| Brightpoint Health | |
|
1543-1545 Inwood Avenue Bronx NY 10452-2001 | |
| (855) 687-8700 | |
| (718) 294-4765 |
| Full Name | Brightpoint Health |
|---|---|
| Speciality | Clinic/Center |
| Location | 1543-1545 Inwood Avenue, Bronx, New York |
| Authorized Official Name and Position | Evan Zuckerman (CHIEF FISCAL OFFICER) |
| Authorized Official Contact | 7186818700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brightpoint Health 248 W 35th St 8th Floor New York NY 10001-2505 Ph: (718) 681-8700 | Brightpoint Health 1543-1545 Inwood Avenue Bronx NY 10452-2001 Ph: (855) 687-8700 |
| NPI Number | 1003093436 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 10/19/2016 |
| Medicare PECOS PAC ID | 6800951989 |
|---|---|
| Medicare Enrollment ID | O20090225000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003093436 | NPI | - | NPPES |
| 02952812 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | 7000277R (New York) | Primary |
| Provider Name | Mohammed Fawzy Saleem |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912922451 PECOS PAC ID: 9638073554 Enrollment ID: I20031121000838 |
| Provider Name | Boris G Chusid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518967769 PECOS PAC ID: 3577453554 Enrollment ID: I20040316000520 |
| Provider Name | Solomon A Osei |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1598726085 PECOS PAC ID: 3870483936 Enrollment ID: I20040319001314 |
| Provider Name | Evelyn Vega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093868218 PECOS PAC ID: 6204728538 Enrollment ID: I20040330000017 |
| Provider Name | Lourdes Maria B Pichay |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497846737 PECOS PAC ID: 8426047945 Enrollment ID: I20040510001279 |
| Provider Name | Edward Mccabe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1043293129 PECOS PAC ID: 9638169279 Enrollment ID: I20040514001026 |
| Provider Name | Sarita Dhuper |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1811905201 PECOS PAC ID: 3274511274 Enrollment ID: I20040707001218 |
| Provider Name | Adi Davidov |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1356324677 PECOS PAC ID: 5193797504 Enrollment ID: I20040806000883 |
| Provider Name | Jonathan Zellan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154486082 PECOS PAC ID: 8426018136 Enrollment ID: I20041018000283 |
| Provider Name | Phat Tran |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790708238 PECOS PAC ID: 3678537792 Enrollment ID: I20041117000861 |
| Provider Name | Evelyn Brobbey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255395869 PECOS PAC ID: 0941251243 Enrollment ID: I20050203000635 |
| Provider Name | Jorge N Kirschtein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629177209 PECOS PAC ID: 3476509621 Enrollment ID: I20050330000801 |
| Provider Name | Wesner Moise |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528122314 PECOS PAC ID: 4981637618 Enrollment ID: I20050914000241 |
| Provider Name | Sharon R Beier |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184610503 PECOS PAC ID: 1456384676 Enrollment ID: I20050916000699 |
| Provider Name | Allen Sutton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982628707 PECOS PAC ID: 6608895628 Enrollment ID: I20051117001075 |
| Provider Name | Elizabeth M Lutas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437282605 PECOS PAC ID: 6800810219 Enrollment ID: I20060124000456 |
| Provider Name | Lavone F Beckwith |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1487747606 PECOS PAC ID: 7214941327 Enrollment ID: I20060127000512 |
| Provider Name | Eugene M Holuka |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013902550 PECOS PAC ID: 9537110242 Enrollment ID: I20060510000461 |
| Provider Name | Vijaya L Chandrakant |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275516395 PECOS PAC ID: 1052323524 Enrollment ID: I20060627000192 |
| Provider Name | Nancy Saltzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083791909 PECOS PAC ID: 2769584747 Enrollment ID: I20070221000562 |
| Provider Name | Mahbubul Islam |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285758276 PECOS PAC ID: 2264523299 Enrollment ID: I20070806000713 |
| Provider Name | Farokh E Tarapore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003839945 PECOS PAC ID: 6305937913 Enrollment ID: I20070811000073 |
| Provider Name | Aviva D Gorig |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043432727 PECOS PAC ID: 9436243037 Enrollment ID: I20070913000102 |
| Provider Name | Raquel G. Haynes |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1003954173 PECOS PAC ID: 0840386801 Enrollment ID: I20071022000690 |
| Provider Name | Jonathan B Margolies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386723476 PECOS PAC ID: 6305926742 Enrollment ID: I20080110000339 |
| Provider Name | James Ho |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891701223 PECOS PAC ID: 0547331761 Enrollment ID: I20080616000706 |
| Provider Name | Steven L Baumann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265504245 PECOS PAC ID: 5991864928 Enrollment ID: I20081106000122 |
| Provider Name | Jacques R Domond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679775068 PECOS PAC ID: 6305906967 Enrollment ID: I20081201000008 |
| Provider Name | Barbara C Zeller |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124198643 PECOS PAC ID: 3870658966 Enrollment ID: I20090225000106 |
| Provider Name | Diana M Gonzales-ricard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326128794 PECOS PAC ID: 2365508256 Enrollment ID: I20090302000015 |
| Provider Name | Steven Welch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790958379 PECOS PAC ID: 4082770730 Enrollment ID: I20090304000236 |
| Provider Name | Thomas W Perron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710179825 PECOS PAC ID: 1052477734 Enrollment ID: I20090304000540 |
| Provider Name | Michael Fano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740394204 PECOS PAC ID: 4688731276 Enrollment ID: I20090326000127 |
| Provider Name | Grace Matthew |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1497738553 PECOS PAC ID: 6800943879 Enrollment ID: I20090408000234 |
| Provider Name | Sophia L Mcbean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316189947 PECOS PAC ID: 2860549722 Enrollment ID: I20090409000538 |
| Provider Name | Keran S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407917289 PECOS PAC ID: 8325103419 Enrollment ID: I20090410000000 |
| Provider Name | Nancy H Abdel-wahab |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639207350 PECOS PAC ID: 7113024639 Enrollment ID: I20090416000500 |
| Provider Name | Marie Edith F Lefevre |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1720190051 PECOS PAC ID: 2264586254 Enrollment ID: I20090810000378 |
| Provider Name | Sandra Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033252788 PECOS PAC ID: 0648324889 Enrollment ID: I20090821000415 |
| Provider Name | Luis A Gonzales |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578641825 PECOS PAC ID: 2163576257 Enrollment ID: I20090825000323 |
| Provider Name | David H John |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194741819 PECOS PAC ID: 3971640475 Enrollment ID: I20091031000061 |
| Provider Name | Sonia Punj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497999122 PECOS PAC ID: 8729126222 Enrollment ID: I20091103000356 |
| Provider Name | Morgan Schulman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841360823 PECOS PAC ID: 0244372035 Enrollment ID: I20100115000747 |
| Provider Name | April C Lee |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285617365 PECOS PAC ID: 2860552247 Enrollment ID: I20100203000810 |
| Provider Name | Veronica N Ogula |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215999040 PECOS PAC ID: 8729104245 Enrollment ID: I20100922000000 |
| Provider Name | Adrian J Khaw |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144268863 PECOS PAC ID: 3678677317 Enrollment ID: I20110127000713 |
| Provider Name | Jenny Y Tan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588895395 PECOS PAC ID: 6800079112 Enrollment ID: I20110324000229 |
| Provider Name | Patricia Giurleo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881861524 PECOS PAC ID: 0648455493 Enrollment ID: I20110421000369 |
| Provider Name | Nancy L Chez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760696413 PECOS PAC ID: 6800073511 Enrollment ID: I20110607000166 |
| Provider Name | Roberta M Kelly |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962428904 PECOS PAC ID: 6305014804 Enrollment ID: I20110728000427 |
| Provider Name | Myriam B Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427283944 PECOS PAC ID: 6901076868 Enrollment ID: I20110901000039 |
| Provider Name | Milady Mota |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407165590 PECOS PAC ID: 2264606953 Enrollment ID: I20111115000154 |
| Provider Name | Jonathan Goldenthal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306172689 PECOS PAC ID: 9335307560 Enrollment ID: I20120220000840 |
| Provider Name | Paul Q De Guzman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1588951115 PECOS PAC ID: 7517121320 Enrollment ID: I20120607000129 |
| Provider Name | Lydia Tripolsky |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417254160 PECOS PAC ID: 7810151651 Enrollment ID: I20120607000434 |
| Provider Name | Janie Groff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639125917 PECOS PAC ID: 2466609821 Enrollment ID: I20120821000224 |
| Provider Name | Marisol Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093862724 PECOS PAC ID: 0749437788 Enrollment ID: I20120828000172 |
| Provider Name | Ralph Aquila |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497814396 PECOS PAC ID: 4880848191 Enrollment ID: I20130213000262 |
| Provider Name | Karamchand Rameshwar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790858678 PECOS PAC ID: 0941485684 Enrollment ID: I20130322000063 |
| Provider Name | Roshan W Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780812396 PECOS PAC ID: 0143466763 Enrollment ID: I20130425000700 |
| Provider Name | Cristina Whelan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841524915 PECOS PAC ID: 1153564133 Enrollment ID: I20130822000016 |
| Provider Name | Aimee A Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922359686 PECOS PAC ID: 2264675230 Enrollment ID: I20130823001079 |
| Provider Name | Patrick Tigenoah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306187059 PECOS PAC ID: 0446484380 Enrollment ID: I20131009001184 |
| Provider Name | Ruddy S Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770848038 PECOS PAC ID: 2264668318 Enrollment ID: I20131119000601 |
| Provider Name | Jaclyn Petrov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578878799 PECOS PAC ID: 5294982500 Enrollment ID: I20131220001689 |
| Provider Name | Brian G Pell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487718185 PECOS PAC ID: 0345260642 Enrollment ID: I20140205000072 |
| Provider Name | Nkenna Nkemakolam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215202650 PECOS PAC ID: 0345471892 Enrollment ID: I20140326000114 |
| Provider Name | Shoshannah Pearlman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114368370 PECOS PAC ID: 9638302177 Enrollment ID: I20140507001049 |
| Provider Name | Leslie Joseph |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1134165434 PECOS PAC ID: 8527281799 Enrollment ID: I20140516000746 |
| Provider Name | Delsa Fauconier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154572469 PECOS PAC ID: 4183847064 Enrollment ID: I20140522000041 |
| Provider Name | Elisa H Messore |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992901813 PECOS PAC ID: 5597988337 Enrollment ID: I20140522001770 |
| Provider Name | Perry S Savino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770634933 PECOS PAC ID: 4880818699 Enrollment ID: I20140618001084 |
| Provider Name | Josephine Tsai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780094920 PECOS PAC ID: 2961629340 Enrollment ID: I20140807002121 |
| Provider Name | Mark M Zimmermann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275782179 PECOS PAC ID: 9638397300 Enrollment ID: I20140822000715 |
| Provider Name | Nancy M Partos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588897672 PECOS PAC ID: 9537200613 Enrollment ID: I20141203002025 |
| Provider Name | Ruben Montanez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316992019 PECOS PAC ID: 4385611136 Enrollment ID: I20150114000804 |
| Provider Name | Avril C Maloney-mcalmont |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699037929 PECOS PAC ID: 1254657513 Enrollment ID: I20150303001906 |
| Provider Name | Ava Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639577323 PECOS PAC ID: 0244556553 Enrollment ID: I20150304001551 |
| Provider Name | Jennifer Q Belfry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285075143 PECOS PAC ID: 4880811389 Enrollment ID: I20150313000050 |
| Provider Name | Maged Mikhail |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578893608 PECOS PAC ID: 2264758010 Enrollment ID: I20150313001011 |
| Provider Name | Almas Merchant |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568745487 PECOS PAC ID: 3971820655 Enrollment ID: I20150317001204 |
| Provider Name | Johanna Maggio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053729616 PECOS PAC ID: 5799003836 Enrollment ID: I20150421001638 |
| Provider Name | Donna Marie Simons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104076751 PECOS PAC ID: 4789903279 Enrollment ID: I20150505001802 |
| Provider Name | Maria B. Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245503580 PECOS PAC ID: 5395065072 Enrollment ID: I20150520001539 |
| Provider Name | Ewa Dubinsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871828772 PECOS PAC ID: 6800107574 Enrollment ID: I20150622001925 |
| Provider Name | Linda A Bahouth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275973174 PECOS PAC ID: 0749598225 Enrollment ID: I20151002000305 |
| Provider Name | Susan Schmid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093955569 PECOS PAC ID: 1557661816 Enrollment ID: I20151118002745 |
| Provider Name | Sarah E Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609265628 PECOS PAC ID: 6507166717 Enrollment ID: I20151119001681 |
| Provider Name | Dolores E Curbelo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578705372 PECOS PAC ID: 7517268998 Enrollment ID: I20151209002430 |
| Provider Name | Juanita Amarante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063843456 PECOS PAC ID: 5294037008 Enrollment ID: I20160112000429 |
| Provider Name | Randi B Nelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1215247895 PECOS PAC ID: 2860646197 Enrollment ID: I20160202002217 |
| Provider Name | Robert Grabowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447316740 PECOS PAC ID: 5890099253 Enrollment ID: I20160204000773 |
| Provider Name | Ivette Taveras Ozoria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205206562 PECOS PAC ID: 0941505655 Enrollment ID: I20160217002220 |
| Provider Name | Katherine Taveras |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053600304 PECOS PAC ID: 8224333836 Enrollment ID: I20160219000305 |
| Provider Name | Anne L Lifflander |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649504440 PECOS PAC ID: 1254637218 Enrollment ID: I20160317000633 |
| Provider Name | Susan Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346685799 PECOS PAC ID: 4789981762 Enrollment ID: I20160318001957 |
| Provider Name | Kali Ziba-tanguay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245603604 PECOS PAC ID: 1951609072 Enrollment ID: I20160406000297 |
| Provider Name | Miriam R Denmark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205961265 PECOS PAC ID: 6103125919 Enrollment ID: I20160429000269 |
| Provider Name | Giovannie Laroc |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275869679 PECOS PAC ID: 7012216435 Enrollment ID: I20160505001587 |
| Provider Name | Christine N Edmondson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477973519 PECOS PAC ID: 0648569970 Enrollment ID: I20160510000990 |
| Provider Name | Aleen Boyd-mckoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104182039 PECOS PAC ID: 2365731312 Enrollment ID: I20160516001239 |
| Provider Name | Madeline Maldonado |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578684320 PECOS PAC ID: 4284765264 Enrollment ID: I20160516001483 |
| Provider Name | Lara Elizabeth Trevino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487046397 PECOS PAC ID: 4688963465 Enrollment ID: I20160518000571 |
| Provider Name | Lee J Ross |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699094896 PECOS PAC ID: 1850681206 Enrollment ID: I20160526001103 |
| Provider Name | Vaughn E Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194047266 PECOS PAC ID: 2769774397 Enrollment ID: I20160630000516 |
| Provider Name | Maria A Toloza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427462027 PECOS PAC ID: 6002108040 Enrollment ID: I20160712000920 |
| Provider Name | Jacklyn Esterman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275989535 PECOS PAC ID: 5597050781 Enrollment ID: I20160826001868 |
| Provider Name | Liviu Cojocaru |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720340656 PECOS PAC ID: 8426345380 Enrollment ID: I20160921001680 |
| Provider Name | Michael Krzyzak |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922446038 PECOS PAC ID: 0345537197 Enrollment ID: I20160922001677 |
| Provider Name | Arlene Bolanos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326465386 PECOS PAC ID: 8921396607 Enrollment ID: I20161012001713 |
| Provider Name | Jason La |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215354220 PECOS PAC ID: 8820376650 Enrollment ID: I20161031000893 |
| Provider Name | Sunita Mohabir |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326267907 PECOS PAC ID: 8325327877 Enrollment ID: I20161128001429 |
| Provider Name | Katrina Vue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306151063 PECOS PAC ID: 5698055952 Enrollment ID: I20161205000293 |
| Provider Name | Cheryl D Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881723153 PECOS PAC ID: 7911287990 Enrollment ID: I20161208001577 |
| Provider Name | Vanna Kham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548545718 PECOS PAC ID: 1850619818 Enrollment ID: I20170103001309 |
| Provider Name | Audrey N Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073917944 PECOS PAC ID: 2567752082 Enrollment ID: I20170106001057 |
| Provider Name | Janell D Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275796930 PECOS PAC ID: 6901187632 Enrollment ID: I20170111001494 |
| Provider Name | Meetu C Soni |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1780849422 PECOS PAC ID: 1850673435 Enrollment ID: I20170113001629 |
| Provider Name | Louise R Cangialosi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093160152 PECOS PAC ID: 9537441902 Enrollment ID: I20170119000595 |
| Provider Name | Jenan Agnihotri |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1609944040 PECOS PAC ID: 9638451065 Enrollment ID: I20170120000109 |
| Provider Name | Elizabeth Dania |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851578363 PECOS PAC ID: 3274800180 Enrollment ID: I20170525000239 |
| Provider Name | Morenike Jegede |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1033661400 PECOS PAC ID: 8325315237 Enrollment ID: I20170525000367 |
| Provider Name | Nicole Coto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275818809 PECOS PAC ID: 5092083071 Enrollment ID: I20170615001011 |
| Provider Name | Douglas Arvell Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457641300 PECOS PAC ID: 5597937839 Enrollment ID: I20170817003042 |
| Provider Name | Katherine Ibarra |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043740285 PECOS PAC ID: 3072885078 Enrollment ID: I20170825002735 |
| Provider Name | Shurla A Charles-gonsalves |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245356351 PECOS PAC ID: 8426321746 Enrollment ID: I20170908001466 |
| Provider Name | Allison F Hagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134526957 PECOS PAC ID: 9739453630 Enrollment ID: I20170915001011 |
| Provider Name | Iris Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063613529 PECOS PAC ID: 7012281454 Enrollment ID: I20170922002028 |
| Provider Name | Lizette Hinojosa |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1679831747 PECOS PAC ID: 9931473113 Enrollment ID: I20170927001210 |
| Provider Name | Joanne Vaccaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245552249 PECOS PAC ID: 4688949191 Enrollment ID: I20171010001618 |
| Provider Name | Eric S Yellin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821521006 PECOS PAC ID: 2668747031 Enrollment ID: I20171011001041 |
| Provider Name | Nataliya Knap |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1841697885 PECOS PAC ID: 5799051827 Enrollment ID: I20171018000110 |
| Provider Name | Pyung Hwa Jung |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093242356 PECOS PAC ID: 0749546042 Enrollment ID: I20171101003329 |
| Provider Name | Molly K Holshouser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366960403 PECOS PAC ID: 1254697600 Enrollment ID: I20171117001572 |
| Provider Name | Mariela D Herrera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699022855 PECOS PAC ID: 4082971452 Enrollment ID: I20171121000639 |
| Provider Name | Salvatore Delauro |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699115949 PECOS PAC ID: 2264799345 Enrollment ID: I20171128000318 |
| Provider Name | Tiffany Cudjoe-john |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629285861 PECOS PAC ID: 1850681511 Enrollment ID: I20171214001902 |
| Provider Name | Matthew N Hecht Gianutsos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902061724 PECOS PAC ID: 9133487390 Enrollment ID: I20171215000624 |
| Provider Name | Marian Droz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598023160 PECOS PAC ID: 0244599496 Enrollment ID: I20180115000501 |
| Provider Name | Laura C Velli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538617436 PECOS PAC ID: 3375820228 Enrollment ID: I20180215002211 |
| Provider Name | Navid Eghbali |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407235989 PECOS PAC ID: 5092077495 Enrollment ID: I20180323000547 |
| Provider Name | Henry Jangira |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700137023 PECOS PAC ID: 1759644750 Enrollment ID: I20180404000633 |
| Provider Name | Maxwell Rosenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912386772 PECOS PAC ID: 6305109653 Enrollment ID: I20180419000216 |
| Provider Name | Chinelo E Nduka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174032114 PECOS PAC ID: 2062775281 Enrollment ID: I20180420000858 |
| Provider Name | Dongjin Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811447501 PECOS PAC ID: 3274897244 Enrollment ID: I20180430001357 |
| Provider Name | Regina A Hazzard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932402708 PECOS PAC ID: 4981968773 Enrollment ID: I20180502001721 |
| Provider Name | Vonetta T Sylvestre |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1740411362 PECOS PAC ID: 8123169919 Enrollment ID: I20180510000561 |
| Provider Name | Maria Romero-ramos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508902776 PECOS PAC ID: 6103195243 Enrollment ID: I20180510000805 |
| Provider Name | Hilda E Coste |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083003768 PECOS PAC ID: 6002109287 Enrollment ID: I20180511002142 |
| Provider Name | Charles Anflick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760897326 PECOS PAC ID: 8921363433 Enrollment ID: I20180605001065 |
| Provider Name | Minna S Navvab |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1467855486 PECOS PAC ID: 6709176878 Enrollment ID: I20180615001680 |
| Provider Name | Janice Mordi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831499854 PECOS PAC ID: 6002163789 Enrollment ID: I20180726001590 |
| Provider Name | Ana Maria Escobar-botero |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1992115752 PECOS PAC ID: 0345597902 Enrollment ID: I20180727001920 |
| Provider Name | Joan Roig Llesuy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487095436 PECOS PAC ID: 0547563207 Enrollment ID: I20180807002064 |
| Provider Name | Daisy Rosado-bunkley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548504715 PECOS PAC ID: 7416206651 Enrollment ID: I20180821001232 |
| Provider Name | Shadwa Hassan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437536349 PECOS PAC ID: 8123378460 Enrollment ID: I20180906001696 |
| Provider Name | Daniel J Gillespie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063805893 PECOS PAC ID: 7214288869 Enrollment ID: I20180921000330 |
| Provider Name | Cheerag Amin |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1194252627 PECOS PAC ID: 9537411558 Enrollment ID: I20181002002745 |
| Provider Name | Anna V Cornish |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326425398 PECOS PAC ID: 1052663846 Enrollment ID: I20181005000272 |
| Provider Name | Nikki Amirlatifi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497161301 PECOS PAC ID: 1850643487 Enrollment ID: I20181010001061 |
| Provider Name | Kareem J Merrick |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1508154840 PECOS PAC ID: 0941552160 Enrollment ID: I20181016001783 |
| Provider Name | Carla L Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992211577 PECOS PAC ID: 0446503346 Enrollment ID: I20181023001284 |
| Provider Name | Abbie Lane |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1588848469 PECOS PAC ID: 5092028761 Enrollment ID: I20181029003015 |
| Provider Name | Ashley Mathai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306330295 PECOS PAC ID: 9638422256 Enrollment ID: I20181030000530 |
| Provider Name | Abigail K Addei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972842169 PECOS PAC ID: 3375896871 Enrollment ID: I20181031000824 |
| Provider Name | Carole M Dubuche |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679663835 PECOS PAC ID: 0840543260 Enrollment ID: I20181031002199 |
| Provider Name | Donna Miller-lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366938219 PECOS PAC ID: 7810240868 Enrollment ID: I20181206001659 |
| Provider Name | Pauline E Best |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760890669 PECOS PAC ID: 2769745561 Enrollment ID: I20181210001519 |
| Provider Name | Heather Lynne Provence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295221612 PECOS PAC ID: 0345585741 Enrollment ID: I20181212002614 |
| Provider Name | Lauren Nicole Perez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780921957 PECOS PAC ID: 2062757198 Enrollment ID: I20181218003526 |
| Provider Name | Lymaris Rodriguez Roura |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225459597 PECOS PAC ID: 8325383185 Enrollment ID: I20181224000133 |
| Provider Name | Janet L Lemoal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184055741 PECOS PAC ID: 2062758113 Enrollment ID: I20190109003111 |
Mmc Medical Park At 1635 Poplar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Medical Park At 1635 Poplar, 1635 Poplar Street, Bronx, NY 10461 Phone: 914-377-4722 | |
Mmc At Aecom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Morris Park Avenue, Mmc At Aecom, Bronx, NY 10461 Phone: 914-377-4722 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Mmc At Melrose 260 E 161 Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 E 161st St, Bronx, NY 10451 Phone: 718-920-4321 | |
Amth Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 E 149th St, 4th Floor, Bronx, NY 10455 Phone: 718-665-8300 | |
New Genesis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 E Tremont Ave Fl 2, Bronx, NY 10465 Phone: 718-828-1549 Fax: 516-303-0968 |