| |
220 E 42nd Street, 6th Floor New York NY 10017-5831 | |
(212) 946-9258 | |
(646) 524-8323 |
Full Name | |
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Speciality | Internal Medicine |
Location | 220 E 42nd Street, 6th Floor, New York, New York |
Authorized Official Name and Position | Ritchell Dignam (PRESIDENT/CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 2127603102 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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220 E 42nd Street, 6th Floor New York NY 10017-5831 Ph: (212) 946-9258 | 220 E 42nd Street, 6th Floor New York NY 10017-5831 Ph: (212) 946-9258 |
NPI Number | 1811138415 |
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Provider Enumeration Date | 03/12/2009 |
Last Update Date | 10/15/2018 |
Medicare PECOS PAC ID | 1557403235 |
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Medicare Enrollment ID | O20100119000152 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811138415 | NPI | - | NPPES |
03219270 | Medicaid | NY | |
3219270 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 179894-1 (New York) | Primary |
Provider Name | Aline A Shehigian |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033319413 PECOS PAC ID: 1153416243 Enrollment ID: I20071004000394 |
Provider Name | Sandra Ruggiero |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205079944 PECOS PAC ID: 3476685637 Enrollment ID: I20100723000241 |
Provider Name | Martine J Baron |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962639039 PECOS PAC ID: 0648394361 Enrollment ID: I20100902000414 |
Provider Name | Goldy L Pascal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730386038 PECOS PAC ID: 8022293638 Enrollment ID: I20110426000186 |
Provider Name | Sandra Villa |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114239621 PECOS PAC ID: 2264688472 Enrollment ID: I20120803000178 |
Provider Name | Sandy Marie Weekes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316221237 PECOS PAC ID: 6406003045 Enrollment ID: I20120904000404 |
Provider Name | Corinne A Giordano |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1467720185 PECOS PAC ID: 3072746676 Enrollment ID: I20140506002036 |
Provider Name | Clair Hyde |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023272424 PECOS PAC ID: 4789714346 Enrollment ID: I20150505002593 |
Provider Name | Orsline R Fraser |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417201666 PECOS PAC ID: 3971824640 Enrollment ID: I20150605002032 |
Provider Name | Jennifer Riley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023400918 PECOS PAC ID: 7719297365 Enrollment ID: I20151110002603 |
Provider Name | Adewale Adegbenle |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801219290 PECOS PAC ID: 8426353293 Enrollment ID: I20160217000286 |
Provider Name | Chanbria E Jackson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1548603871 PECOS PAC ID: 3678840766 Enrollment ID: I20170519002041 |
Provider Name | Michael A Nembhard |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376727370 PECOS PAC ID: 1951611177 Enrollment ID: I20170911000596 |
Provider Name | Regine Anne Michel |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417339441 PECOS PAC ID: 1759662307 Enrollment ID: I20171101000099 |
Provider Name | Derek Saunders |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1912449307 PECOS PAC ID: 1052671401 Enrollment ID: I20180205001328 |
Provider Name | Danielle B Mccauley |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1740403112 PECOS PAC ID: 3476813387 Enrollment ID: I20180213002798 |
Provider Name | Wenjuan Huang |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1134420375 PECOS PAC ID: 6709141740 Enrollment ID: I20180523000551 |
Provider Name | Ritchell R Dignam |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1467432476 PECOS PAC ID: 5294798070 Enrollment ID: I20180621001132 |
Provider Name | Melissa Franklin |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1518465673 PECOS PAC ID: 8325396955 Enrollment ID: I20180730002382 |
Provider Name | Tamara L Pagan |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104304674 PECOS PAC ID: 6002166949 Enrollment ID: I20180913002287 |
Provider Name | Bing Ji |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336572783 PECOS PAC ID: 7810240611 Enrollment ID: I20181024002329 |
Provider Name | Sandi Watson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1316496391 PECOS PAC ID: 6709121247 Enrollment ID: I20190102002477 |
Provider Name | Juanito Vargas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013164953 PECOS PAC ID: 0941542427 Enrollment ID: I20190502001527 |
Provider Name | Jenny Ng |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1588222491 PECOS PAC ID: 5698009736 Enrollment ID: I20190625000040 |
Provider Name | Jean-necker Gassan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922372903 PECOS PAC ID: 8022343292 Enrollment ID: I20190710001435 |
Provider Name | Rosemarie Livingston |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942639984 PECOS PAC ID: 0143559732 Enrollment ID: I20190906001968 |
Provider Name | Marie S Destine-azor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134509136 PECOS PAC ID: 7214245737 Enrollment ID: I20191014000140 |
Provider Name | Halimattu Foday-kakpa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821630369 PECOS PAC ID: 8921434655 Enrollment ID: I20200128002892 |
Provider Name | Johanne Maurisset |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427570530 PECOS PAC ID: 1951722164 Enrollment ID: I20200526001620 |
Provider Name | Linda Bruce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548645153 PECOS PAC ID: 6608297163 Enrollment ID: I20200609001805 |
Provider Name | Maria-cecilia Paredes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346886439 PECOS PAC ID: 9335561950 Enrollment ID: I20200626000788 |
Provider Name | Jennifer Hunter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053548941 PECOS PAC ID: 3678996667 Enrollment ID: I20200709001124 |
Provider Name | Chanie Miller |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1255958617 PECOS PAC ID: 1951713668 Enrollment ID: I20201221002076 |
Provider Name | Fredlyn Lolange |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366954109 PECOS PAC ID: 1658786801 Enrollment ID: I20210219002405 |
Provider Name | Carolyn C Sage |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215088109 PECOS PAC ID: 8426276700 Enrollment ID: I20210226000795 |
Provider Name | Kelly Smith |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1609469873 PECOS PAC ID: 4981010014 Enrollment ID: I20210315001797 |
Provider Name | Raquel Rieckehoff Rosario |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1053889493 PECOS PAC ID: 1850707811 Enrollment ID: I20210317001087 |
Provider Name | Abdul-razak Mohammed |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346668712 PECOS PAC ID: 9638410582 Enrollment ID: I20210817000530 |
Provider Name | Keisha P Cherrington |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285202838 PECOS PAC ID: 5890192348 Enrollment ID: I20210925000021 |
Provider Name | Monica Bueno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588203707 PECOS PAC ID: 3971917600 Enrollment ID: I20210927003021 |
Provider Name | Nancilyma Aidoo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225641129 PECOS PAC ID: 9830580091 Enrollment ID: I20211222001740 |
Provider Name | Valessa Mesidor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972276285 PECOS PAC ID: 4284027079 Enrollment ID: I20220129000222 |
Provider Name | Rosalind A. Eaton |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1336891233 PECOS PAC ID: 3577957778 Enrollment ID: I20220304001077 |
Provider Name | Audrey Llewellyn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033630470 PECOS PAC ID: 5890052120 Enrollment ID: I20220307001410 |
Provider Name | Natalie A Kovacs |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083360473 PECOS PAC ID: 4789079427 Enrollment ID: I20220316002761 |
Provider Name | Voissane Mcnamara |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225368764 PECOS PAC ID: 3072996255 Enrollment ID: I20220822000894 |
Provider Name | Maria T Alpano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659447597 PECOS PAC ID: 3173749207 Enrollment ID: I20221024000528 |
Provider Name | Jamie M Wilson |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1629746771 PECOS PAC ID: 2264809870 Enrollment ID: I20221110000080 |
Provider Name | Jessica Aitken |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508589029 PECOS PAC ID: 0042681827 Enrollment ID: I20230116000463 |
Provider Name | Gianna M Manfredi |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811538259 PECOS PAC ID: 8527432962 Enrollment ID: I20230324002601 |
Provider Name | Madeline A Reistroffer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194721464 PECOS PAC ID: 7810881059 Enrollment ID: I20231207002875 |
Provider Name | Michelle Grant Mckinney |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417465881 PECOS PAC ID: 8527405109 Enrollment ID: I20240318003654 |
Provider Name | Mariah Boccabella |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023652724 PECOS PAC ID: 0244762201 Enrollment ID: I20241015002521 |
Provider Name | Joyce Parks |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1568996767 PECOS PAC ID: 1355873365 Enrollment ID: I20241016000203 |
Provider Name | Samantha Warmingham |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104538743 PECOS PAC ID: 3274066543 Enrollment ID: I20241024002493 |
Provider Name | Valerie Mardi |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1760095756 PECOS PAC ID: 4880127141 Enrollment ID: I20241025001404 |
Provider Name | Dominique Miller |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1720581853 PECOS PAC ID: 7113272030 Enrollment ID: I20241028001824 |
Provider Name | Carol Powell |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1063862225 PECOS PAC ID: 3476823238 Enrollment ID: I20241105000522 |
Provider Name | Sophonie Satine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326502386 PECOS PAC ID: 5092241646 Enrollment ID: I20241206000870 |
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 | |
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 |