| Caremore Medical Services Of New York Pc | |
|
1550 Pitkin Ave Brooklyn NY 11212 | |
| (888) 291-1358 | |
| Not Available |
| Full Name | Caremore Medical Services Of New York Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1550 Pitkin Ave, Brooklyn, New York |
| Authorized Official Name and Position | Balu Gadhe (OWNER) |
| Authorized Official Contact | 8882911358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caremore Medical Services Of New York Pc 12900 Park Plaza Dr 150 Cerritos CA 90703-9329 Ph: (888) 291-1358 | Caremore Medical Services Of New York Pc 1550 Pitkin Ave Brooklyn NY 11212 Ph: (888) 291-1358 |
| NPI Number | 1962747212 |
|---|---|
| Provider Enumeration Date | 11/27/2012 |
| Last Update Date | 08/24/2020 |
| Medicare PECOS PAC ID | 2961836960 |
|---|---|
| Medicare Enrollment ID | O20191230000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962747212 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Jay Mathur |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609192608 PECOS PAC ID: 5193997997 Enrollment ID: I20131021001868 |
| Provider Name | Tyquitta Perrier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467700757 PECOS PAC ID: 9931244431 Enrollment ID: I20170802002599 |
| Provider Name | Heather Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386997872 PECOS PAC ID: 1153695432 Enrollment ID: I20170926001030 |
| Provider Name | Brandy L Wadsworth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881186930 PECOS PAC ID: 3173876570 Enrollment ID: I20181101002198 |
| Provider Name | Thomas Mccurdy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003568841 PECOS PAC ID: 0648658401 Enrollment ID: I20220607001086 |
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