Maimonides Medical Center Maimonides Primary Care Fpp - Medicare Primary Care in Brooklyn, NY

Maimonides Medical Center Maimonides Primary Care Fpp is a medicare enrolled primary clinic (Internal Medicine) in Brooklyn, New York. The current practice location for Maimonides Medical Center Maimonides Primary Care Fpp is 1250 57th St, Brooklyn, New York. For appointments, you can reach them via phone at (718) 283-7732. The mailing address for Maimonides Medical Center Maimonides Primary Care Fpp is Po Box 27358, New York, New York and phone number is () -.

Maimonides Medical Center Maimonides Primary Care Fpp is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1013968593. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 283-7732.

Contact Information

Maimonides Medical Center Maimonides Primary Care Fpp
1250 57th St
Brooklyn
NY 11219-4537
(718) 283-7732
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameMaimonides Medical Center Maimonides Primary Care Fpp
SpecialityInternal Medicine
Location1250 57th St, Brooklyn, New York
Authorized Official Name and PositionEdgar Lichstein (CHAIRMAN)
Authorized Official Contact7812837732
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Maimonides Medical Center Maimonides Primary Care Fpp
Po Box 27358
New York
NY 10087-7358

Ph: () -
Maimonides Medical Center Maimonides Primary Care Fpp
1250 57th St
Brooklyn
NY 11219-4537

Ph: (718) 283-7732

NPI Details:

NPI Number1013968593
Provider Enumeration Date05/12/2006
Last Update Date02/13/2013

Medicare PECOS Information:

Medicare PECOS PAC ID5991696916
Medicare Enrollment IDO20040322000161

Medical Identifiers

Medical identifiers for Maimonides Medical Center Maimonides Primary Care Fpp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013968593NPI-NPPES
01746785MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Maimonides Medical Center Maimonides Primary Care Fpp acts as a billing entity for following providers:
Provider NameDavid M Herzog
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1487618468
PECOS PAC ID: 5193719573
Enrollment ID: I20040408001515
Provider NamePing Zhou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154473452
PECOS PAC ID: 8022097344
Enrollment ID: I20040719001127
Provider NameShameela A Chorny
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1386734390
PECOS PAC ID: 0143283705
Enrollment ID: I20041105000125
Provider NameSarat B Ravi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043322332
PECOS PAC ID: 3779547450
Enrollment ID: I20041112000560
Provider NameRegina Tarkovsky
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831105592
PECOS PAC ID: 2264496595
Enrollment ID: I20041117000062
Provider NameLawrence B Wolf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518929058
PECOS PAC ID: 3173588944
Enrollment ID: I20041122000671
Provider NameAnita Kaminer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144300443
PECOS PAC ID: 4789634395
Enrollment ID: I20050131000732
Provider NameEdward C Wu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457412181
PECOS PAC ID: 7719908219
Enrollment ID: I20051213000139
Provider NamePhuong T Sutherland
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1619054806
PECOS PAC ID: 2062434202
Enrollment ID: I20051230000535
Provider NameVeronika Romashova
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1720004443
PECOS PAC ID: 2567460389
Enrollment ID: I20061109000635
Provider NameOlga Dioukalova
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1609868785
PECOS PAC ID: 3870591134
Enrollment ID: I20061121000745
Provider NameInna Gelfand
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972549913
PECOS PAC ID: 4789682048
Enrollment ID: I20061121000753
Provider NameYuriy Khanimov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700942273
PECOS PAC ID: 5294838918
Enrollment ID: I20070316000213
Provider NameRichard A Funaro
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831269810
PECOS PAC ID: 3476659327
Enrollment ID: I20070509000433
Provider NameElena Rabinovich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366526428
PECOS PAC ID: 2466544184
Enrollment ID: I20070824000672
Provider NameJennifer B Breznay
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1942237599
PECOS PAC ID: 6507949468
Enrollment ID: I20080215000145
Provider NameMelvyn L Hecht
Provider TypePractitioner - Geriatric Medicine
Provider IdentifiersNPI Number: 1619968062
PECOS PAC ID: 8224126016
Enrollment ID: I20090123000544
Provider NameMichael G Kaplan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700963998
PECOS PAC ID: 2163548371
Enrollment ID: I20100924001029
Provider NameNeal Ringel
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023112752
PECOS PAC ID: 0749474229
Enrollment ID: I20101028000776
Provider NameAllison P Rathan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467447862
PECOS PAC ID: 8325232176
Enrollment ID: I20101105000195
Provider NameNona Roze
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285727040
PECOS PAC ID: 4284828047
Enrollment ID: I20101105000267
Provider NameAlan Bober
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407950975
PECOS PAC ID: 8123213667
Enrollment ID: I20101110000927
Provider NameVijay S Shetty
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1770770406
PECOS PAC ID: 8820277973
Enrollment ID: I20110121000704
Provider NameEdward Ezrick
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558454157
PECOS PAC ID: 2769661511
Enrollment ID: I20110125001026
Provider NameAlexander P Lock
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1841459567
PECOS PAC ID: 5698953909
Enrollment ID: I20110708000309
Provider NameIoana Chen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760781348
PECOS PAC ID: 2769650217
Enrollment ID: I20110727000683
Provider NameBrad A Rahaman
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1043473424
PECOS PAC ID: 0244400745
Enrollment ID: I20110818000641
Provider NameDmitriy O Khodorskiy
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1689803736
PECOS PAC ID: 3274781927
Enrollment ID: I20120921000188
Provider NamePavel Gozenput
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1558599381
PECOS PAC ID: 5496903080
Enrollment ID: I20120925000179
Provider NameMichael G Kantrowitz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790913754
PECOS PAC ID: 0244464543
Enrollment ID: I20130927000265
Provider NameJose A Villamil
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1619208543
PECOS PAC ID: 8628211216
Enrollment ID: I20141107001059
Provider NameQingqing Han
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1154611093
PECOS PAC ID: 5799007639
Enrollment ID: I20141204001267
Provider NameStanley Yakubov
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1982993754
PECOS PAC ID: 8527380922
Enrollment ID: I20141212001150
Provider NameKevin Tin
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1174812044
PECOS PAC ID: 9830415728
Enrollment ID: I20150312001295
Provider NameVimala V Sim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972744977
PECOS PAC ID: 4587700117
Enrollment ID: I20151110000458
Provider NameYekaterina Gordon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1649532268
PECOS PAC ID: 7719276492
Enrollment ID: I20160519000990
Provider NameDaniel E Winetsky
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1023378312
PECOS PAC ID: 6800188954
Enrollment ID: I20160711000129
Provider NameNavjot Somal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1821439340
PECOS PAC ID: 6901199074
Enrollment ID: I20160727000605
Provider NameArindam Ghatak
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699047621
PECOS PAC ID: 3971896713
Enrollment ID: I20160801001663
Provider NameSuchit Khanijao
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1942635412
PECOS PAC ID: 1456646371
Enrollment ID: I20160817000242
Provider NameMichael Marcelin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1053709691
PECOS PAC ID: 5597050658
Enrollment ID: I20160829001229
Provider NameHiba Ali Ali
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1699036855
PECOS PAC ID: 3779865993
Enrollment ID: I20170124001847
Provider NameEliza Muzylo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134494800
PECOS PAC ID: 7810123841
Enrollment ID: I20170127000234
Provider NameShelly Brejt
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1154620441
PECOS PAC ID: 6800164674
Enrollment ID: I20170620001230
Provider NameAdil Pervaiz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174937940
PECOS PAC ID: 4587930243
Enrollment ID: I20171024002862
Provider NameCraig Feibusch
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1215356068
PECOS PAC ID: 5395011647
Enrollment ID: I20171101000502
Provider NameOlaoluwatomi Lamikanra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710397781
PECOS PAC ID: 5395002109
Enrollment ID: I20171204002228
Provider NameEdyta Pedlowska
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1114443702
PECOS PAC ID: 9931468816
Enrollment ID: I20180123000641
Provider NameUri Goldberg
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568872828
PECOS PAC ID: 0143504480
Enrollment ID: I20180215001038
Provider NameLindon Richards
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1467957407
PECOS PAC ID: 0042573354
Enrollment ID: I20180420000083
Provider NameMazin Khalid
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083020812
PECOS PAC ID: 0042574006
Enrollment ID: I20180430000748
Provider NameSimi Philip
Provider TypePractitioner - Infectious Disease
Provider IdentifiersNPI Number: 1962733550
PECOS PAC ID: 0941458137
Enrollment ID: I20180517001904
Provider NameAvraham Miller
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1154749695
PECOS PAC ID: 9032469390
Enrollment ID: I20180906002663
Provider NameViktor Rozsokha
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1194107805
PECOS PAC ID: 0345590527
Enrollment ID: I20180910001391
Provider NameBenjamin Weindorf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1447645569
PECOS PAC ID: 0244580363
Enrollment ID: I20180911000075
Provider NameSerena Grewal
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1245649441
PECOS PAC ID: 3173896651
Enrollment ID: I20180911001191
Provider NameAhmad Hossen Morshed
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1972866309
PECOS PAC ID: 0547511826
Enrollment ID: I20180926000248
Provider NameGagandeep K Raju
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1700263597
PECOS PAC ID: 3072859537
Enrollment ID: I20190104001300
Provider NameGrace B Olowo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972980647
PECOS PAC ID: 1456697556
Enrollment ID: I20190110001662
Provider NameSwathi Gadangi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154736528
PECOS PAC ID: 6507199031
Enrollment ID: I20190614001054
Provider NameRami Albetar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154792059
PECOS PAC ID: 4587998539
Enrollment ID: I20190625000943
Provider NameKristina H Ernst
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1285096438
PECOS PAC ID: 2365779584
Enrollment ID: I20190812001483
Provider NameMariya Astashkevich
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1376997163
PECOS PAC ID: 2365786365
Enrollment ID: I20190918002100
Provider NameEmmanuel Achu
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1891112140
PECOS PAC ID: 1153665153
Enrollment ID: I20190923003171
Provider NameRichard Fazio
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1205254638
PECOS PAC ID: 0042554602
Enrollment ID: I20200120000848
Provider NameLindsey Buchin
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1609263318
PECOS PAC ID: 6002243276
Enrollment ID: I20200227002248
Provider NameIsaac Mizrahi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790130904
PECOS PAC ID: 7315281821
Enrollment ID: I20200512001406
Provider NameSushilkumar Satish Gupta
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1750799722
PECOS PAC ID: 7416294368
Enrollment ID: I20200512002622
Provider NameMushtaque Ahmed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275917361
PECOS PAC ID: 8628312584
Enrollment ID: I20200512002892
Provider NameOmar Taha
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1841618303
PECOS PAC ID: 1355686312
Enrollment ID: I20200512003241
Provider NameKaran Wats
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1710327275
PECOS PAC ID: 7113263070
Enrollment ID: I20200513000038
Provider NameChaya M Levine
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1346635174
PECOS PAC ID: 0244578656
Enrollment ID: I20200513000062
Provider NameMollie Marie James
Provider TypePractitioner - Critical Care (intensivists)
Provider IdentifiersNPI Number: 1063449676
PECOS PAC ID: 6901854405
Enrollment ID: I20200515000129
Provider NameDanielle Denise Spragan
Provider TypePractitioner - Thoracic Surgery
Provider IdentifiersNPI Number: 1114218336
PECOS PAC ID: 8224361142
Enrollment ID: I20200515000294
Provider NameFarhana Iqbal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467848341
PECOS PAC ID: 6204260599
Enrollment ID: I20200701001742
Provider NameSamson E Alliu
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1326465683
PECOS PAC ID: 6305117532
Enrollment ID: I20200925000814
Provider NameVivian Zhu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1235661943
PECOS PAC ID: 4385063783
Enrollment ID: I20201005001950
Provider NameKarina Fatakhova
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811429343
PECOS PAC ID: 9537413802
Enrollment ID: I20201023000130
Provider NameKelash Kumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1366964249
PECOS PAC ID: 0648690966
Enrollment ID: I20201026001034
Provider NameSusan Sc Lin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396279485
PECOS PAC ID: 4789928607
Enrollment ID: I20201026002341
Provider NameSarwat Nasreen
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477085744
PECOS PAC ID: 0143574392
Enrollment ID: I20201111000962
Provider NameDiana Gutierrez
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1063918720
PECOS PAC ID: 3971846650
Enrollment ID: I20210701000157
Provider NameAnatoly Arister
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1639676570
PECOS PAC ID: 1557765617
Enrollment ID: I20210811002201
Provider NameShaurya Sharma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124542253
PECOS PAC ID: 3678827714
Enrollment ID: I20210827002227
Provider NameAbdullah M Tahir
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1093219347
PECOS PAC ID: 9638419807
Enrollment ID: I20211008002431
Provider NameSaipriya Vasudevan
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134561442
PECOS PAC ID: 3072891191
Enrollment ID: I20211009000011
Provider NameGerard J Casale
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265881213
PECOS PAC ID: 8729372933
Enrollment ID: I20211102002595
Provider NameLarry Malkin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245792043
PECOS PAC ID: 6800124207
Enrollment ID: I20220616002992
Provider NameAruge Lutaf
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144727140
PECOS PAC ID: 8325392970
Enrollment ID: I20220811000093
Provider NameShiv G Raj
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1386062867
PECOS PAC ID: 1557605409
Enrollment ID: I20220912002183
Provider NameNavindra Khalikaprasad
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1114480076
PECOS PAC ID: 4688039092
Enrollment ID: I20230508000561
Provider NameMiguel Lacayo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1396371274
PECOS PAC ID: 7315301157
Enrollment ID: I20230913001285
Provider NameSuhaima Tahir
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1154801520
PECOS PAC ID: 9830449263
Enrollment ID: I20231010003586
Provider NameMaham A Waheed
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598226805
PECOS PAC ID: 6406288125
Enrollment ID: I20240315001571
Provider NameVikash Adrian Anderson Ramtahal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134746894
PECOS PAC ID: 4587003736
Enrollment ID: I20240419002937

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.