| Hillside Polymedic Diagnostic & Treatment Center Inc | |
|
18730 Hillside Ave Jamaica NY 11432-3216 | |
| (718) 264-1111 | |
| Not Available |
| Full Name | Hillside Polymedic Diagnostic & Treatment Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 18730 Hillside Ave, Jamaica, New York |
| Authorized Official Name and Position | Bridget Chime (ADMINISTRATOR) |
| Authorized Official Contact | 7182641111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillside Polymedic Diagnostic & Treatment Center Inc 18730 Hillside Ave Jamaica NY 11432-3216 Ph: (718) 264-1111 | Hillside Polymedic Diagnostic & Treatment Center Inc 18730 Hillside Ave Jamaica NY 11432-3216 Ph: (718) 264-1111 |
| NPI Number | 1689879280 |
|---|---|
| Provider Enumeration Date | 06/15/2007 |
| Last Update Date | 02/15/2023 |
| Medicare PECOS PAC ID | 5496977910 |
|---|---|
| Medicare Enrollment ID | O20141117000444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689879280 | NPI | - | NPPES |
| 02903579 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (New York) | Primary |
| Provider Name | Marian David |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1619073046 PECOS PAC ID: 7810884863 Enrollment ID: I20040304000726 |
| Provider Name | Allan R Keil |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1003893041 PECOS PAC ID: 0749246411 Enrollment ID: I20041203000884 |
| Provider Name | Bhupendra V Dudhia |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1588690788 PECOS PAC ID: 3779505102 Enrollment ID: I20051228000376 |
| Provider Name | Chudi G Chime |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144382177 PECOS PAC ID: 1658467782 Enrollment ID: I20071019000481 |
| Provider Name | Carmina R Rivera |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124277793 PECOS PAC ID: 8123183068 Enrollment ID: I20090210000376 |
| Provider Name | Lurline P Stona |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962598532 PECOS PAC ID: 5890852909 Enrollment ID: I20090317000263 |
| Provider Name | George F Baah |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1285811133 PECOS PAC ID: 8325112196 Enrollment ID: I20090717000346 |
| Provider Name | Rakhil Rubinova |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1851552921 PECOS PAC ID: 7113067752 Enrollment ID: I20091212000061 |
| Provider Name | Ghulamullah Shahzad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1710128996 PECOS PAC ID: 8224164769 Enrollment ID: I20100412000051 |
| Provider Name | Samuel O Ani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417199605 PECOS PAC ID: 0648329672 Enrollment ID: I20130427000123 |
| Provider Name | Leonardo R Rivera |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1841567492 PECOS PAC ID: 0648492876 Enrollment ID: I20150605000428 |
| Provider Name | Kan Zhang |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1023264157 PECOS PAC ID: 4688988272 Enrollment ID: I20150727000941 |
| Provider Name | William Parkhurst |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245780766 PECOS PAC ID: 6800166901 Enrollment ID: I20170724000270 |
| Provider Name | Bo Bo Win Maung |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124546619 PECOS PAC ID: 9133473945 Enrollment ID: I20211222000318 |
| Provider Name | Chinyere Kelechi Agu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821580101 PECOS PAC ID: 7315308871 Enrollment ID: I20230731002440 |
| Provider Name | Lisa Mohamed Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376957613 PECOS PAC ID: 7214158369 Enrollment ID: I20240213004893 |
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Exedus Family Healthcare & Wellness Care Services Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11410 Merrick Blvd, Jamaica, NY 11434 Phone: 718-233-2972 Fax: 667-771-0892 | |
South Merrick Np In Adult Health P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10825 Merrick Blvd, Jamaica, NY 11433 Phone: 718-658-9700 | |
Physician Medical Services, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8216 164th Pl, 1st Floor, Jamaica, NY 11432 Phone: 646-644-8067 | |
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