Five Star Medical Office Pc | |
10407 Metropolitan Ave Forest Hills NY 11375-6735 | |
(718) 576-4652 | |
(516) 710-7846 |
Full Name | Five Star Medical Office Pc |
---|---|
Speciality | Internal Medicine |
Location | 10407 Metropolitan Ave, Forest Hills, New York |
Authorized Official Name and Position | Celeste Daye (VP REVENUE MANAGEMENT) |
Authorized Official Contact | 4705533591 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Five Star Medical Office Pc Po Box 801280 Kansas City MO 64180-1280 Ph: (718) 576-4652 | Five Star Medical Office Pc 10407 Metropolitan Ave Forest Hills NY 11375-6735 Ph: (718) 576-4652 |
NPI Number | 1760731459 |
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Provider Enumeration Date | 09/10/2012 |
Last Update Date | 03/15/2023 |
Medicare PECOS PAC ID | 8820248016 |
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Medicare Enrollment ID | O20121024000554 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760731459 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 265676 (New York) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Amy X Ma |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740393842 PECOS PAC ID: 3577533157 Enrollment ID: I20040729001540 |
Provider Name | Violetta Gadayeva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093909798 PECOS PAC ID: 1153419940 Enrollment ID: I20071112000535 |
Provider Name | Helen Portalatin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902042518 PECOS PAC ID: 4688851165 Enrollment ID: I20110609000557 |
Provider Name | Danielle Dumrese |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275868994 PECOS PAC ID: 7810146420 Enrollment ID: I20120925000470 |
Provider Name | Marcelina Damaso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184058364 PECOS PAC ID: 3173751427 Enrollment ID: I20140111000136 |
Provider Name | Lauren Guse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770990210 PECOS PAC ID: 8325366990 Enrollment ID: I20150410000161 |
Provider Name | Katherine Davis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255700142 PECOS PAC ID: 3476838095 Enrollment ID: I20170322002421 |
Provider Name | Ngozi Onuachu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174901078 PECOS PAC ID: 4981946670 Enrollment ID: I20190429002611 |
Provider Name | Olga Yushuvayeva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013579614 PECOS PAC ID: 0840623997 Enrollment ID: I20191204001854 |
Provider Name | Maria Dizhgalvis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184144792 PECOS PAC ID: 4183974884 Enrollment ID: I20200107001889 |
Provider Name | Ashley Eldredge Martin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316466220 PECOS PAC ID: 7719245745 Enrollment ID: I20200823000021 |
Provider Name | Stacey Jantsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861091324 PECOS PAC ID: 7810304482 Enrollment ID: I20210326000084 |
Provider Name | Alan Abrams |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1619082674 PECOS PAC ID: 9133156243 Enrollment ID: I20210412002394 |
Provider Name | Maria Bangieva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316313083 PECOS PAC ID: 0143638437 Enrollment ID: I20210427000925 |
Provider Name | Jessica Ramos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043704851 PECOS PAC ID: 9133462922 Enrollment ID: I20210901000775 |
Provider Name | Julia Jezmir |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1114418670 PECOS PAC ID: 1759626351 Enrollment ID: I20211001001638 |
Provider Name | Katherine Bhadra |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588907034 PECOS PAC ID: 1850538893 Enrollment ID: I20211210000209 |
Provider Name | Polina Verbitsky-havasov |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053078386 PECOS PAC ID: 4880086131 Enrollment ID: I20220118000709 |
Provider Name | Shu-hsien Wu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831773845 PECOS PAC ID: 1254724248 Enrollment ID: I20220216000822 |
Provider Name | Gemma C Kaunert |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962697482 PECOS PAC ID: 2163725573 Enrollment ID: I20220321000071 |
Provider Name | Estela Gumina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275280059 PECOS PAC ID: 4981091006 Enrollment ID: I20220420000620 |
Provider Name | Grace Orekoya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497383491 PECOS PAC ID: 6002203932 Enrollment ID: I20220425000890 |
Provider Name | Jing Tang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922505056 PECOS PAC ID: 6507244399 Enrollment ID: I20220607002569 |
Provider Name | Anli Xie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457694267 PECOS PAC ID: 4981082575 Enrollment ID: I20220610001066 |
Provider Name | Laura Ardila |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699273540 PECOS PAC ID: 7517295868 Enrollment ID: I20220708001263 |
Provider Name | Erika Ramirez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215433354 PECOS PAC ID: 7416207428 Enrollment ID: I20221228000757 |
Provider Name | Li Li |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548744899 PECOS PAC ID: 9537405733 Enrollment ID: I20230131002680 |
Provider Name | Corina Rella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467061499 PECOS PAC ID: 1254703846 Enrollment ID: I20230208000309 |
Provider Name | Miriam Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346894565 PECOS PAC ID: 6406186527 Enrollment ID: I20230620002848 |
Provider Name | Tashnie Burgess |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861850398 PECOS PAC ID: 8820345523 Enrollment ID: I20230915000166 |
Provider Name | Carolyn Rines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952936528 PECOS PAC ID: 6507271442 Enrollment ID: I20231019002699 |
Provider Name | Hali Faustin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225637655 PECOS PAC ID: 1658791967 Enrollment ID: I20231103000646 |
Provider Name | Maria Escobar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205836285 PECOS PAC ID: 0446405591 Enrollment ID: I20231106002643 |
Provider Name | Yerelyn Gutierrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932592870 PECOS PAC ID: 2264824242 Enrollment ID: I20231117001313 |
Provider Name | Sandra Munoz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689002867 PECOS PAC ID: 2668601782 Enrollment ID: I20231130003050 |
Provider Name | Yaniret Carmenate |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861869398 PECOS PAC ID: 1355609322 Enrollment ID: I20231207003978 |
Provider Name | Tobi Adeoti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720534316 PECOS PAC ID: 7113214024 Enrollment ID: I20240110000298 |
Provider Name | Diane Evelyn Deangelo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760422703 PECOS PAC ID: 8527093624 Enrollment ID: I20240213000421 |
Provider Name | Cara Lee Chevalier |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1093705816 PECOS PAC ID: 9638109424 Enrollment ID: I20240213003241 |
Provider Name | Keyshla Moreno |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902391303 PECOS PAC ID: 1052660024 Enrollment ID: I20240412002685 |
Provider Name | Shu Dong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376842005 PECOS PAC ID: 5395987200 Enrollment ID: I20240423004096 |
Provider Name | Lesley Pulous |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255707121 PECOS PAC ID: 0840590105 Enrollment ID: I20240517001614 |
Provider Name | Carlos Sori Velazquez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073107678 PECOS PAC ID: 6800238494 Enrollment ID: I20240529000087 |
Provider Name | Kristy Mcintosh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750611521 PECOS PAC ID: 6608039573 Enrollment ID: I20240529002480 |
Provider Name | Chana Baumann |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558100230 PECOS PAC ID: 5395287742 Enrollment ID: I20240612004406 |
Queens Family Medical Health And Wellness, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11120 Queens Blvd, Forest Hills, NY 11375 Phone: 718-261-7600 Fax: 718-261-7606 | |
Austin Medical Obs, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7010 Austin St, Suite 101, Forest Hills, NY 11375 Phone: 718-830-9500 Fax: 718-793-8407 | |
Compassionate Community Physicians Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6861 Yellowstone Blvd Apt 116, Forest Hills, NY 11375 Phone: 347-689-8880 | |
Forrest Hills Medical Of New York Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10814 72nd Ave, Suite 4, Forest Hills, NY 11375 Phone: 914-346-5175 Fax: 914-346-5176 | |
Preferred Health Medical Care Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6902 Austin St Fl 3, Forest Hills, NY 11375 Phone: 718-263-1450 Fax: 718-263-1454 | |
Fund America Management Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 9822 Metropolitan Ave, Forest Hills, NY 11375 Phone: 718-268-2648 | |
Main Street Health Partners, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11835 Queens Blvd Ste 400, Forest Hills, NY 11375 Phone: 718-428-4100 |