| Medical Director Services Pc | |
|
4770 White Plains Rd Bronx NY 10470-1104 | |
| (718) 931-9700 | |
| Not Available |
| Full Name | Medical Director Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4770 White Plains Rd, Bronx, New York |
| Authorized Official Name and Position | Josef Schenker (BILLER) |
| Authorized Official Contact | 2127346621 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Director Services Pc 4770 White Plains Rd Bronx NY 10470-1104 Ph: () - | Medical Director Services Pc 4770 White Plains Rd Bronx NY 10470-1104 Ph: (718) 931-9700 |
| NPI Number | 1871955807 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 0042501116 |
|---|---|
| Medicare Enrollment ID | O20160621000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871955807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew R Brackman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1578592218 PECOS PAC ID: 8729991104 Enrollment ID: I20031111000544 |
| Provider Name | Joshua Prero |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831279769 PECOS PAC ID: 9638067127 Enrollment ID: I20040308000017 |
| Provider Name | Robert J Losier |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417012154 PECOS PAC ID: 0840188942 Enrollment ID: I20040309001449 |
| Provider Name | Robert T Woltman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1386723088 PECOS PAC ID: 0648262584 Enrollment ID: I20040331001705 |
| Provider Name | Sharon L. Bronner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578509253 PECOS PAC ID: 9032108956 Enrollment ID: I20040506001763 |
| Provider Name | Carol O Iheagwara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376560870 PECOS PAC ID: 8426047366 Enrollment ID: I20040507000117 |
| Provider Name | Edit K Masaba |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407844590 PECOS PAC ID: 0345223475 Enrollment ID: I20040610000512 |
| Provider Name | Jason M Lacher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1629111521 PECOS PAC ID: 4587648902 Enrollment ID: I20040615000203 |
| Provider Name | David M Bartol |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1689628737 PECOS PAC ID: 2961481320 Enrollment ID: I20040719000725 |
| Provider Name | Bernadette N Agard-henriques |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1235214669 PECOS PAC ID: 4587634084 Enrollment ID: I20040730000831 |
| Provider Name | Ali Y Mirza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477535458 PECOS PAC ID: 8628038338 Enrollment ID: I20041018000348 |
| Provider Name | Thomas F Kandora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144214503 PECOS PAC ID: 2961463377 Enrollment ID: I20041020000032 |
| Provider Name | Josef Schenker |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1225004708 PECOS PAC ID: 8729037858 Enrollment ID: I20050115000142 |
| Provider Name | Hillary Diamond |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902967011 PECOS PAC ID: 1052362639 Enrollment ID: I20050201001009 |
| Provider Name | John Joseph Weber |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1306946991 PECOS PAC ID: 0446297949 Enrollment ID: I20050415000648 |
| Provider Name | Leonard M Gelman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326066994 PECOS PAC ID: 7214976497 Enrollment ID: I20050427000687 |
| Provider Name | Christopher Minacapilli |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1770676819 PECOS PAC ID: 5496796146 Enrollment ID: I20050512000830 |
| Provider Name | Jeanne Bishop |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1912922774 PECOS PAC ID: 1951330034 Enrollment ID: I20050809000654 |
| Provider Name | Roger Boyce |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134110547 PECOS PAC ID: 3971534504 Enrollment ID: I20050824000169 |
| Provider Name | Adebola Orafidiya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831244227 PECOS PAC ID: 8921031394 Enrollment ID: I20050915000731 |
| Provider Name | Christopher M Pawlinga |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255488342 PECOS PAC ID: 8224063227 Enrollment ID: I20051005000406 |
| Provider Name | Basel Alhaddad |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487741120 PECOS PAC ID: 7810903812 Enrollment ID: I20060228000807 |
| Provider Name | Marc S Schumann |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972525418 PECOS PAC ID: 4385642917 Enrollment ID: I20061115000184 |
| Provider Name | Benita Kinard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578633608 PECOS PAC ID: 4082616016 Enrollment ID: I20070205000453 |
| Provider Name | Karen A Bleser |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1609890805 PECOS PAC ID: 2264536663 Enrollment ID: I20070323000420 |
| Provider Name | Theresa M Pittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487694527 PECOS PAC ID: 7517062540 Enrollment ID: I20070419000094 |
| Provider Name | Samuel Stephen Carr |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1295898732 PECOS PAC ID: 4688765332 Enrollment ID: I20070809000283 |
| Provider Name | Nazia Habib |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356433858 PECOS PAC ID: 2567480650 Enrollment ID: I20070924000568 |
| Provider Name | Audrey R Gilzeane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083651350 PECOS PAC ID: 2961592860 Enrollment ID: I20071215000136 |
| Provider Name | Ala-may P Lumibao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356516462 PECOS PAC ID: 4284700113 Enrollment ID: I20080829000142 |
| Provider Name | Georges R Ramalanjaona |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1104811785 PECOS PAC ID: 4587688429 Enrollment ID: I20081119000554 |
| Provider Name | Yonette Davis |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1871619395 PECOS PAC ID: 3375604119 Enrollment ID: I20081211000348 |
| Provider Name | Marva Butters |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1649306648 PECOS PAC ID: 8224193677 Enrollment ID: I20090218000347 |
| Provider Name | Nirav S Patel |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1992951925 PECOS PAC ID: 3678612231 Enrollment ID: I20091120000454 |
| Provider Name | Vladimir Lekht |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023208386 PECOS PAC ID: 5496895302 Enrollment ID: I20091224000044 |
| Provider Name | Larry I Cohen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720121403 PECOS PAC ID: 9133260854 Enrollment ID: I20100104000278 |
| Provider Name | Anna Wojtaszek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093905911 PECOS PAC ID: 1759424534 Enrollment ID: I20100202000292 |
| Provider Name | Hardik I Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326251604 PECOS PAC ID: 9234266958 Enrollment ID: I20100428000482 |
| Provider Name | Stephen C Lansey |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1790818144 PECOS PAC ID: 8921140955 Enrollment ID: I20100603000717 |
| Provider Name | Andrew S Wilantewicz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457355224 PECOS PAC ID: 1254543465 Enrollment ID: I20101014000500 |
| Provider Name | Florence Pua |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124105036 PECOS PAC ID: 3971796483 Enrollment ID: I20101015001206 |
| Provider Name | Stephanie Melissa Chambers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437467743 PECOS PAC ID: 9133313612 Enrollment ID: I20101028000741 |
| Provider Name | Lorna C Forbes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477873776 PECOS PAC ID: 6901093269 Enrollment ID: I20101213000448 |
| Provider Name | Thomas J Militana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578666582 PECOS PAC ID: 4789872755 Enrollment ID: I20101217000764 |
| Provider Name | Ajay Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558353763 PECOS PAC ID: 2062498371 Enrollment ID: I20101228000335 |
| Provider Name | Peyman Younesi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20110202000565 |
| Provider Name | Aaron Czekaj |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1922261379 PECOS PAC ID: 6507046471 Enrollment ID: I20110209000840 |
| Provider Name | Maisha E Maitland-jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184830036 PECOS PAC ID: 0648450437 Enrollment ID: I20110210001190 |
| Provider Name | Thomas C Franchini |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588674592 PECOS PAC ID: 9335184514 Enrollment ID: I20110504000093 |
| Provider Name | Asher Rudowsky |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1124323951 PECOS PAC ID: 2466630652 Enrollment ID: I20110616000446 |
| Provider Name | Karen A Hibbert Ozuzu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871519728 PECOS PAC ID: 6002818135 Enrollment ID: I20111013000080 |
| Provider Name | Soodabeh Zolfaghari |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1396907689 PECOS PAC ID: 7214109107 Enrollment ID: I20111019000543 |
| Provider Name | Christos L Paras |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1437314457 PECOS PAC ID: 1951597236 Enrollment ID: I20120124000961 |
| Provider Name | Anthony Vela |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1316046451 PECOS PAC ID: 1052578457 Enrollment ID: I20120213000202 |
| Provider Name | Nicole M George |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801171632 PECOS PAC ID: 4385803121 Enrollment ID: I20120314000150 |
| Provider Name | Mohammad A Saeed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609034305 PECOS PAC ID: 7315107844 Enrollment ID: I20120321000160 |
| Provider Name | Jessica Mcdannis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326326455 PECOS PAC ID: 0244492064 Enrollment ID: I20120424000261 |
| Provider Name | Kathleen A Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851688840 PECOS PAC ID: 8325201734 Enrollment ID: I20120523000041 |
| Provider Name | Krisemily A Mccrory |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427292358 PECOS PAC ID: 4688830169 Enrollment ID: I20120727000399 |
| Provider Name | Ifeoma Ukachukwu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568721470 PECOS PAC ID: 7012163439 Enrollment ID: I20120817000046 |
| Provider Name | Deborah L Norris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215062690 PECOS PAC ID: 4385532274 Enrollment ID: I20120917000131 |
| Provider Name | Devinalini Misir |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073713251 PECOS PAC ID: 0042462228 Enrollment ID: I20121215000036 |
| Provider Name | Mukul Khurana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144208497 PECOS PAC ID: 1557275898 Enrollment ID: I20130520000352 |
| Provider Name | Salina N Nordstrom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720256571 PECOS PAC ID: 9830336411 Enrollment ID: I20130520000509 |
| Provider Name | Brian Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235494774 PECOS PAC ID: 7315189800 Enrollment ID: I20130813000509 |
| Provider Name | Joy K Obihara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356608095 PECOS PAC ID: 1052548443 Enrollment ID: I20131210000886 |
| Provider Name | Jason N Lieu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1407163827 PECOS PAC ID: 2062640832 Enrollment ID: I20140124001784 |
| Provider Name | Joyce Reginah W Ndungu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710301304 PECOS PAC ID: 1153553904 Enrollment ID: I20140410000960 |
| Provider Name | Charles Lee |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497044986 PECOS PAC ID: 8729211693 Enrollment ID: I20140429001816 |
| Provider Name | Joy Victor B Arceo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275814683 PECOS PAC ID: 0345466520 Enrollment ID: I20140724000115 |
| Provider Name | Ramsey Joudeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1174819353 PECOS PAC ID: 3274752639 Enrollment ID: I20140917000160 |
| Provider Name | Gwendolyn Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487058145 PECOS PAC ID: 1355563925 Enrollment ID: I20141114001358 |
| Provider Name | Margarita Presman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1871850206 PECOS PAC ID: 7810211927 Enrollment ID: I20150121000153 |
| Provider Name | Sandra Boateng-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255585295 PECOS PAC ID: 6800113507 Enrollment ID: I20150317001944 |
| Provider Name | Maria Shalukhova |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700268778 PECOS PAC ID: 4587971668 Enrollment ID: I20150922002654 |
| Provider Name | Afolabi Poroye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386956654 PECOS PAC ID: 8022240183 Enrollment ID: I20160202002674 |
| Provider Name | Lydia Regis |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1972915577 PECOS PAC ID: 9234420662 Enrollment ID: I20160615001373 |
| Provider Name | Seeta Ganpat |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679996375 PECOS PAC ID: 9931490646 Enrollment ID: I20160627001697 |
| Provider Name | Jaya Francis Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659754273 PECOS PAC ID: 5496049876 Enrollment ID: I20160808001835 |
| Provider Name | Daniel Cunningham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427308980 PECOS PAC ID: 9537478698 Enrollment ID: I20160826001704 |
| Provider Name | Mediha Ibrahim |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1962639849 PECOS PAC ID: 2769799956 Enrollment ID: I20160928001220 |
| Provider Name | Tharon Holmberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871741785 PECOS PAC ID: 0749357341 Enrollment ID: I20161010000866 |
| Provider Name | Amit Gandhi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1508297268 PECOS PAC ID: 7810285624 Enrollment ID: I20161011002340 |
| Provider Name | Rhonda Mae Esposito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417300138 PECOS PAC ID: 9133417843 Enrollment ID: I20161012002872 |
| Provider Name | Dobgima Erick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972974475 PECOS PAC ID: 1456649078 Enrollment ID: I20161014001487 |
| Provider Name | Robert White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821237249 PECOS PAC ID: 6608156690 Enrollment ID: I20161208002108 |
| Provider Name | Janeen M Marshall |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1407122450 PECOS PAC ID: 7214218668 Enrollment ID: I20161227001130 |
| Provider Name | Simone Watson-walke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952855744 PECOS PAC ID: 9638452451 Enrollment ID: I20170201001756 |
| Provider Name | Sobha Panicker-thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134678022 PECOS PAC ID: 9739462599 Enrollment ID: I20170202000518 |
| Provider Name | Gaye Harding |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699098731 PECOS PAC ID: 2466736889 Enrollment ID: I20170303000659 |
| Provider Name | Lauren P Otero Ramirez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306102199 PECOS PAC ID: 4688959406 Enrollment ID: I20170317001539 |
| Provider Name | Kamla N Gurcharan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386095248 PECOS PAC ID: 2466739917 Enrollment ID: I20170510000994 |
| Provider Name | Payel Ghosh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1457766495 PECOS PAC ID: 9537452867 Enrollment ID: I20170628000354 |
| Provider Name | Michael Ian Gartenhaus |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679985402 PECOS PAC ID: 5698044600 Enrollment ID: I20170707000591 |
| Provider Name | Lesya Tarascina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093243180 PECOS PAC ID: 2668742461 Enrollment ID: I20170727001732 |
| Provider Name | Kerby Laguerre-simon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699949636 PECOS PAC ID: 1658644372 Enrollment ID: I20170831001462 |
| Provider Name | Esther Ugonma Chijioke |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871927798 PECOS PAC ID: 2163797002 Enrollment ID: I20171003007263 |
| Provider Name | Carlos M Tellechea |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487095196 PECOS PAC ID: 5597992677 Enrollment ID: I20171024001435 |
| Provider Name | John Mark Carlos Bonagua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477077535 PECOS PAC ID: 6406122191 Enrollment ID: I20171025000498 |
| Provider Name | Judithe Apollon-louissaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902200520 PECOS PAC ID: 7618243163 Enrollment ID: I20171027000782 |
| Provider Name | Theresa Abdul-massih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619495942 PECOS PAC ID: 1456627835 Enrollment ID: I20171031000521 |
| Provider Name | Ashleigh Maria Holmes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285159970 PECOS PAC ID: 7113283284 Enrollment ID: I20171106001034 |
| Provider Name | Stacey Ann Hirabayashi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033668827 PECOS PAC ID: 8729347786 Enrollment ID: I20180119000709 |
| Provider Name | Charlene Scotton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164934394 PECOS PAC ID: 6709147473 Enrollment ID: I20180221002073 |
| Provider Name | William Lopez |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1538573910 PECOS PAC ID: 5597033217 Enrollment ID: I20180228000989 |
| Provider Name | John Moriarty |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821476201 PECOS PAC ID: 7911269899 Enrollment ID: I20180314000154 |
| Provider Name | Elizabeth Nosier-turenne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841701711 PECOS PAC ID: 6709148000 Enrollment ID: I20180327000766 |
| Provider Name | Jasmine Francis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376050617 PECOS PAC ID: 5799048336 Enrollment ID: I20180413000737 |
| Provider Name | William Miller |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1003820655 PECOS PAC ID: 8022032184 Enrollment ID: I20180510000267 |
| Provider Name | Mohammad Z Rimawi |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952752248 PECOS PAC ID: 2264787928 Enrollment ID: I20180620002156 |
| Provider Name | Natalie Paul |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922282029 PECOS PAC ID: 8426303033 Enrollment ID: I20180622001978 |
| Provider Name | Diana Mcnear |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699216697 PECOS PAC ID: 8426305822 Enrollment ID: I20180717000645 |
| Provider Name | Yvette Brown-cuff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205901113 PECOS PAC ID: 0345598967 Enrollment ID: I20180730001950 |
| Provider Name | Taylor L Hoff |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1952784548 PECOS PAC ID: 9638479983 Enrollment ID: I20180802003558 |
| Provider Name | Marcia Clarke-pennant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215441092 PECOS PAC ID: 8325397326 Enrollment ID: I20180824001005 |
| Provider Name | Ginel C Gordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891288551 PECOS PAC ID: 2668723198 Enrollment ID: I20180924000612 |
| Provider Name | Victoria L Sully |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477824670 PECOS PAC ID: 8325391857 Enrollment ID: I20181030001026 |
| Provider Name | Sharon A. Lennon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356532378 PECOS PAC ID: 9830442235 Enrollment ID: I20181101002049 |
| Provider Name | Emad Youssef |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1558747634 PECOS PAC ID: 8325394943 Enrollment ID: I20181115001226 |
| Provider Name | Pamela Bethel-wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013404292 PECOS PAC ID: 1850645540 Enrollment ID: I20181115001805 |
| Provider Name | Ryanna D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285112441 PECOS PAC ID: 3274878301 Enrollment ID: I20181218003386 |
| Provider Name | Thelma Monterroso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265786545 PECOS PAC ID: 5193950418 Enrollment ID: I20190102000788 |
| Provider Name | Pamela Bustos Aranda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194292607 PECOS PAC ID: 9537405097 Enrollment ID: I20190104001267 |
| Provider Name | Charlotte Starks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245724467 PECOS PAC ID: 2466798079 Enrollment ID: I20190117002768 |
| Provider Name | Tracey Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144711938 PECOS PAC ID: 4385981604 Enrollment ID: I20190124002353 |
| Provider Name | Joyce M Mwangi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992276174 PECOS PAC ID: 3274870159 Enrollment ID: I20190130002887 |
| Provider Name | Sasha Kimberly Aristide |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306336052 PECOS PAC ID: 3678811270 Enrollment ID: I20190206001251 |
| Provider Name | Gina Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790259810 PECOS PAC ID: 4789922642 Enrollment ID: I20190219001969 |
| Provider Name | Angela Yvonne Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487158820 PECOS PAC ID: 4688913064 Enrollment ID: I20190301000435 |
| Provider Name | Deinma Ibulubo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013261866 PECOS PAC ID: 8527308014 Enrollment ID: I20190320000704 |
| Provider Name | Joy C. Chris-onuoha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801352521 PECOS PAC ID: 0345581252 Enrollment ID: I20190402002298 |
| Provider Name | Nisha Zachariah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760953681 PECOS PAC ID: 8426390527 Enrollment ID: I20190419000134 |
| Provider Name | Lisa Persad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912241068 PECOS PAC ID: 8224370945 Enrollment ID: I20190430000540 |
| Provider Name | Yetunde Ogunbanwo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992011290 PECOS PAC ID: 3173857463 Enrollment ID: I20190619003173 |
| Provider Name | Magdalene Pavilus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699293472 PECOS PAC ID: 9537494414 Enrollment ID: I20190715002519 |
| Provider Name | Pollyanna Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487884276 PECOS PAC ID: 8022232875 Enrollment ID: I20190924003316 |
| Provider Name | Tiffany N Nicholson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093054975 PECOS PAC ID: 8729318837 Enrollment ID: I20191002001482 |
| Provider Name | Gaboy Jupiter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033656715 PECOS PAC ID: 0648554758 Enrollment ID: I20191213000772 |
| Provider Name | Jody Alaine Palo Lacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992340608 PECOS PAC ID: 2668806092 Enrollment ID: I20191218000785 |
| Provider Name | Halimattu Mariam Foday-kakpa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821630369 PECOS PAC ID: 8921434655 Enrollment ID: I20200128002892 |
| Provider Name | Pendor Haiyede |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215586490 PECOS PAC ID: 4880020510 Enrollment ID: I20200128003090 |
| Provider Name | Catherine Ossei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003311721 PECOS PAC ID: 9739517012 Enrollment ID: I20200319002724 |
| Provider Name | Josana Joseph |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1679789192 PECOS PAC ID: 5395992390 Enrollment ID: I20200407001955 |
| Provider Name | Michelle A Mercurius |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932477544 PECOS PAC ID: 3072733591 Enrollment ID: I20200512000352 |
| Provider Name | Leah Rothschild |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073064481 PECOS PAC ID: 2668803214 Enrollment ID: I20200514001365 |
| Provider Name | Gaston Mike Liu |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104271469 PECOS PAC ID: 8022430305 Enrollment ID: I20200615000319 |
| Provider Name | Marla Nord-henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699248823 PECOS PAC ID: 4284059908 Enrollment ID: I20200729000051 |
| Provider Name | Maysoon O.a. Agarib |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1780047019 PECOS PAC ID: 9335567148 Enrollment ID: I20200910002322 |
| Provider Name | Carrie Elizabeth Trubia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962645010 PECOS PAC ID: 1759791312 Enrollment ID: I20201110001951 |
| Provider Name | Zhi Q Huang |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1104277185 PECOS PAC ID: 5294145884 Enrollment ID: I20201111000208 |
| Provider Name | Marisa Brava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225470586 PECOS PAC ID: 7719111632 Enrollment ID: I20201202001989 |
| Provider Name | Roberto Javier |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083937460 PECOS PAC ID: 5092135988 Enrollment ID: I20201221000661 |
| Provider Name | Alex Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467075812 PECOS PAC ID: 2163835729 Enrollment ID: I20201229001290 |
| Provider Name | Nadezhda Solovyeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053928747 PECOS PAC ID: 5395158323 Enrollment ID: I20210111002742 |
| Provider Name | Marlie Hilaire |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710418116 PECOS PAC ID: 7719390517 Enrollment ID: I20210118000628 |
| Provider Name | Jessica Wunder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013306240 PECOS PAC ID: 2264758036 Enrollment ID: I20210121001928 |
| Provider Name | Michelle Balagulan Borra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427675578 PECOS PAC ID: 8426469370 Enrollment ID: I20210127002236 |
| Provider Name | Fatima Gazayeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770062226 PECOS PAC ID: 0345655148 Enrollment ID: I20210208002325 |
| Provider Name | Arash Arvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982048872 PECOS PAC ID: 5092078907 Enrollment ID: I20210217001340 |
| Provider Name | Ihuoma Ottih |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508142506 PECOS PAC ID: 2466628177 Enrollment ID: I20210310001079 |
| Provider Name | Abellard Louis Jeune |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285227579 PECOS PAC ID: 4082021753 Enrollment ID: I20210324001777 |
| Provider Name | Thomas Leon Mitchell Skurtu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417554940 PECOS PAC ID: 4385051929 Enrollment ID: I20210329000859 |
| Provider Name | Elysse Lerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912373721 PECOS PAC ID: 3779867395 Enrollment ID: I20210408000247 |
| Provider Name | Michele L Brunner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306451687 PECOS PAC ID: 3375951361 Enrollment ID: I20210412001357 |
| Provider Name | Natalie Akerman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366723140 PECOS PAC ID: 7911256417 Enrollment ID: I20210415002804 |
| Provider Name | Phoebe Victoria Ong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619576063 PECOS PAC ID: 8123436433 Enrollment ID: I20210426000686 |
| Provider Name | Ariel Amirzadeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962868638 PECOS PAC ID: 8426467515 Enrollment ID: I20210430000914 |
| Provider Name | Lauren Marie Rokjer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841815966 PECOS PAC ID: 1456768241 Enrollment ID: I20210524000955 |
| Provider Name | Basirat Pelemo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396378790 PECOS PAC ID: 3779996517 Enrollment ID: I20210524002374 |
| Provider Name | Cheryl Blumenfrucht |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932782232 PECOS PAC ID: 9032519376 Enrollment ID: I20210608003246 |
| Provider Name | Fabliha Masnoon Anbar |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144718974 PECOS PAC ID: 7719221381 Enrollment ID: I20210713000064 |
| Provider Name | Jennifer H Kuinov |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1619474830 PECOS PAC ID: 8224373238 Enrollment ID: I20210803000707 |
| Provider Name | Zinaida Klien |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1417302308 PECOS PAC ID: 6002150547 Enrollment ID: I20210810000324 |
| Provider Name | Joshua Starteri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972818797 PECOS PAC ID: 0143624171 Enrollment ID: I20210812001051 |
| Provider Name | Daniel S Yaeger |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1720577828 PECOS PAC ID: 5496150971 Enrollment ID: I20210820002767 |
| Provider Name | Carolyn Hutchinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124608641 PECOS PAC ID: 3274938329 Enrollment ID: I20210827000232 |
| Provider Name | Moshe Damavandi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235722901 PECOS PAC ID: 8729484290 Enrollment ID: I20210908002898 |
| Provider Name | Noe E Garza |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1902332786 PECOS PAC ID: 8123424447 Enrollment ID: I20210910001684 |
| Provider Name | Lauren Fisher |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1497914865 PECOS PAC ID: 5698949907 Enrollment ID: I20210929002981 |
| Provider Name | Naomi Bonsu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083013528 PECOS PAC ID: 4486052461 Enrollment ID: I20211005002457 |
| Provider Name | Sakirudeen Olusesi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760006522 PECOS PAC ID: 8022423797 Enrollment ID: I20211005003532 |
| Provider Name | Lora Hong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366043259 PECOS PAC ID: 3678971181 Enrollment ID: I20211014001149 |
| Provider Name | Theresa Marie Vergara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144870056 PECOS PAC ID: 1052709086 Enrollment ID: I20211025002331 |
| Provider Name | Megan Putnam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912669151 PECOS PAC ID: 8628466588 Enrollment ID: I20211026000647 |
| Provider Name | Abiodun Akinbobola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023387248 PECOS PAC ID: 1254729775 Enrollment ID: I20211102001063 |
| Provider Name | Rochelle Bryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861076176 PECOS PAC ID: 3870981319 Enrollment ID: I20211102002092 |
| Provider Name | Urime Osmani |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528446697 PECOS PAC ID: 6901183771 Enrollment ID: I20211116000581 |
| Provider Name | Alesia Floyd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114592987 PECOS PAC ID: 4082004312 Enrollment ID: I20211201000546 |
| Provider Name | Olga Kiriluk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609415645 PECOS PAC ID: 1759772072 Enrollment ID: I20211221002374 |
| Provider Name | Robyn Avigdor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558780270 PECOS PAC ID: 0749671956 Enrollment ID: I20211223000856 |
| Provider Name | Elisabeth Hyunjung Jang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982372405 PECOS PAC ID: 8123419959 Enrollment ID: I20220105000301 |
| Provider Name | Christine Louise Lutrario |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932718855 PECOS PAC ID: 5294127627 Enrollment ID: I20220117000355 |
| Provider Name | Melba Paulose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578222972 PECOS PAC ID: 5294127478 Enrollment ID: I20220120000850 |
| Provider Name | Shelly Atine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649739996 PECOS PAC ID: 3577955699 Enrollment ID: I20220124001611 |
| Provider Name | Mavis Osei Neequaye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568047926 PECOS PAC ID: 0143613547 Enrollment ID: I20220208000622 |
| Provider Name | Violet Soyfer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962165290 PECOS PAC ID: 1355735275 Enrollment ID: I20220218000600 |
| Provider Name | Laura Anne Mcnally |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407514284 PECOS PAC ID: 4082008552 Enrollment ID: I20220225001653 |
| Provider Name | Lilian Udo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104461912 PECOS PAC ID: 6406241306 Enrollment ID: I20220310002800 |
| Provider Name | Naomi Goldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437775103 PECOS PAC ID: 3971994179 Enrollment ID: I20220329001314 |
| Provider Name | Caterine Rocio Warta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609528579 PECOS PAC ID: 6608262621 Enrollment ID: I20220331000162 |
| Provider Name | Talya Vernon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568103661 PECOS PAC ID: 8921495979 Enrollment ID: I20220422000174 |
| Provider Name | Dahlia Jeanetta Bolt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255086625 PECOS PAC ID: 9739576174 Enrollment ID: I20220503001900 |
| Provider Name | Leah Terry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750847976 PECOS PAC ID: 9436490596 Enrollment ID: I20220512001863 |
| Provider Name | David Steven Rapps |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1477050094 PECOS PAC ID: 0840679346 Enrollment ID: I20220613002820 |
| Provider Name | Katherine Maychenko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700527025 PECOS PAC ID: 5092195420 Enrollment ID: I20220701001799 |
| Provider Name | Zev Lati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366901282 PECOS PAC ID: 1658753389 Enrollment ID: I20220727004068 |
| Provider Name | Ita Illene Golus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801961651 PECOS PAC ID: 1355725003 Enrollment ID: I20220830003883 |
| Provider Name | Erica N Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124618335 PECOS PAC ID: 5092124883 Enrollment ID: I20220831002206 |
| Provider Name | Arti Karmur |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1639602352 PECOS PAC ID: 9335552991 Enrollment ID: I20220907003727 |
| Provider Name | Abigail E Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578157319 PECOS PAC ID: 9032586920 Enrollment ID: I20221107000412 |
| Provider Name | Sarah Marcelle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619699329 PECOS PAC ID: 5597133066 Enrollment ID: I20221115002127 |
| Provider Name | Allyson Marie Jessen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124736087 PECOS PAC ID: 7012386857 Enrollment ID: I20221216001945 |
| Provider Name | Mae Cheryl Laborde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366152811 PECOS PAC ID: 0345619052 Enrollment ID: I20221219001937 |
| Provider Name | Tonia Boddie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871996736 PECOS PAC ID: 9537249453 Enrollment ID: I20221221000797 |
| Provider Name | Michelle C Domingo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487362125 PECOS PAC ID: 2769852169 Enrollment ID: I20221229001458 |
| Provider Name | Tenzin Zompa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871206599 PECOS PAC ID: 9537530936 Enrollment ID: I20230123001600 |
| Provider Name | Fleeta Burgess Okolie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710121942 PECOS PAC ID: 6800065699 Enrollment ID: I20230125000301 |
| Provider Name | Shahed Abbasi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477810752 PECOS PAC ID: 5496061582 Enrollment ID: I20230202001870 |
| Provider Name | Shawn Andrea Tapper-clarke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558679563 PECOS PAC ID: 5597902064 Enrollment ID: I20230222000261 |
| Provider Name | Lisa Tse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477298826 PECOS PAC ID: 6204209190 Enrollment ID: I20230223001178 |
| Provider Name | Chinwe Chidinma Chris-emenike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093425332 PECOS PAC ID: 9133593932 Enrollment ID: I20230317001533 |
| Provider Name | Rainier Castro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063113546 PECOS PAC ID: 1951776178 Enrollment ID: I20230331000575 |
| Provider Name | Lovely Faith Suficiencia Rubio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972211209 PECOS PAC ID: 8022483049 Enrollment ID: I20230405000721 |
| Provider Name | Kahlima Oni Collins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205505401 PECOS PAC ID: 1557726809 Enrollment ID: I20230420002225 |
| Provider Name | Celestine Gaines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235532490 PECOS PAC ID: 2062878820 Enrollment ID: I20230519002973 |
| Provider Name | Heather Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417352030 PECOS PAC ID: 7719209113 Enrollment ID: I20230524001460 |
| Provider Name | Hilma Hill-lawrence |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215624259 PECOS PAC ID: 5698132314 Enrollment ID: I20230612000102 |
| Provider Name | Mary Ogundare |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225723638 PECOS PAC ID: 1153789797 Enrollment ID: I20230614001695 |
| Provider Name | Manjinder Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811681752 PECOS PAC ID: 9436518032 Enrollment ID: I20230629002040 |
| Provider Name | Myung Seok Shim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952088650 PECOS PAC ID: 9436510997 Enrollment ID: I20230731002317 |
| Provider Name | Christie Nesifort |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477230415 PECOS PAC ID: 0941663900 Enrollment ID: I20230824001367 |
| Provider Name | Blessyn Nwogu-gurdon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134446941 PECOS PAC ID: 5991168882 Enrollment ID: I20230824003023 |
| Provider Name | Sagari Murali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053957902 PECOS PAC ID: 0941637565 Enrollment ID: I20231027002786 |
| Provider Name | Adetimbo Adediran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679922298 PECOS PAC ID: 4082902937 Enrollment ID: I20240117004042 |
| Provider Name | Tanya N Bartley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902672306 PECOS PAC ID: 9830532803 Enrollment ID: I20240206004355 |
| Provider Name | Irfan Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922627280 PECOS PAC ID: 9234598400 Enrollment ID: I20240221003788 |
| Provider Name | Aida Cino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205434453 PECOS PAC ID: 7719329812 Enrollment ID: I20240521001922 |
| Provider Name | Amelie Sophia Polanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265290993 PECOS PAC ID: 0941642854 Enrollment ID: I20240523001835 |
| Provider Name | Nnenna Onuoha-jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033837513 PECOS PAC ID: 0941642250 Enrollment ID: I20240531000554 |
| Provider Name | Amulang Eduardovna Mantsynov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437847928 PECOS PAC ID: 7618419383 Enrollment ID: I20240610001552 |
Mmc Medical Park At 1635 Poplar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mmc Medical Park At 1635 Poplar, 1635 Poplar Street, Bronx, NY 10461 Phone: 914-377-4722 | |
Mmc At Aecom Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1300 Morris Park Avenue, Mmc At Aecom, Bronx, NY 10461 Phone: 914-377-4722 | |
Brightpoint Health Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1543-1545 Inwood Avenue, Bronx, NY 10452 Phone: 855-687-8700 Fax: 718-294-4765 | |
Aramark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1650 Grand Concourse, Bronx, NY 10457 Phone: 646-641-7427 | |
Mmc At Melrose 260 E 161 Street Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 260 E 161st St, Bronx, NY 10451 Phone: 718-920-4321 | |
Amth Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 369 E 149th St, 4th Floor, Bronx, NY 10455 Phone: 718-665-8300 | |
New Genesis Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3485 E Tremont Ave Fl 2, Bronx, NY 10465 Phone: 718-828-1549 Fax: 516-303-0968 |