| Apicha Community Health Center | |
|
400 Broadway New York NY 10013-3698 | |
| (212) 334-6029 | |
| (212) 334-7957 |
| Full Name | Apicha Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 Broadway, New York, New York |
| Authorized Official Name and Position | Teresita R Rodriguez (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2123347940 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Apicha Community Health Center 400 Broadway New York NY 10013-3698 Ph: (212) 334-6029 | Apicha Community Health Center 400 Broadway New York NY 10013-3698 Ph: (212) 334-6029 |
| NPI Number | 1730303017 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 11/03/2020 |
| Medicare PECOS PAC ID | 0840348843 |
|---|---|
| Medicare Enrollment ID | O20090430000540 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730303017 | NPI | - | NPPES |
| 02997175 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Paul D Chambliss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841251980 PECOS PAC ID: 9739071945 Enrollment ID: I20040324001856 |
| Provider Name | Jun Matsuyoshi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477677383 PECOS PAC ID: 5395922975 Enrollment ID: I20110608000101 |
| Provider Name | Susanne Rendeiro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306865696 PECOS PAC ID: 0446411250 Enrollment ID: I20120420000491 |
| Provider Name | Karalyn Dennis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962818104 PECOS PAC ID: 4789905944 Enrollment ID: I20150601000805 |
| Provider Name | Benjamin Solomon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003294414 PECOS PAC ID: 6709157399 Enrollment ID: I20170731002609 |
| Provider Name | Raymund Vincent Sebastian Sison |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598023152 PECOS PAC ID: 9335467752 Enrollment ID: I20190605001746 |
| Provider Name | Yves-line Auguste-swann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992989081 PECOS PAC ID: 1456423599 Enrollment ID: I20190606002797 |
| Provider Name | Christina Clarke |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275031072 PECOS PAC ID: 4183950918 Enrollment ID: I20190731001764 |
| Provider Name | Amanda R Frey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487123899 PECOS PAC ID: 9234471442 Enrollment ID: I20200717001202 |
| Provider Name | Jennifer L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255975314 PECOS PAC ID: 5799197513 Enrollment ID: I20201218000577 |
| Provider Name | Lizet Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154996916 PECOS PAC ID: 2769888700 Enrollment ID: I20210831001086 |
| Provider Name | Theodore R Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598316002 PECOS PAC ID: 3375940059 Enrollment ID: I20210922002659 |
| Provider Name | Jesse David Barrett |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1013359488 PECOS PAC ID: 8527455526 Enrollment ID: I20221011001529 |
| Provider Name | Michael Raymond Masters |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457981102 PECOS PAC ID: 4183084403 Enrollment ID: I20230719000258 |
| Provider Name | Monique Barte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174131254 PECOS PAC ID: 7214305051 Enrollment ID: I20240417003039 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |