| Healthmed Diagnostic & Treatment Center | |
|
19002 Jamaica Ave Jamaica NY 11423-2034 | |
| (718) 577-2211 | |
| (929) 399-7959 |
| Full Name | Healthmed Diagnostic & Treatment Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 19002 Jamaica Ave, Jamaica, New York |
| Authorized Official Name and Position | Ari Kalontarov (PRESIDENT) |
| Authorized Official Contact | 3472452279 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Healthmed Diagnostic & Treatment Center 19002 Jamaica Ave Jamaica NY 11423-2034 Ph: (718) 577-2211 | Healthmed Diagnostic & Treatment Center 19002 Jamaica Ave Jamaica NY 11423-2034 Ph: (718) 577-2211 |
| NPI Number | 1295454650 |
|---|---|
| Provider Enumeration Date | 08/26/2022 |
| Last Update Date | 11/06/2023 |
| Medicare PECOS PAC ID | 6901276260 |
|---|---|
| Medicare Enrollment ID | O20221230001544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295454650 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Jeffrey Craig Kass |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831297902 PECOS PAC ID: 0648232744 Enrollment ID: I20041101000781 |
| Provider Name | Jerome E Reeves |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588624902 PECOS PAC ID: 8921065954 Enrollment ID: I20041211000053 |
| Provider Name | William M Levine |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1407910292 PECOS PAC ID: 0648307827 Enrollment ID: I20100420000357 |
| Provider Name | Inna R Raykhelgauz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306103122 PECOS PAC ID: 7911131362 Enrollment ID: I20131018000007 |
| Provider Name | Elisheva Rubinova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063832467 PECOS PAC ID: 3971862970 Enrollment ID: I20180122000224 |
| Provider Name | Diana Barayeva |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1437416344 PECOS PAC ID: 2466706635 Enrollment ID: I20181107002085 |
| Provider Name | Shubrata Dey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457902058 PECOS PAC ID: 7012340615 Enrollment ID: I20240321001591 |
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