pc
506 Lenox Ave,
New York, NY 10037-1802

Ph: () -
Physician Affiliate Group Of New York Pc
506 Lenox Ave,
New York, NY 10037-1802

Ph: (212) 939-2467

Reviews and Comments


Dietitian, Registered in New York, NY

Mrs. Laura Manning, R.D., C.D.N.
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1 Gustave L Levy Pl, Box 1625, New York, NY 10029
Phone: 212-241-9426    
Erika Jacobson, RD,CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1 Gustave L Levy Pl, New York, NY 10029
Phone: 917-241-5633    
Danielle Stark, RDN, CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 205 W 88th St Apt 6d, New York, NY 10024
Phone: 973-954-0666    
Ms. Ellen Schranz, MS, MBA, RD, CDN
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 1 Gustave L Levy Pl, Box 1067, New York, NY 10029
Phone: 212-241-4228    
Michelle Mock, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 525 East 68th Street, New York, NY 10065
Phone: 212-746-3520    Fax: 212-746-8577
Limor Baum, M.S., R.D
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 393 W End Ave Apt 11e, New York, NY 10024
Phone: 212-874-9467    
Mrs. Shara Wagowski,
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 525 E 68th St, Box 92, New York, NY 10065
Phone: 212-759-6999    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.