| Mount Sinai School Of Medicine | |
|
1790 Broadway Ste 1802 New York NY 10019-1471 | |
| (212) 530-0624 | |
| Not Available |
| Full Name | Mount Sinai School Of Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 1790 Broadway Ste 1802, New York, New York |
| Authorized Official Name and Position | Alicia Gresham (VP NETWORK OPERATIONS) |
| Authorized Official Contact | 2126599038 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mount Sinai School Of Medicine 150 East 42nd Street 5th Floor, 5.a.30.6 New York NY 10017 Ph: (646) 605-4113 | Mount Sinai School Of Medicine 1790 Broadway Ste 1802 New York NY 10019-1471 Ph: (212) 530-0624 |
| NPI Number | 1528538774 |
|---|---|
| Provider Enumeration Date | 11/30/2018 |
| Last Update Date | 11/30/2018 |
| Medicare PECOS PAC ID | 0648408575 |
|---|---|
| Medicare Enrollment ID | O20140122000814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528538774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
| Provider Name | Hao Lam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871500777 PECOS PAC ID: 5496644288 Enrollment ID: I20040313000376 |
| Provider Name | Heather Sealy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871562884 PECOS PAC ID: 3274519111 Enrollment ID: I20040629001416 |
| Provider Name | Michael M Mannino |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598761660 PECOS PAC ID: 0547235053 Enrollment ID: I20040828000179 |
| Provider Name | Jay J Dubowsky |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1285630368 PECOS PAC ID: 7719952647 Enrollment ID: I20040901001360 |
| Provider Name | Jane F Serio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730185679 PECOS PAC ID: 7618932559 Enrollment ID: I20041119000910 |
| Provider Name | Kevin Tack |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1871599605 PECOS PAC ID: 0547217465 Enrollment ID: I20050404000337 |
| Provider Name | Evelyn Chu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255374179 PECOS PAC ID: 3173568474 Enrollment ID: I20050627001425 |
| Provider Name | Stuart O Schecter |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1851341820 PECOS PAC ID: 0042227621 Enrollment ID: I20060308000077 |
| Provider Name | Charles Berk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144274150 PECOS PAC ID: 5991717589 Enrollment ID: I20060627000140 |
| Provider Name | Florence Barricelli |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861498875 PECOS PAC ID: 1355442344 Enrollment ID: I20070720000256 |
| Provider Name | Aaron Freilich |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598720435 PECOS PAC ID: 1355432394 Enrollment ID: I20071011000135 |
| Provider Name | Alison Altschuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821110917 PECOS PAC ID: 5496831422 Enrollment ID: I20080331000392 |
| Provider Name | James M Mumford |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891714630 PECOS PAC ID: 7618055070 Enrollment ID: I20080425000012 |
| Provider Name | Ronald Englert |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053376533 PECOS PAC ID: 9335205277 Enrollment ID: I20090302000536 |
| Provider Name | Daniel Garfinkel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871581942 PECOS PAC ID: 8628112497 Enrollment ID: I20100217000144 |
| Provider Name | Stephen A Tranchina |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578569406 PECOS PAC ID: 5294804936 Enrollment ID: I20100324000203 |
| Provider Name | Doris G Berland |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558367409 PECOS PAC ID: 7911033105 Enrollment ID: I20100326000497 |
| Provider Name | Maria Brountzas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548266471 PECOS PAC ID: 7416083605 Enrollment ID: I20100326000553 |
| Provider Name | Laura J Guderian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811190705 PECOS PAC ID: 1052503257 Enrollment ID: I20101006000754 |
| Provider Name | Ella Leers |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609958305 PECOS PAC ID: 6305029869 Enrollment ID: I20110322000509 |
| Provider Name | Diana M Ramirez-baron |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285717660 PECOS PAC ID: 4183807548 Enrollment ID: I20110322000659 |
| Provider Name | Manisha Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275553315 PECOS PAC ID: 9537172804 Enrollment ID: I20110503000100 |
| Provider Name | Robert Wilson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033249800 PECOS PAC ID: 6406871086 Enrollment ID: I20110503000430 |
| Provider Name | Rachana Kotecha |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801092135 PECOS PAC ID: 8325223571 Enrollment ID: I20110503000485 |
| Provider Name | Elizabeth Canas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427205582 PECOS PAC ID: 4385829548 Enrollment ID: I20110503000541 |
| Provider Name | Elbert Kyle St Claire |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598956112 PECOS PAC ID: 3375729197 Enrollment ID: I20110512000193 |
| Provider Name | Harini C Kumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821380940 PECOS PAC ID: 7214105378 Enrollment ID: I20110718000211 |
| Provider Name | Lisa B Lapman |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437463171 PECOS PAC ID: 1557539616 Enrollment ID: I20110718000257 |
| Provider Name | Kristen A Semanision |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598928327 PECOS PAC ID: 4284806423 Enrollment ID: I20111011000657 |
| Provider Name | Andrew Feda |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265691281 PECOS PAC ID: 5092982637 Enrollment ID: I20120123000005 |
| Provider Name | Carrie Bowler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316987548 PECOS PAC ID: 6608875240 Enrollment ID: I20120305000251 |
| Provider Name | Malcolm Thaler |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629040704 PECOS PAC ID: 6901098458 Enrollment ID: I20120305000296 |
| Provider Name | Sara M Whitmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043584352 PECOS PAC ID: 0840450995 Enrollment ID: I20120327000559 |
| Provider Name | Honore Lansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366603573 PECOS PAC ID: 6507027778 Enrollment ID: I20120416000187 |
| Provider Name | Judah P Guy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225301245 PECOS PAC ID: 7618123688 Enrollment ID: I20120807000253 |
| Provider Name | Sarah A Romeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750638417 PECOS PAC ID: 5597915991 Enrollment ID: I20121019000646 |
| Provider Name | Katherine Sandra Freeman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770752594 PECOS PAC ID: 9931385580 Enrollment ID: I20130114000403 |
| Provider Name | Chiara C Losh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558636621 PECOS PAC ID: 8123268984 Enrollment ID: I20130628000321 |
| Provider Name | Aimee A Erickson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922359686 PECOS PAC ID: 2264675230 Enrollment ID: I20130823001079 |
| Provider Name | Margaret D Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891137162 PECOS PAC ID: 8426283755 Enrollment ID: I20131022002338 |
| Provider Name | Maureen Suter |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316100944 PECOS PAC ID: 9032346978 Enrollment ID: I20131220000823 |
| Provider Name | Elizabeth Schepker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700107554 PECOS PAC ID: 5193955870 Enrollment ID: I20140225000435 |
| Provider Name | Arnice Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154763126 PECOS PAC ID: 0840421897 Enrollment ID: I20140317000239 |
| Provider Name | Laura Korin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1205045416 PECOS PAC ID: 0042341844 Enrollment ID: I20140318001125 |
| Provider Name | German H Rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962722454 PECOS PAC ID: 3375776172 Enrollment ID: I20140501001360 |
| Provider Name | Katherine Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821356494 PECOS PAC ID: 4486879111 Enrollment ID: I20140714000055 |
| Provider Name | Yudelka Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144661570 PECOS PAC ID: 2163647850 Enrollment ID: I20140714002372 |
| Provider Name | Megan Corley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104173301 PECOS PAC ID: 3476784620 Enrollment ID: I20140731002485 |
| Provider Name | Lindsey R Leinbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801143367 PECOS PAC ID: 6305091257 Enrollment ID: I20140812001011 |
| Provider Name | Andrew J Ciancimino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891062469 PECOS PAC ID: 9830317098 Enrollment ID: I20140829000763 |
| Provider Name | Paul F Pascual |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083810675 PECOS PAC ID: 5698916195 Enrollment ID: I20140909000697 |
| Provider Name | Winnifred Lamarre |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770802399 PECOS PAC ID: 1355580150 Enrollment ID: I20140915001943 |
| Provider Name | Jennifer Kozhin-revich |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922369693 PECOS PAC ID: 7911214333 Enrollment ID: I20150917002006 |
| Provider Name | Michael S Geier |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518228634 PECOS PAC ID: 3779891296 Enrollment ID: I20151002001745 |
| Provider Name | Bret Jacobs |
|---|---|
| Provider Type | Practitioner - Sports Medicine |
| Provider Identifiers | NPI Number: 1043478795 PECOS PAC ID: 0042466559 Enrollment ID: I20151023001942 |
| Provider Name | Bryan Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528365194 PECOS PAC ID: 8729223326 Enrollment ID: I20151123001551 |
| Provider Name | Melanie Chang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184030512 PECOS PAC ID: 4183924111 Enrollment ID: I20151124001543 |
| Provider Name | Brian L Africa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033412218 PECOS PAC ID: 2365765344 Enrollment ID: I20151130001144 |
| Provider Name | Daniel Marcovici |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700177425 PECOS PAC ID: 6901107341 Enrollment ID: I20151209001015 |
| Provider Name | Noah Canlas |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104113521 PECOS PAC ID: 0749584795 Enrollment ID: I20160211000733 |
| Provider Name | Ghazal Reihani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689938482 PECOS PAC ID: 6800190893 Enrollment ID: I20160211002382 |
| Provider Name | Jeanette Kreuze |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093119596 PECOS PAC ID: 4880991298 Enrollment ID: I20160330001848 |
| Provider Name | Thomas Neely |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750519906 PECOS PAC ID: 3678720695 Enrollment ID: I20160603001841 |
| Provider Name | Aletheia Shannon Donahue |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548559396 PECOS PAC ID: 9638463656 Enrollment ID: I20160812001508 |
| Provider Name | Elizabeth Marina Klimasiewfski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811252620 PECOS PAC ID: 6305131442 Enrollment ID: I20160829000642 |
| Provider Name | Renu Chiruvolu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811244064 PECOS PAC ID: 5799912341 Enrollment ID: I20161019000261 |
| Provider Name | Navya Mysore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497125926 PECOS PAC ID: 4688962913 Enrollment ID: I20161019001235 |
| Provider Name | Monika Rozumilowicz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487062501 PECOS PAC ID: 6709164262 Enrollment ID: I20161103001578 |
| Provider Name | Eddie Meraz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609026178 PECOS PAC ID: 2668794504 Enrollment ID: I20161104001812 |
| Provider Name | Jacob Katz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538387964 PECOS PAC ID: 4284914599 Enrollment ID: I20161202000804 |
| Provider Name | Zane B Martindale |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952643231 PECOS PAC ID: 9032499074 Enrollment ID: I20161208000184 |
| Provider Name | Annie Rose Chan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285036152 PECOS PAC ID: 5496031270 Enrollment ID: I20170410001542 |
| Provider Name | Kara N Denny |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649462524 PECOS PAC ID: 3476601782 Enrollment ID: I20170420000482 |
| Provider Name | Rakiyah T Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841642204 PECOS PAC ID: 1153698857 Enrollment ID: I20170601000231 |
| Provider Name | Justin Oldfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457766438 PECOS PAC ID: 2567764947 Enrollment ID: I20170620001329 |
| Provider Name | Jessica Isoke Edwards |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265848121 PECOS PAC ID: 3971874827 Enrollment ID: I20170810002205 |
| Provider Name | Hilary Lerner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811427578 PECOS PAC ID: 6800168584 Enrollment ID: I20170815002423 |
| Provider Name | Juyeon P Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639584972 PECOS PAC ID: 2466766415 Enrollment ID: I20170901001368 |
| Provider Name | Mary Brigid Halloran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568873701 PECOS PAC ID: 6103116678 Enrollment ID: I20170912001300 |
| Provider Name | Deanna Scoca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1831509801 PECOS PAC ID: 1951676758 Enrollment ID: I20171004002067 |
| Provider Name | Alexandra Jane Schloss |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629498803 PECOS PAC ID: 3577853050 Enrollment ID: I20171012002675 |
| Provider Name | Jodi Kunibe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467805572 PECOS PAC ID: 3274809314 Enrollment ID: I20171018000429 |
| Provider Name | Katherine Louer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235583444 PECOS PAC ID: 4284990565 Enrollment ID: I20171102003346 |
| Provider Name | Erin Kathleen Comerford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467836148 PECOS PAC ID: 9638435852 Enrollment ID: I20171103001723 |
| Provider Name | Karissa Braden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013456334 PECOS PAC ID: 8921382953 Enrollment ID: I20171107001900 |
| Provider Name | Chad Anthony Lue |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427461417 PECOS PAC ID: 5193082881 Enrollment ID: I20171205003111 |
| Provider Name | Jessica Shahpar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295166403 PECOS PAC ID: 7517190812 Enrollment ID: I20180126000969 |
| Provider Name | Suzannah C Dinsmore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942722319 PECOS PAC ID: 6204181324 Enrollment ID: I20180613002466 |
| Provider Name | Katherine Noel Tymeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508395310 PECOS PAC ID: 6901151430 Enrollment ID: I20180625000155 |
| Provider Name | Austin Tutt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962897744 PECOS PAC ID: 3779896436 Enrollment ID: I20180720000835 |
| Provider Name | Samuel David Fam |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104211986 PECOS PAC ID: 1951650969 Enrollment ID: I20180824001536 |
| Provider Name | Jessica Kate Rosenberg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043630577 PECOS PAC ID: 0446476998 Enrollment ID: I20181001001859 |
| Provider Name | Aubrey Raimondi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376922369 PECOS PAC ID: 3971855560 Enrollment ID: I20181009003380 |
| Provider Name | Azad John-salimi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1639499817 PECOS PAC ID: 0446576292 Enrollment ID: I20181018000589 |
| Provider Name | Daniela Fanto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861888018 PECOS PAC ID: 4284987082 Enrollment ID: I20181024002314 |
| Provider Name | Victoria Degregorio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144627449 PECOS PAC ID: 2163720517 Enrollment ID: I20181025002478 |
| Provider Name | Janet Ku |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962926261 PECOS PAC ID: 3577817964 Enrollment ID: I20181123000015 |
| Provider Name | Chance Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013318757 PECOS PAC ID: 9032429790 Enrollment ID: I20190103001872 |
| Provider Name | Mozhgan Erfanian Sabaee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063889541 PECOS PAC ID: 7113268830 Enrollment ID: I20190408000230 |
| Provider Name | Dibya Subedi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1972952745 PECOS PAC ID: 6406199348 Enrollment ID: I20190516002799 |
| Provider Name | Anna Macewan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851848709 PECOS PAC ID: 2769716356 Enrollment ID: I20190702001640 |
| Provider Name | Nandini Vijayakumar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043699762 PECOS PAC ID: 8426393737 Enrollment ID: I20190801002606 |
| Provider Name | Apoorva Avutu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255795506 PECOS PAC ID: 3779810452 Enrollment ID: I20190805001444 |
| Provider Name | Xinyi Qian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508314402 PECOS PAC ID: 4587946694 Enrollment ID: I20190925000291 |
| Provider Name | Lisa Primiani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720375439 PECOS PAC ID: 0143499434 Enrollment ID: I20191001001502 |
| Provider Name | Nura Orra |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1235585654 PECOS PAC ID: 8729371125 Enrollment ID: I20191001002058 |
| Provider Name | Gipsa Ann Joseph |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013335041 PECOS PAC ID: 5496057424 Enrollment ID: I20191127000708 |
| Provider Name | Sasha Yessenia De Jesus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043672298 PECOS PAC ID: 1052659091 Enrollment ID: I20200217002269 |
| Provider Name | Melody Martin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1164870085 PECOS PAC ID: 4789976226 Enrollment ID: I20200220001435 |
| Provider Name | Zarah Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285917823 PECOS PAC ID: 9537334479 Enrollment ID: I20200324000498 |
| Provider Name | Molly Wright |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447339221 PECOS PAC ID: 9032104302 Enrollment ID: I20200414001445 |
| Provider Name | Meredith Peeke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033568142 PECOS PAC ID: 3173944170 Enrollment ID: I20200529001334 |
| Provider Name | Ray R Min |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659801843 PECOS PAC ID: 0749526093 Enrollment ID: I20200625001863 |
| Provider Name | Alyssa Korenstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801320825 PECOS PAC ID: 6709118565 Enrollment ID: I20200625002626 |
| Provider Name | Ada E Londono |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619323961 PECOS PAC ID: 6709122955 Enrollment ID: I20200626001714 |
| Provider Name | Miral Vaghasia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518327865 PECOS PAC ID: 2769778901 Enrollment ID: I20200731001421 |
| Provider Name | Lien Trieu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487185120 PECOS PAC ID: 4789928342 Enrollment ID: I20200922001638 |
| Provider Name | Schantal Polanco |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154761658 PECOS PAC ID: 2062753874 Enrollment ID: I20201002001174 |
| Provider Name | Victor Kumar Gaur |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497095285 PECOS PAC ID: 4880014372 Enrollment ID: I20201022001903 |
| Provider Name | Patricia Driscoll |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104359249 PECOS PAC ID: 9638599145 Enrollment ID: I20201022002700 |
| Provider Name | Navjot Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326579673 PECOS PAC ID: 5294072278 Enrollment ID: I20201217002358 |
| Provider Name | Marissa D Yasgur |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396367371 PECOS PAC ID: 0143642348 Enrollment ID: I20201230001901 |
| Provider Name | Kristina Fuhrmann |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033796602 PECOS PAC ID: 0941600092 Enrollment ID: I20210611001236 |
| Provider Name | Lydia Peavy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356839864 PECOS PAC ID: 6800202458 Enrollment ID: I20210621002808 |
| Provider Name | Lorraine Jaysura |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669776951 PECOS PAC ID: 6204237522 Enrollment ID: I20210624001042 |
| Provider Name | Alanna Michelle Tieman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255835500 PECOS PAC ID: 1557600368 Enrollment ID: I20210817001086 |
| Provider Name | Kristen A Island |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700383015 PECOS PAC ID: 3375892862 Enrollment ID: I20210924002993 |
| Provider Name | Jennifer Francisco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013249523 PECOS PAC ID: 1658567276 Enrollment ID: I20210928002354 |
| Provider Name | Elizabeth O'callahan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346773074 PECOS PAC ID: 7416293386 Enrollment ID: I20211110001816 |
| Provider Name | Alyssa Mira Wohl |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1609368406 PECOS PAC ID: 1355696899 Enrollment ID: I20211209001247 |
| Provider Name | Paul B Tobias |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558894386 PECOS PAC ID: 6507137692 Enrollment ID: I20220121001058 |
| Provider Name | Margaret O'driscoll Chapman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1306084470 PECOS PAC ID: 1153715545 Enrollment ID: I20220301001272 |
| Provider Name | Lindsey Skinner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619443918 PECOS PAC ID: 0941538789 Enrollment ID: I20220627001413 |
| Provider Name | Alenadreale V Banton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548825797 PECOS PAC ID: 7416289624 Enrollment ID: I20220714003867 |
| Provider Name | Monica Cristina Abreu Diaz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598294126 PECOS PAC ID: 1355722281 Enrollment ID: I20220722001803 |
| Provider Name | Jasbir Singh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144717505 PECOS PAC ID: 0941631170 Enrollment ID: I20220810000633 |
| Provider Name | Emilie Leroy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1396206520 PECOS PAC ID: 8022491968 Enrollment ID: I20220810001828 |
| Provider Name | Jeremiah Hyuk Moon |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992267603 PECOS PAC ID: 5597148080 Enrollment ID: I20220816002654 |
| Provider Name | Jillian Risa Goro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710640925 PECOS PAC ID: 6709262769 Enrollment ID: I20220929000637 |
| Provider Name | Lisa Stefanie Moccio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467579243 PECOS PAC ID: 8729464169 Enrollment ID: I20221007001613 |
| Provider Name | Fasiha Syed |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225693021 PECOS PAC ID: 9133457195 Enrollment ID: I20230206000867 |
| Provider Name | Lori Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548672637 PECOS PAC ID: 8426274614 Enrollment ID: I20230206002302 |
| Provider Name | Thomas Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144282880 PECOS PAC ID: 8628251899 Enrollment ID: I20230206002674 |
| Provider Name | Sarah Gleason |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821718610 PECOS PAC ID: 0749652956 Enrollment ID: I20230217000143 |
| Provider Name | Bryn Leigh Dragalin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275260903 PECOS PAC ID: 8527430651 Enrollment ID: I20230217001326 |
| Provider Name | Kellie Greene |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821420795 PECOS PAC ID: 6204079494 Enrollment ID: I20230502002123 |
| Provider Name | Donald Chinemelu Okoye |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063866408 PECOS PAC ID: 1759674054 Enrollment ID: I20230523002810 |
| Provider Name | Jodian Hoilett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750685285 PECOS PAC ID: 7719345776 Enrollment ID: I20230622003481 |
| Provider Name | Khashayar Farhoomandi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578199469 PECOS PAC ID: 3072911171 Enrollment ID: I20230804000861 |
| Provider Name | Matthew Kirk Smith |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275984965 PECOS PAC ID: 1153783543 Enrollment ID: I20230817000140 |
| Provider Name | Amy Yuan Sun |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447870597 PECOS PAC ID: 5890157044 Enrollment ID: I20230821000105 |
| Provider Name | Sarah Fiallo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780189092 PECOS PAC ID: 7113321142 Enrollment ID: I20230822000178 |
| Provider Name | Sitara Satish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447889373 PECOS PAC ID: 6608292420 Enrollment ID: I20231026001757 |
| Provider Name | Brian Somsook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861012163 PECOS PAC ID: 1254787039 Enrollment ID: I20231031001287 |
| Provider Name | Samuel Uzosike |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316569452 PECOS PAC ID: 6305293895 Enrollment ID: I20231106000171 |
| Provider Name | Randy Keegan Idler |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174145353 PECOS PAC ID: 4183072788 Enrollment ID: I20231120002961 |
| Provider Name | Shreya Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245791854 PECOS PAC ID: 4688058852 Enrollment ID: I20231201002415 |
| Provider Name | Kate Carlucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801418108 PECOS PAC ID: 4385063387 Enrollment ID: I20231218002010 |
| Provider Name | Megha Bansri Patel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992326383 PECOS PAC ID: 2163873084 Enrollment ID: I20240104003388 |
| Provider Name | Selina Samuelle Sta Ana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396427761 PECOS PAC ID: 0547612269 Enrollment ID: I20240118002238 |
| Provider Name | Elaina Frantellizzi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093495590 PECOS PAC ID: 1355794421 Enrollment ID: I20240125002416 |
| Provider Name | Frances Wang |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346630159 PECOS PAC ID: 9931528072 Enrollment ID: I20240209002707 |
| Provider Name | Paulo Duarte De Carvalho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508414921 PECOS PAC ID: 8325482722 Enrollment ID: I20240213004024 |
| Provider Name | Yuri Brito |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609430453 PECOS PAC ID: 7517360951 Enrollment ID: I20240304001098 |
Dr Tuyen T Trinh, D.o.,pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 118 Baxter St, Room 502, New York, NY 10013 Phone: 212-233-6662 Fax: 212-233-6663 | |
Debra Green, Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 510, New York, NY 10022 Phone: 212-584-5402 Fax: 212-744-4072 | |
S. Nadesan Physician, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 308a East 15th Street, New York, NY 10003 Phone: 212-420-6460 Fax: 646-602-1091 | |
Avraham Y Henoch Md Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 564 W 160th St, New York, NY 10032 Phone: 212-740-6400 Fax: 212-740-4105 | |
Vincent Esposito Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W 86th St, Ste 1a, New York, NY 10024 Phone: 212-595-1234 Fax: 212-595-0342 | |
Jeffrey Glick Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 117 E 65th St, New York, NY 10065 Phone: 212-861-4278 | |
Columbiadoctors Ambulatory Care Network Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 630 W 168th St, Bb 2-239, New York, NY 10032 Phone: 212-305-1181 |