| Be Well Primary Health Care Center, Llc | |
|
3007 Farragut Road Brooklyn NY 11210-2549 | |
| (718) 434-0711 | |
| (718) 434-0712 |
| Full Name | Be Well Primary Health Care Center, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3007 Farragut Road, Brooklyn, New York |
| Authorized Official Name and Position | Yevgeniy Stepankovskiy (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 7184340711 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Be Well Primary Health Care Center, Llc 3007 Farragut Road Brooklyn NY 11210-2549 Ph: (718) 434-0711 | Be Well Primary Health Care Center, Llc 3007 Farragut Road Brooklyn NY 11210-2549 Ph: (718) 434-0711 |
| NPI Number | 1083623409 |
|---|---|
| Provider Enumeration Date | 08/05/2006 |
| Last Update Date | 02/27/2024 |
| Medicare PECOS PAC ID | 2062305030 |
|---|---|
| Medicare Enrollment ID | O20040204000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083623409 | NPI | - | NPPES |
| 02528912 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 7001111R (New York) | Primary |
| 291U00000X | Clinical Medical Laboratory | (* (Not Available)) | Secondary |
| Provider Name | Jeffrey Ira Kornreich |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1386712487 PECOS PAC ID: 7719875574 Enrollment ID: I20040304001197 |
| Provider Name | Boris G Chusid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518967769 PECOS PAC ID: 3577453554 Enrollment ID: I20040316000520 |
| Provider Name | Howard J Reifer |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124037593 PECOS PAC ID: 6406841915 Enrollment ID: I20040415000512 |
| Provider Name | Leacroft F H Green |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1740290279 PECOS PAC ID: 7719976273 Enrollment ID: I20040510000853 |
| Provider Name | Michael Gladstein |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1104848811 PECOS PAC ID: 4486637022 Enrollment ID: I20040612000370 |
| Provider Name | Mark Harooni |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1013014406 PECOS PAC ID: 9931012176 Enrollment ID: I20040622000503 |
| Provider Name | Alexander Schwartzman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1356329072 PECOS PAC ID: 4486632718 Enrollment ID: I20040712001420 |
| Provider Name | Andrew H. Maran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356379713 PECOS PAC ID: 2668451113 Enrollment ID: I20040717000223 |
| Provider Name | Steven V Gutin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1255370276 PECOS PAC ID: 4284614173 Enrollment ID: I20040721001473 |
| Provider Name | Pratibha Vemulapalli |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609958875 PECOS PAC ID: 8123099272 Enrollment ID: I20040803001151 |
| Provider Name | Janna Stepankoff |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1730198177 PECOS PAC ID: 9133190101 Enrollment ID: I20040803001384 |
| Provider Name | Sam Moskowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851377394 PECOS PAC ID: 2365416211 Enrollment ID: I20040826001284 |
| Provider Name | Alan S David |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1740240613 PECOS PAC ID: 4082683404 Enrollment ID: I20040930001257 |
| Provider Name | Anatole Barkan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326057787 PECOS PAC ID: 2264491307 Enrollment ID: I20041005001060 |
| Provider Name | Frank S Segreto |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669489555 PECOS PAC ID: 2961460498 Enrollment ID: I20050104000546 |
| Provider Name | Saka Aramide Kazeem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922057397 PECOS PAC ID: 6901842202 Enrollment ID: I20050707000830 |
| Provider Name | Gene Kominer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1013977842 PECOS PAC ID: 7810927969 Enrollment ID: I20050817001126 |
| Provider Name | Hitendra M Rambhia |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1629061155 PECOS PAC ID: 8022031962 Enrollment ID: I20060106000293 |
| Provider Name | Howard M Friedman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831131952 PECOS PAC ID: 4385659135 Enrollment ID: I20060215000289 |
| Provider Name | Michael J Kassouf |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1609812528 PECOS PAC ID: 1355335324 Enrollment ID: I20060425000664 |
| Provider Name | Ayman R Farag |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1699861567 PECOS PAC ID: 5193725042 Enrollment ID: I20061228000160 |
| Provider Name | Dhanan J Etwaru |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1386619914 PECOS PAC ID: 0648372771 Enrollment ID: I20070228000654 |
| Provider Name | Allan M Meyer |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1720157407 PECOS PAC ID: 8628176591 Enrollment ID: I20070531000523 |
| Provider Name | Igor Rubinshteyn |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1235292574 PECOS PAC ID: 1254420722 Enrollment ID: I20071205000731 |
| Provider Name | Alexander Lipyansky |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1922213032 PECOS PAC ID: 3375625056 Enrollment ID: I20080204000244 |
| Provider Name | Eric Kenworthy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174537583 PECOS PAC ID: 3971682873 Enrollment ID: I20080505000010 |
| Provider Name | Eric Dessner |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1861686545 PECOS PAC ID: 4486740693 Enrollment ID: I20081208000630 |
| Provider Name | Effie Tatakis |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1003055039 PECOS PAC ID: 2264589936 Enrollment ID: I20090415000375 |
| Provider Name | Erroll I Byer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689682437 PECOS PAC ID: 8921150590 Enrollment ID: I20090713000024 |
| Provider Name | Adam L Moskowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679652036 PECOS PAC ID: 3971655010 Enrollment ID: I20090721000098 |
| Provider Name | Michael E Berry |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1962692152 PECOS PAC ID: 2769536515 Enrollment ID: I20090824000181 |
| Provider Name | Igor A Maganov |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902063258 PECOS PAC ID: 7214073287 Enrollment ID: I20091005000506 |
| Provider Name | Felix Karafin |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1508177197 PECOS PAC ID: 3971628173 Enrollment ID: I20100910001036 |
| Provider Name | Zan Mra |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710050497 PECOS PAC ID: 0840475976 Enrollment ID: I20110504000642 |
| Provider Name | Yili Huang |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093967184 PECOS PAC ID: 3971780289 Enrollment ID: I20110613000708 |
| Provider Name | Vladimir Fridman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1538343595 PECOS PAC ID: 7113195397 Enrollment ID: I20110713000533 |
| Provider Name | Sergey Terushkin |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1245424506 PECOS PAC ID: 4082739933 Enrollment ID: I20111014000118 |
| Provider Name | Mario Voloshin |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1063673416 PECOS PAC ID: 5799948279 Enrollment ID: I20120618000142 |
| Provider Name | Prateek Chapalamadugu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1497002703 PECOS PAC ID: 7315195385 Enrollment ID: I20120917000456 |
| Provider Name | Payam Hakimian |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1689799413 PECOS PAC ID: 6204085715 Enrollment ID: I20120927000132 |
| Provider Name | Emmanuel Bustos |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1396185575 PECOS PAC ID: 0648400317 Enrollment ID: I20140225000013 |
| Provider Name | Akeem A Atanda |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316249766 PECOS PAC ID: 3577743913 Enrollment ID: I20140605001707 |
| Provider Name | Ali M Freese |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1316354913 PECOS PAC ID: 4880815240 Enrollment ID: I20141028001966 |
| Provider Name | Adebukola Adebayo |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1174766125 PECOS PAC ID: 5799928982 Enrollment ID: I20141210000888 |
| Provider Name | Edward Kleiman |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1306073291 PECOS PAC ID: 7810211992 Enrollment ID: I20150120001601 |
| Provider Name | Apig Mosses |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1073892592 PECOS PAC ID: 2567778590 Enrollment ID: I20150904001447 |
| Provider Name | Bryan Conti |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306169644 PECOS PAC ID: 1052628443 Enrollment ID: I20150917000941 |
| Provider Name | Alexander Brun |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164735072 PECOS PAC ID: 6800105974 Enrollment ID: I20151014000779 |
| Provider Name | Savanna Thor |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457672529 PECOS PAC ID: 2163731191 Enrollment ID: I20151014001478 |
| Provider Name | Linda Bastien |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346280542 PECOS PAC ID: 5294958104 Enrollment ID: I20151102000847 |
| Provider Name | Zalekha Shair |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1811213051 PECOS PAC ID: 9234458050 Enrollment ID: I20151231000299 |
| Provider Name | Lydia Regis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972915577 PECOS PAC ID: 9234420662 Enrollment ID: I20160615001373 |
| Provider Name | Trucia Cassagnol |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457670218 PECOS PAC ID: 9032428339 Enrollment ID: I20160720001127 |
| Provider Name | Sumanth Channapatna-suresh |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659501526 PECOS PAC ID: 2860789013 Enrollment ID: I20161003001076 |
| Provider Name | Nancy Chen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063742534 PECOS PAC ID: 4183939663 Enrollment ID: I20161019001083 |
| Provider Name | Anne M Glaser |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689671828 PECOS PAC ID: 3870583321 Enrollment ID: I20161104000692 |
| Provider Name | Albert S Hazan |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1427491265 PECOS PAC ID: 5092086645 Enrollment ID: I20170801001412 |
| Provider Name | Solly E Elmann |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1447545421 PECOS PAC ID: 8123349487 Enrollment ID: I20170920002084 |
| Provider Name | Mary T Botelho |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1861913774 PECOS PAC ID: 0042584237 Enrollment ID: I20170927001642 |
| Provider Name | Phone N Oo |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1093158248 PECOS PAC ID: 0840553319 Enrollment ID: I20180416000625 |
| Provider Name | Spencer Langevin |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467859314 PECOS PAC ID: 1759639412 Enrollment ID: I20180813001633 |
| Provider Name | Melanie Howell |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1083980015 PECOS PAC ID: 7012281413 Enrollment ID: I20180918002565 |
| Provider Name | Mfon Edem |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548582141 PECOS PAC ID: 7517201833 Enrollment ID: I20181127002629 |
| Provider Name | Ilya Leskov |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1982959029 PECOS PAC ID: 3971747437 Enrollment ID: I20181212003370 |
| Provider Name | Natalya Yelin |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1578030722 PECOS PAC ID: 2264774405 Enrollment ID: I20190508001995 |
| 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 | Anna Lazarev |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1396223665 PECOS PAC ID: 2062748254 Enrollment ID: I20190725002089 |
| Provider Name | Anter Gonzales |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1225414071 PECOS PAC ID: 1658618657 Enrollment ID: I20191126002527 |
| Provider Name | Michael D Jurewicz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649562414 PECOS PAC ID: 6406117522 Enrollment ID: I20191205001939 |
| Provider Name | Kristen Bridges |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649565748 PECOS PAC ID: 6305181181 Enrollment ID: I20200522001465 |
| Provider Name | Neha J Gadaria |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1629411715 PECOS PAC ID: 0244577203 Enrollment ID: I20200609002202 |
| Provider Name | Clifford Voigt |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497983548 PECOS PAC ID: 2961746599 Enrollment ID: I20210604001319 |
| Provider Name | Ulele Okolo Adams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699386896 PECOS PAC ID: 7315348539 Enrollment ID: I20210625000791 |
| Provider Name | Noe E Garza |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902332786 PECOS PAC ID: 8123424447 Enrollment ID: I20210910001684 |
| Provider Name | Alexander Abdurakhmanov |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1538556196 PECOS PAC ID: 7618212085 Enrollment ID: I20210927002299 |
| Provider Name | Shelena Yasmin Ali-bynom |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1306378583 PECOS PAC ID: 9032456207 Enrollment ID: I20211105002423 |
| Provider Name | Roscoe Chang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477015980 PECOS PAC ID: 0244610285 Enrollment ID: I20220707002679 |
| Provider Name | Sushil K Ahlawat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760568455 PECOS PAC ID: 5991805756 Enrollment ID: I20230106001982 |
| Provider Name | Rodrico Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063783926 PECOS PAC ID: 3274905609 Enrollment ID: I20230214000820 |
| Provider Name | Nargiza Gapparova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417624883 PECOS PAC ID: 8820461460 Enrollment ID: I20230302001321 |
| Provider Name | Chinyere Kelechi Agu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821580101 PECOS PAC ID: 7315308871 Enrollment ID: I20230731002440 |
| Provider Name | Mark P Ghassibi |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1356871230 PECOS PAC ID: 5698019404 Enrollment ID: I20230830002989 |
American Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 434 Rockaway Ave, Brooklyn, NY 11212 Phone: 718-346-2628 Fax: 718-346-9381 | |
Refua Shlema Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 499 Crown St, Brooklyn, NY 11213 Phone: 347-614-1717 | |
University Physicians Of Brooklyn Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 450 Clarkson Ave, Suite A, Brooklyn, NY 11203 Phone: 718-270-1112 Fax: 718-270-3170 | |
Sikder Medical Care P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 504 Mcdonald Ave, Brooklyn, NY 11218 Phone: 917-442-1797 Fax: 718-732-0783 | |
Flatbush Medical Plaza, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1468 Flatbush Ave., Brooklyn, NY 11210 Phone: 917-966-2700 Fax: 917-966-2703 | |
Rds Medical P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7510 4th Ave, Ste 5, Brooklyn, NY 11209 Phone: 718-836-0761 Fax: 718-836-7369 | |
Brooks Medical, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5014 Beverley Rd, Brooklyn, NY 11203 Phone: 718-241-0182 Fax: 718-451-2517 |