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187 Veterans Blvd Massapequa NY 11758-4982 | |
| (516) 795-5523 | |
| (516) 795-5521 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 187 Veterans Blvd, Massapequa, New York |
| Authorized Official Name and Position | Jean M Pfeifle (RCM OPERATIONS MANAGER) |
| Authorized Official Contact | 6403330304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
187 Route 36 Ste 230 West Long Branch NJ 07764-1306 Ph: (732) 702-1039 | 187 Veterans Blvd Massapequa NY 11758-4982 Ph: (516) 795-5523 |
| NPI Number | 1265571863 |
|---|---|
| Provider Enumeration Date | 02/06/2007 |
| Last Update Date | 01/26/2024 |
| Medicare PECOS PAC ID | 7517042211 |
|---|---|
| Medicare Enrollment ID | O20080305000269 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265571863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | 151369-1 (New York) | Primary |
| Provider Name | Jonathan David |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922004241 PECOS PAC ID: 9537072764 Enrollment ID: I20031114000249 |
| Provider Name | Jonathan M Rieber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023093721 PECOS PAC ID: 1759295637 Enrollment ID: I20031114000509 |
| Provider Name | Herbert I Pasternak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1184610370 PECOS PAC ID: 4284529884 Enrollment ID: I20040220000689 |
| Provider Name | Annabelle Zaratzian |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1275502676 PECOS PAC ID: 0547150047 Enrollment ID: I20040318000392 |
| Provider Name | Jasminka Balderacchi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1306822101 PECOS PAC ID: 5799675997 Enrollment ID: I20040319000749 |
| Provider Name | Michael C Barth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104807130 PECOS PAC ID: 1658261763 Enrollment ID: I20040319000958 |
| Provider Name | Oleg Katcher |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598701468 PECOS PAC ID: 4789575184 Enrollment ID: I20040324000289 |
| Provider Name | David E Milkes |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457375966 PECOS PAC ID: 6406848985 Enrollment ID: I20040402000597 |
| Provider Name | Michael A Antony |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1851408017 PECOS PAC ID: 7113912759 Enrollment ID: I20040414001915 |
| Provider Name | Renuka Bankulla |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1205819869 PECOS PAC ID: 8729074489 Enrollment ID: I20040420001777 |
| Provider Name | Scott Tenner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1750398566 PECOS PAC ID: 6901889070 Enrollment ID: I20040609001508 |
| Provider Name | John Buhac |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235184789 PECOS PAC ID: 4587641717 Enrollment ID: I20040706000593 |
| Provider Name | Steven J Feldstein |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1306885439 PECOS PAC ID: 7911986898 Enrollment ID: I20040714001641 |
| Provider Name | Prabhakar R Veeramachaneni |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1578597068 PECOS PAC ID: 4981675824 Enrollment ID: I20040804000128 |
| Provider Name | Sean J Sheehan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1003848102 PECOS PAC ID: 5395719504 Enrollment ID: I20040824000278 |
| Provider Name | Hengameh Ardalan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861428526 PECOS PAC ID: 1254307002 Enrollment ID: I20040903000013 |
| Provider Name | Jan J Shim |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1265417299 PECOS PAC ID: 5395713861 Enrollment ID: I20040922000542 |
| Provider Name | Walaa B Housny |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1285702621 PECOS PAC ID: 2264493121 Enrollment ID: I20041023000121 |
| Provider Name | David Roger Abrahams |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1083610786 PECOS PAC ID: 4789626441 Enrollment ID: I20050524000450 |
| Provider Name | Alexander Lozovatskiy |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1780686022 PECOS PAC ID: 2769477405 Enrollment ID: I20050628000491 |
| Provider Name | Marina Galperin |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285689109 PECOS PAC ID: 2365488871 Enrollment ID: I20050706001121 |
| Provider Name | Ciril C Rizk |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1790895209 PECOS PAC ID: 4284661554 Enrollment ID: I20050719000949 |
| Provider Name | Deborha Marie Caputo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508939281 PECOS PAC ID: 0143251652 Enrollment ID: I20050824000958 |
| Provider Name | Alexandra Cutler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1245224682 PECOS PAC ID: 1658326699 Enrollment ID: I20051121000003 |
| Provider Name | Reginald M Rousseau |
|---|---|
| Provider Type | Practitioner - Interventional Pain Management |
| Provider Identifiers | NPI Number: 1306822523 PECOS PAC ID: 7315903952 Enrollment ID: I20051229000192 |
| Provider Name | James V Puleo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487636254 PECOS PAC ID: 0941224851 Enrollment ID: I20060119000346 |
| Provider Name | Roger B Spencer |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1265521892 PECOS PAC ID: 0244239135 Enrollment ID: I20061202000101 |
| Provider Name | Robin Baradarian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1104841931 PECOS PAC ID: 3779583448 Enrollment ID: I20070102000384 |
| Provider Name | Harold L Lipsky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528046133 PECOS PAC ID: 2264457662 Enrollment ID: I20070305000060 |
| Provider Name | Maria T Sabatini |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1598827107 PECOS PAC ID: 6800993742 Enrollment ID: I20070529000521 |
| Provider Name | Wagih A Saweris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1598706210 PECOS PAC ID: 4880787464 Enrollment ID: I20070912000788 |
| Provider Name | Fanyi Kong |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1528131596 PECOS PAC ID: 2062508468 Enrollment ID: I20071017000228 |
| Provider Name | Stephen Goodman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1154325744 PECOS PAC ID: 8820184880 Enrollment ID: I20071025000609 |
| Provider Name | Douglas A Charney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1639178742 PECOS PAC ID: 9133217839 Enrollment ID: I20071114000031 |
| Provider Name | Michael J Finnegan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1083695944 PECOS PAC ID: 9931193612 Enrollment ID: I20080211000306 |
| Provider Name | Sabrina S Shue |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1053530436 PECOS PAC ID: 3274617022 Enrollment ID: I20080303000712 |
| Provider Name | Mudnia Sheikh |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1164608998 PECOS PAC ID: 2567541253 Enrollment ID: I20080506000794 |
| Provider Name | Jennifer A Northrop |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952589210 PECOS PAC ID: 5294806071 Enrollment ID: I20080623000214 |
| Provider Name | Joseph D Choma |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1902960560 PECOS PAC ID: 6608949060 Enrollment ID: I20080717000327 |
| Provider Name | Stacey L Longo |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1184799223 PECOS PAC ID: 4688661002 Enrollment ID: I20090212000663 |
| Provider Name | Wael Z Eldarawy |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437318730 PECOS PAC ID: 4880742352 Enrollment ID: I20090512000053 |
| Provider Name | Jeremy Gutwein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235279738 PECOS PAC ID: 0042369589 Enrollment ID: I20090513000052 |
| Provider Name | Nebras Zeizafoun |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1831325265 PECOS PAC ID: 0042360968 Enrollment ID: I20090615000200 |
| Provider Name | Alan F Sloyer |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073535050 PECOS PAC ID: 3678679602 Enrollment ID: I20100330000897 |
| Provider Name | Arthur Talansky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1477577963 PECOS PAC ID: 0749377133 Enrollment ID: I20100330001036 |
| Provider Name | Chaim Abittan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972512002 PECOS PAC ID: 4284760018 Enrollment ID: I20100331000151 |
| Provider Name | Mordecai A Dicker |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1437169117 PECOS PAC ID: 9537256920 Enrollment ID: I20100331000205 |
| Provider Name | Howard M Rattner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1033133541 PECOS PAC ID: 4284760042 Enrollment ID: I20100331000341 |
| Provider Name | Debra Tundis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1851353692 PECOS PAC ID: 7012047095 Enrollment ID: I20100618000040 |
| Provider Name | Gary J Colantropo |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1861550956 PECOS PAC ID: 0446381818 Enrollment ID: I20100629000205 |
| Provider Name | Yaron D Langman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568622678 PECOS PAC ID: 7719010123 Enrollment ID: I20100805000937 |
| Provider Name | Richard George Clift |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215969316 PECOS PAC ID: 2163594177 Enrollment ID: I20100819000018 |
| Provider Name | Joseph M. Polito |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538191101 PECOS PAC ID: 3971675992 Enrollment ID: I20100820000150 |
| Provider Name | Bora Gumustop |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386673424 PECOS PAC ID: 2062584089 Enrollment ID: I20100824000407 |
| Provider Name | Louis David May |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164426987 PECOS PAC ID: 9830285899 Enrollment ID: I20100917000301 |
| Provider Name | Robert Allen Sable |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1487649554 PECOS PAC ID: 4587768049 Enrollment ID: I20101008000045 |
| Provider Name | Sasha A Rouzeau |
|---|---|
| Provider Type | Practitioner - Pain Management |
| Provider Identifiers | NPI Number: 1659490019 PECOS PAC ID: 6204028186 Enrollment ID: I20101011000550 |
| Provider Name | Isadore Phillip Gutwein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1053306480 PECOS PAC ID: 7214031772 Enrollment ID: I20101012000486 |
| Provider Name | Viyada Sarabanchong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679646343 PECOS PAC ID: 1153513841 Enrollment ID: I20101013000793 |
| Provider Name | Elliot A Heller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043383789 PECOS PAC ID: 4284665779 Enrollment ID: I20101013000944 |
| Provider Name | Andrew M Goldenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932272697 PECOS PAC ID: 4385837533 Enrollment ID: I20101020000230 |
| Provider Name | Sharon Molinas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1063416659 PECOS PAC ID: 7416140447 Enrollment ID: I20101021001166 |
| Provider Name | Jeffrey R Gerson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1235210626 PECOS PAC ID: 2264337690 Enrollment ID: I20101105001060 |
| Provider Name | Xinjun Zhu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1457531410 PECOS PAC ID: 7416143730 Enrollment ID: I20101130000035 |
| Provider Name | Barry S Dorf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255436499 PECOS PAC ID: 6507992344 Enrollment ID: I20101206000733 |
| Provider Name | Yvonne R Fuller-fontenot |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861422362 PECOS PAC ID: 2062609605 Enrollment ID: I20101209000044 |
| Provider Name | Sofia Novak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629309885 PECOS PAC ID: 9830387406 Enrollment ID: I20101223000157 |
| Provider Name | Winson Lo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1508860107 PECOS PAC ID: 1557550423 Enrollment ID: I20110107000068 |
| Provider Name | Stephen B Bharucha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912913542 PECOS PAC ID: 3173712064 Enrollment ID: I20110112000639 |
| Provider Name | David M Wolfson |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861596041 PECOS PAC ID: 1658550736 Enrollment ID: I20110120001184 |
| Provider Name | Michael S Ader |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760477830 PECOS PAC ID: 8527249911 Enrollment ID: I20110217000558 |
| Provider Name | Deneen M Roessler |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1518930726 PECOS PAC ID: 8325229313 Enrollment ID: I20110224000015 |
| Provider Name | David Franklin Stein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1285620237 PECOS PAC ID: 6901937176 Enrollment ID: I20110301000017 |
| Provider Name | Joshua R Olstein |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1346446580 PECOS PAC ID: 3971780206 Enrollment ID: I20110614000074 |
| Provider Name | Fredric R Miller |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962505909 PECOS PAC ID: 5496881237 Enrollment ID: I20110707000011 |
| Provider Name | Olga Epelbaum |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1184815946 PECOS PAC ID: 2365614062 Enrollment ID: I20110930000057 |
| Provider Name | Vipul H Shah |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417020181 PECOS PAC ID: 2769651694 Enrollment ID: I20111230000018 |
| Provider Name | Sam Weissman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922083880 PECOS PAC ID: 3971760935 Enrollment ID: I20120201001018 |
| Provider Name | Susan M Samson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114102597 PECOS PAC ID: 1052571494 Enrollment ID: I20120322000311 |
| Provider Name | Jack P Braha |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1548456890 PECOS PAC ID: 4688836356 Enrollment ID: I20120426000196 |
| Provider Name | Jordan M Rush |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1306002373 PECOS PAC ID: 0446413835 Enrollment ID: I20120522001284 |
| Provider Name | Eva Chrysanthopoulos |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1972731016 PECOS PAC ID: 7416103262 Enrollment ID: I20120809000475 |
| Provider Name | Kenneth Banner |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1790917813 PECOS PAC ID: 5193974897 Enrollment ID: I20121012000024 |
| Provider Name | Robert J Gianotti |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356509574 PECOS PAC ID: 5597915710 Enrollment ID: I20121025000001 |
| Provider Name | Jonathan E Barsa |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134428907 PECOS PAC ID: 7810116704 Enrollment ID: I20140908001420 |
| Provider Name | Kevin H Pollak |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1104979178 PECOS PAC ID: 3577656172 Enrollment ID: I20150106001346 |
| Provider Name | Venod Narine |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1902193642 PECOS PAC ID: 8123331725 Enrollment ID: I20150724010471 |
| Provider Name | Mandeep Signh Bhamra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942465653 PECOS PAC ID: 0648441311 Enrollment ID: I20150909000995 |
| Provider Name | Jennifer Poterbin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093192619 PECOS PAC ID: 3476861790 Enrollment ID: I20151006000672 |
| Provider Name | Matthew G Warndorf |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1255575262 PECOS PAC ID: 8123331717 Enrollment ID: I20160729001004 |
| Provider Name | Domenico Viterbo |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1932333093 PECOS PAC ID: 7719208206 Enrollment ID: I20160812001110 |
| Provider Name | Qinghu Ren |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1376773978 PECOS PAC ID: 3779895172 Enrollment ID: I20160920001810 |
| Provider Name | Steven Guttmann |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1942438700 PECOS PAC ID: 2466749379 Enrollment ID: I20160921000030 |
| Provider Name | Marilyn E Vanamburgh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346674686 PECOS PAC ID: 7113209677 Enrollment ID: I20170119000028 |
| Provider Name | Sajid Hussain |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1447498076 PECOS PAC ID: 0446397285 Enrollment ID: I20170406000324 |
| Provider Name | Veronica E Striffler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003316266 PECOS PAC ID: 0547523284 Enrollment ID: I20180411002340 |
| Provider Name | Carly Barth |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588926604 PECOS PAC ID: 9032474572 Enrollment ID: I20180604000814 |
| Provider Name | Mark W Saweris |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467870741 PECOS PAC ID: 8224393707 Enrollment ID: I20180604002425 |
| Provider Name | Jarred E Marshak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1538417027 PECOS PAC ID: 8224383385 Enrollment ID: I20180614000931 |
| Provider Name | Joseph A Ilasi |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1740312818 PECOS PAC ID: 2769628452 Enrollment ID: I20180627001360 |
| Provider Name | Neelema Sinha |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1285905109 PECOS PAC ID: 8527378686 Enrollment ID: I20181004002435 |
| Provider Name | Jenny K Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144700758 PECOS PAC ID: 6709138894 Enrollment ID: I20181018001114 |
| Provider Name | Jack M Charney |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1881693745 PECOS PAC ID: 8820345812 Enrollment ID: I20181206002454 |
| Provider Name | Shino Prasandhan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780079855 PECOS PAC ID: 9931440237 Enrollment ID: I20190415002764 |
| Provider Name | Neil R Volk |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922365386 PECOS PAC ID: 0345556379 Enrollment ID: I20190709001441 |
| Provider Name | Julie Jacob |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619283819 PECOS PAC ID: 9739512435 Enrollment ID: I20191211001541 |
| Provider Name | Qing He |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730493412 PECOS PAC ID: 4688894355 Enrollment ID: I20200102001726 |
| Provider Name | Avigail Itzkowitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760094437 PECOS PAC ID: 9234544552 Enrollment ID: I20210219000482 |
| Provider Name | Miriam Anne Dee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194345504 PECOS PAC ID: 4385052216 Enrollment ID: I20210414001448 |
| Provider Name | David Schwarzbaum |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770979064 PECOS PAC ID: 7012265390 Enrollment ID: I20210622000896 |
| Provider Name | Shai R Posner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295120863 PECOS PAC ID: 1456753821 Enrollment ID: I20210707002758 |
| Provider Name | Benjamin Portal |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1235585449 PECOS PAC ID: 7810399037 Enrollment ID: I20210712000804 |
| Provider Name | Janice Jang |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922486992 PECOS PAC ID: 4183950215 Enrollment ID: I20210720003813 |
| Provider Name | Carolanne Rosenthal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811567704 PECOS PAC ID: 7113321886 Enrollment ID: I20210803003519 |
| Provider Name | Sana Baig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124788120 PECOS PAC ID: 2567849094 Enrollment ID: I20220523000029 |
| Provider Name | Rohit Dhingra |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1366892077 PECOS PAC ID: 9335436880 Enrollment ID: I20220712002302 |
| Provider Name | Anthony Razzano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1912388430 PECOS PAC ID: 7113309055 Enrollment ID: I20220809001407 |
| Provider Name | Julia Boroday |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841920949 PECOS PAC ID: 0648648345 Enrollment ID: I20221201000265 |
| Provider Name | Yining Shao |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1790277051 PECOS PAC ID: 7719217025 Enrollment ID: I20230724001453 |
| Provider Name | Audrian Marie Wells |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053982595 PECOS PAC ID: 8224482286 Enrollment ID: I20230925001269 |
| Provider Name | Laura Julia Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093997371 PECOS PAC ID: 4284868076 Enrollment ID: I20240507003760 |
| Provider Name | Robert George Davis |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1831490051 PECOS PAC ID: 2163606153 Enrollment ID: I20240628001683 |
| Provider Name | Grace Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154168979 PECOS PAC ID: 7416496260 Enrollment ID: I20240826001239 |
| Provider Name | Christiane Silver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861819492 PECOS PAC ID: 2769921527 Enrollment ID: I20240826001699 |
Vincent Anzalone Physician Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 847 N Broadway, Suite 103, Massapequa, NY 11758 Phone: 516-798-0441 Fax: 516-798-0445 | |
Li Walk-in Medical Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 808a Hicksville Rd, Massapequa, NY 11758 Phone: 516-597-4242 Fax: 516-597-4243 | |
Mauro Gasparini, M.d., P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 119 New York Ave, Massapequa, NY 11758 Phone: 516-799-2555 | |
Evolve Physicians, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5550 Merrick Rd, Massapequa, NY 11758 Phone: 631-673-2333 Fax: 631-673-1314 | |
Ny Acupuncture And Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5509 Merrick Rd, Massapequa, NY 11758 Phone: 718-520-8480 | |
Island Family Medicine Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Unqua Rd, Massapequa, NY 11758 Phone: 516-799-9700 Fax: 516-799-0134 |