| Medex Diagnostic And Treatment Center Llc | |
|
11129 Queens Blvd Forest Hills NY 11375-5553 | |
| (718) 275-8900 | |
| (718) 785-0430 |
| Full Name | Medex Diagnostic And Treatment Center Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11129 Queens Blvd, Forest Hills, New York |
| Authorized Official Name and Position | Oleg Aronov (OWNER) |
| Authorized Official Contact | 7182758900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medex Diagnostic And Treatment Center Llc 11129 Queens Blvd Forest Hills NY 11375-5553 Ph: (718) 275-8900 | Medex Diagnostic And Treatment Center Llc 11129 Queens Blvd Forest Hills NY 11375-5553 Ph: (718) 275-8900 |
| NPI Number | 1629001102 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 10/25/2023 |
| Medicare PECOS PAC ID | 1456336445 |
|---|---|
| Medicare Enrollment ID | O20040623000574 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629001102 | NPI | - | NPPES |
| 02093052 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 7003254R (New York) | Primary |
| Provider Name | Chaim E Kaplan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1942257613 PECOS PAC ID: 2365339819 Enrollment ID: I20040301000772 |
| Provider Name | Boris G Chusid |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1518967769 PECOS PAC ID: 3577453554 Enrollment ID: I20040316000520 |
| Provider Name | Ivan D Baraque |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811059967 PECOS PAC ID: 0446243778 Enrollment ID: I20040405000447 |
| Provider Name | Mikhail Kogan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1467420877 PECOS PAC ID: 2668458597 Enrollment ID: I20040629001610 |
| Provider Name | Alexander Rozenberg |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1760554141 PECOS PAC ID: 8022086156 Enrollment ID: I20040917000064 |
| Provider Name | Victor Katz |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1649261074 PECOS PAC ID: 4688622392 Enrollment ID: I20050110000706 |
| Provider Name | Manoj Sadhnani |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1164521191 PECOS PAC ID: 9032161351 Enrollment ID: I20050215000786 |
| Provider Name | Hortencia C Garcia |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1700887072 PECOS PAC ID: 9234159294 Enrollment ID: I20051206000222 |
| Provider Name | Dilip S Doctor |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1134291420 PECOS PAC ID: 6305852047 Enrollment ID: I20060303000585 |
| Provider Name | David Khasidy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417995358 PECOS PAC ID: 9537171186 Enrollment ID: I20060622000161 |
| Provider Name | Olga A Likhtman |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1699850578 PECOS PAC ID: 0345343661 Enrollment ID: I20071114000406 |
| Provider Name | Alexander Gimpelevich |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1225224579 PECOS PAC ID: 9335222314 Enrollment ID: I20080320000502 |
| Provider Name | Mohammed N Islam |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1750488631 PECOS PAC ID: 1456423409 Enrollment ID: I20080708000281 |
| Provider Name | Yolanda Cestero |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1215024914 PECOS PAC ID: 7719166040 Enrollment ID: I20110119000601 |
| Provider Name | Aditya Mangla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1548453285 PECOS PAC ID: 4486834512 Enrollment ID: I20110208000019 |
| Provider Name | Amit R Shah |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1396067682 PECOS PAC ID: 1355524588 Enrollment ID: I20110325000646 |
| Provider Name | Naiyer Imam |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1992768147 PECOS PAC ID: 6103880935 Enrollment ID: I20110629000027 |
| Provider Name | Rodrigo J Sipalay |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538472881 PECOS PAC ID: 1658542188 Enrollment ID: I20110914000069 |
| Provider Name | Stacy Serebnitsky |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1336379817 PECOS PAC ID: 4789859513 Enrollment ID: I20111207000039 |
| Provider Name | Hamid Moussavian |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861541013 PECOS PAC ID: 5890952139 Enrollment ID: I20120130000269 |
| Provider Name | Afshin Ganjian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1235226689 PECOS PAC ID: 4981862471 Enrollment ID: I20120301000416 |
| Provider Name | Irina Kimyagarova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275776650 PECOS PAC ID: 0840411187 Enrollment ID: I20141029002638 |
| Provider Name | Gagandeep Singh |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1053630798 PECOS PAC ID: 3779886098 Enrollment ID: I20160120002251 |
| Provider Name | Lev Pukin |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1609849546 PECOS PAC ID: 2961315767 Enrollment ID: I20160226001861 |
| Provider Name | Herbert Feuer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447609839 PECOS PAC ID: 7012293707 Enrollment ID: I20170412000582 |
| Provider Name | Sarah Lee Genson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639535172 PECOS PAC ID: 7416215082 Enrollment ID: I20180103002376 |
| Provider Name | Vitaliy Gavrylyuk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639635790 PECOS PAC ID: 7911330972 Enrollment ID: I20191204002792 |
| Provider Name | Edmond Ainehsazan |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477073864 PECOS PAC ID: 2466870381 Enrollment ID: I20200909002137 |
| Provider Name | Ziyad Ahmad Mansur |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164986816 PECOS PAC ID: 7315336823 Enrollment ID: I20211122001616 |
| Provider Name | David O'connor |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1063736510 PECOS PAC ID: 5294990172 Enrollment ID: I20220505001857 |
| Provider Name | Rajeev Pillai |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1093970071 PECOS PAC ID: 7810063617 Enrollment ID: I20221020001963 |
| Provider Name | Elina Kaziyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316646052 PECOS PAC ID: 8820431646 Enrollment ID: I20240208003349 |
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 |