| Newyork-presbyterian Medical Group/westchester | |
|
2649 Strang Blvd Ste 304 Yorktown Heights NY 10598-2938 | |
| (267) 979-8095 | |
| Not Available |
| Full Name | Newyork-presbyterian Medical Group/westchester |
|---|---|
| Speciality | Internal Medicine |
| Location | 2649 Strang Blvd Ste 304, Yorktown Heights, New York |
| Authorized Official Name and Position | Deepa Kumaraiah (PRESIDENT & MEDICAL DIRECTOR) |
| Authorized Official Contact | 2123058513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Newyork-presbyterian Medical Group/westchester 2649 Strang Blvd Ste 304 Yorktown Heights NY 10598-2938 Ph: () - | Newyork-presbyterian Medical Group/westchester 2649 Strang Blvd Ste 304 Yorktown Heights NY 10598-2938 Ph: (267) 979-8095 |
| NPI Number | 1023257441 |
|---|---|
| Provider Enumeration Date | 02/09/2009 |
| Last Update Date | 04/05/2024 |
| Medicare PECOS PAC ID | 1759439631 |
|---|---|
| Medicare Enrollment ID | O20090504000017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023257441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Carolyn Wasserheit-lieblich |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1669452819 PECOS PAC ID: 6002710514 Enrollment ID: I20031125000509 |
| Provider Name | Valerie M Alley |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1336232446 PECOS PAC ID: 6103721469 Enrollment ID: I20031201000561 |
| Provider Name | Patrick V Mcmahon |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1407801681 PECOS PAC ID: 0042111973 Enrollment ID: I20040115000148 |
| Provider Name | Anna Burgansky |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639195209 PECOS PAC ID: 6507756673 Enrollment ID: I20040319001324 |
| Provider Name | Eric Fishman |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1437165495 PECOS PAC ID: 0345131843 Enrollment ID: I20040323001708 |
| Provider Name | Brett H Margolias |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1669558458 PECOS PAC ID: 8325930951 Enrollment ID: I20040327000113 |
| Provider Name | Lillian R Indio |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578625935 PECOS PAC ID: 6406848738 Enrollment ID: I20040330000769 |
| Provider Name | Rathindra N Banik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1639102221 PECOS PAC ID: 5193717023 Enrollment ID: I20040331001625 |
| Provider Name | Shyam C Shivdasani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1033222468 PECOS PAC ID: 3779575535 Enrollment ID: I20040401000149 |
| Provider Name | Patricia Devine |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336178219 PECOS PAC ID: 4789676404 Enrollment ID: I20040401001243 |
| Provider Name | Brian Curtis Fahnrich |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1700932175 PECOS PAC ID: 7315931920 Enrollment ID: I20040414001007 |
| Provider Name | Kevin R Brown |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790708477 PECOS PAC ID: 5294720843 Enrollment ID: I20040414001995 |
| Provider Name | Daniel Hirsch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427033513 PECOS PAC ID: 6709871270 Enrollment ID: I20040415000882 |
| Provider Name | Angel L Rodriguez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356419634 PECOS PAC ID: 2769471697 Enrollment ID: I20040506001778 |
| Provider Name | Boris Avezbakiyev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396794921 PECOS PAC ID: 8224929849 Enrollment ID: I20040511001184 |
| Provider Name | Laurence C Miller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1407800303 PECOS PAC ID: 8224019344 Enrollment ID: I20040525001732 |
| Provider Name | Maria Paone |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043337108 PECOS PAC ID: 2567444839 Enrollment ID: I20040602000552 |
| Provider Name | Krassimire E Mirtchev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477543064 PECOS PAC ID: 6406838010 Enrollment ID: I20040607000111 |
| Provider Name | Robin M Rait |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1588850242 PECOS PAC ID: 2961485230 Enrollment ID: I20040608001233 |
| Provider Name | Konstantin Millerman |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679520472 PECOS PAC ID: 0446233761 Enrollment ID: I20040609000256 |
| Provider Name | Anwar A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629168919 PECOS PAC ID: 4486637733 Enrollment ID: I20040609000493 |
| Provider Name | Julie C Choi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1780611376 PECOS PAC ID: 6507840824 Enrollment ID: I20040615000974 |
| Provider Name | Deepa Chadha |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164450656 PECOS PAC ID: 7618951948 Enrollment ID: I20040615001044 |
| Provider Name | Allen B Chefitz |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619077856 PECOS PAC ID: 8628053543 Enrollment ID: I20040623000817 |
| Provider Name | Michael Murray |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1306862248 PECOS PAC ID: 8527044494 Enrollment ID: I20040629001648 |
| Provider Name | Sobha D Gavani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1467528117 PECOS PAC ID: 4789662313 Enrollment ID: I20040710000107 |
| Provider Name | Srirama Kalapatapu |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1699717850 PECOS PAC ID: 3274511712 Enrollment ID: I20040710000308 |
| Provider Name | Anthony D Mercando |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1528070505 PECOS PAC ID: 4284613126 Enrollment ID: I20040715000388 |
| Provider Name | Gary S Gabelman |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1750393716 PECOS PAC ID: 6608855549 Enrollment ID: I20040715000417 |
| Provider Name | George Craig Shapiro |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205840337 PECOS PAC ID: 9638140619 Enrollment ID: I20040803001432 |
| Provider Name | Kenneth L Nyer |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699886465 PECOS PAC ID: 6507837440 Enrollment ID: I20040804000150 |
| Provider Name | Gabriela A Grasa |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1164434114 PECOS PAC ID: 4880665751 Enrollment ID: I20040804000358 |
| Provider Name | Ekaterina G Milchtein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831355999 PECOS PAC ID: 7113998758 Enrollment ID: I20040805000567 |
| Provider Name | Braulio J Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437163508 PECOS PAC ID: 6002882628 Enrollment ID: I20040906000023 |
| Provider Name | Tatyana Z Morton |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366529687 PECOS PAC ID: 0941277511 Enrollment ID: I20040913001402 |
| Provider Name | Susan M Santry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154300911 PECOS PAC ID: 6709853104 Enrollment ID: I20040915000250 |
| Provider Name | Valneo M Buttari |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770562530 PECOS PAC ID: 5698742005 Enrollment ID: I20040915000282 |
| Provider Name | David R Kauvar |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1770646127 PECOS PAC ID: 7416924618 Enrollment ID: I20040916000390 |
| Provider Name | Ronald M Silverman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1134125107 PECOS PAC ID: 5698735983 Enrollment ID: I20041012000647 |
| Provider Name | Douglas J Hart |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1801808878 PECOS PAC ID: 5496715146 Enrollment ID: I20041016000101 |
| Provider Name | Maury J Greenberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1467451120 PECOS PAC ID: 2466415617 Enrollment ID: I20041109000122 |
| Provider Name | Theodore I Nowakiwskyj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699744318 PECOS PAC ID: 3274592472 Enrollment ID: I20041116000741 |
| Provider Name | Maureen W Daye |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1316959026 PECOS PAC ID: 8628032901 Enrollment ID: I20041117000461 |
| Provider Name | Gerald A Ridge |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528128808 PECOS PAC ID: 7719941863 Enrollment ID: I20041117001092 |
| Provider Name | Hasan Asif |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710034160 PECOS PAC ID: 7214992163 Enrollment ID: I20041119000955 |
| Provider Name | Mitchell C Benson |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1518060425 PECOS PAC ID: 7618926171 Enrollment ID: I20050121000667 |
| Provider Name | Magdy S El-hennawy |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770568990 PECOS PAC ID: 8426009242 Enrollment ID: I20050209000091 |
| Provider Name | Jonathan Isidore Golberg |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1770522872 PECOS PAC ID: 1456347335 Enrollment ID: I20050324000280 |
| Provider Name | Francis Akita |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1063493732 PECOS PAC ID: 7911953583 Enrollment ID: I20050326000021 |
| Provider Name | Janneth Montoya |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1083708085 PECOS PAC ID: 7214977107 Enrollment ID: I20050510000936 |
| Provider Name | Miroslav Nudelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639138282 PECOS PAC ID: 1052353679 Enrollment ID: I20050524001113 |
| Provider Name | Hugo Cocucci |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083776975 PECOS PAC ID: 1254372782 Enrollment ID: I20050525000887 |
| Provider Name | Magdalena E Sobieszczyk |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1467520965 PECOS PAC ID: 8123060118 Enrollment ID: I20050601000054 |
| Provider Name | Carrie Ruzal-shapiro |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1861421992 PECOS PAC ID: 7517900053 Enrollment ID: I20050606001214 |
| Provider Name | Mensud Kurjakovic |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093748626 PECOS PAC ID: 6608805445 Enrollment ID: I20050811000521 |
| Provider Name | Sean E Drazner |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407909690 PECOS PAC ID: 0941230098 Enrollment ID: I20050817001184 |
| Provider Name | Jerry Guzik |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1437248432 PECOS PAC ID: 5597796508 Enrollment ID: I20050829000826 |
| Provider Name | Saleem Bacus |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982647038 PECOS PAC ID: 0648295956 Enrollment ID: I20051005001210 |
| Provider Name | Mark Watson |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1043263247 PECOS PAC ID: 2264488477 Enrollment ID: I20051205000834 |
| Provider Name | William A Unis |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1225198872 PECOS PAC ID: 5799707790 Enrollment ID: I20051219000613 |
| Provider Name | Oana P Moucha-hantar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427021005 PECOS PAC ID: 7810919453 Enrollment ID: I20051227000191 |
| Provider Name | Bret Taback |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659455483 PECOS PAC ID: 2264454412 Enrollment ID: I20051230000592 |
| Provider Name | Nicholas Tsamparlis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164515383 PECOS PAC ID: 4385667765 Enrollment ID: I20060111001061 |
| Provider Name | Pearl J Lim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396771168 PECOS PAC ID: 1951316645 Enrollment ID: I20060216000413 |
| Provider Name | Miguel R Silva |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942386412 PECOS PAC ID: 9032127303 Enrollment ID: I20060328000526 |
| Provider Name | Paige M Schwartz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1881621779 PECOS PAC ID: 6103834437 Enrollment ID: I20060329000202 |
| Provider Name | Nandini Anandu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023056678 PECOS PAC ID: 8921016882 Enrollment ID: I20060404000283 |
| Provider Name | Eran Chemerinski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770693202 PECOS PAC ID: 3274542659 Enrollment ID: I20060412000467 |
| Provider Name | Maria Muste |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1649237652 PECOS PAC ID: 5597775973 Enrollment ID: I20060429000005 |
| Provider Name | Jun Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225082514 PECOS PAC ID: 9830100148 Enrollment ID: I20060531000030 |
| Provider Name | Marilyn Kline |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1629027586 PECOS PAC ID: 8325050933 Enrollment ID: I20060623000222 |
| Provider Name | Jose D Rosa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811938947 PECOS PAC ID: 4981616117 Enrollment ID: I20060706000391 |
| Provider Name | Arthur Yunov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518972090 PECOS PAC ID: 1456355304 Enrollment ID: I20060907000007 |
| Provider Name | Allison J Beitler |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1902893936 PECOS PAC ID: 4688678436 Enrollment ID: I20060908000345 |
| Provider Name | Julian A Abrams |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1669494746 PECOS PAC ID: 2961406533 Enrollment ID: I20060913000315 |
| Provider Name | Smita Agarkar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225061260 PECOS PAC ID: 3173527660 Enrollment ID: I20060915000024 |
| Provider Name | Michelle S Boyar |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1013925650 PECOS PAC ID: 2668477076 Enrollment ID: I20060918000524 |
| Provider Name | Alexandra M Dow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164460432 PECOS PAC ID: 6305842998 Enrollment ID: I20061004000228 |
| Provider Name | Christopher A Grantham |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952484149 PECOS PAC ID: 8224131552 Enrollment ID: I20070307000282 |
| Provider Name | Bajrang Agarwal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083701171 PECOS PAC ID: 9830292838 Enrollment ID: I20070313000062 |
| Provider Name | Michael J Morelli |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730149642 PECOS PAC ID: 0345243044 Enrollment ID: I20070326000422 |
| Provider Name | Pauline J Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013015767 PECOS PAC ID: 9739283714 Enrollment ID: I20070330000513 |
| Provider Name | Amit D Shembekar |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487706396 PECOS PAC ID: 2163526724 Enrollment ID: I20070409000569 |
| Provider Name | Ilona Belinskaya |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1376691949 PECOS PAC ID: 4880792860 Enrollment ID: I20070614000609 |
| Provider Name | Misbahuddin Khaja |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1235267576 PECOS PAC ID: 9931207743 Enrollment ID: I20070706000341 |
| Provider Name | Mona N Chiniwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730253675 PECOS PAC ID: 6608977822 Enrollment ID: I20070718000402 |
| Provider Name | Ralph E Binder |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1871553768 PECOS PAC ID: 7618970310 Enrollment ID: I20070801000663 |
| Provider Name | Peter F Rizzo |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1588756415 PECOS PAC ID: 3173614682 Enrollment ID: I20070811000108 |
| Provider Name | Nahla Mahgoub |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639290646 PECOS PAC ID: 4082705454 Enrollment ID: I20070814000733 |
| Provider Name | Evelyn Lindsay-santi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942353305 PECOS PAC ID: 8628160843 Enrollment ID: I20070822000638 |
| Provider Name | Deborah L Hoyt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417178377 PECOS PAC ID: 2264524891 Enrollment ID: I20070827000685 |
| Provider Name | Patricia J Toolan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972700185 PECOS PAC ID: 6002902855 Enrollment ID: I20071010000200 |
| Provider Name | Rachana Y Gavara |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275746596 PECOS PAC ID: 1254427974 Enrollment ID: I20071011000041 |
| Provider Name | Richard Michael Rosenberg |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1134205495 PECOS PAC ID: 8729175682 Enrollment ID: I20071025000080 |
| Provider Name | Susanne Y Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922072115 PECOS PAC ID: 2466548326 Enrollment ID: I20071101000249 |
| Provider Name | Sanjay D Naik |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1730131145 PECOS PAC ID: 5294824124 Enrollment ID: I20071130000079 |
| Provider Name | Deepa V Shah |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679545420 PECOS PAC ID: 8022033729 Enrollment ID: I20071203000085 |
| Provider Name | George O Piccorelli |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1578548459 PECOS PAC ID: 1850303199 Enrollment ID: I20071204000504 |
| Provider Name | Joseph F Sclafani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093718397 PECOS PAC ID: 6608779731 Enrollment ID: I20071207000174 |
| Provider Name | Eduard Fuzaylov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891974507 PECOS PAC ID: 2062592272 Enrollment ID: I20071231000008 |
| Provider Name | Anna Kazanskaya |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1487614814 PECOS PAC ID: 5496836934 Enrollment ID: I20080122000773 |
| Provider Name | Joseph A Polakoski |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659423390 PECOS PAC ID: 8325120223 Enrollment ID: I20080131000158 |
| Provider Name | Alan K Geller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578751525 PECOS PAC ID: 1951485747 Enrollment ID: I20080304000178 |
| Provider Name | Farhad Arjomand |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1578679031 PECOS PAC ID: 0345325924 Enrollment ID: I20080306000253 |
| Provider Name | Shari-ann Savoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1952448862 PECOS PAC ID: 2264538081 Enrollment ID: I20080306000421 |
| Provider Name | Mitchell Fishbach |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1063424018 PECOS PAC ID: 6103905856 Enrollment ID: I20080506000540 |
| Provider Name | Debabrata Dutta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710087382 PECOS PAC ID: 7618047333 Enrollment ID: I20080605000803 |
| Provider Name | Vassilios Latoussakis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215949029 PECOS PAC ID: 6709950884 Enrollment ID: I20080807000404 |
| Provider Name | Pascale L Jean-louis |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932360203 PECOS PAC ID: 6800961947 Enrollment ID: I20080825000129 |
| Provider Name | Marc E Brown |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1407884133 PECOS PAC ID: 3375619117 Enrollment ID: I20080903000060 |
| Provider Name | Israel Deutsch |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1033315908 PECOS PAC ID: 0143397703 Enrollment ID: I20080923000651 |
| Provider Name | Eduardo M Saponara |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205916335 PECOS PAC ID: 9234297136 Enrollment ID: I20081022000076 |
| Provider Name | Stephanie Smith Marrone |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1912037193 PECOS PAC ID: 3476614256 Enrollment ID: I20081211000700 |
| Provider Name | Tatyana Zagoruychenko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295972081 PECOS PAC ID: 4385700442 Enrollment ID: I20090226000041 |
| Provider Name | James A Shanahan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1215957253 PECOS PAC ID: 0941366728 Enrollment ID: I20090303000270 |
| Provider Name | Rafaela Gonzalez-lamos |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891941183 PECOS PAC ID: 1759447188 Enrollment ID: I20090310000054 |
| Provider Name | Eugene L Wong |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1942308580 PECOS PAC ID: 6002973377 Enrollment ID: I20090401000217 |
| Provider Name | Allison B Levey |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023261336 PECOS PAC ID: 5890845366 Enrollment ID: I20090604000414 |
| Provider Name | Xenia Y Frisby |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1871644294 PECOS PAC ID: 2860583671 Enrollment ID: I20090618000534 |
| Provider Name | Ingrid Mudge |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1982774162 PECOS PAC ID: 3779634340 Enrollment ID: I20090623000205 |
| Provider Name | Deborah B Cappell |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1265544639 PECOS PAC ID: 4385795871 Enrollment ID: I20090623000521 |
| Provider Name | Michael J Rasiej |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164543096 PECOS PAC ID: 1153472261 Enrollment ID: I20090701000366 |
| Provider Name | Brent Gottesman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710198023 PECOS PAC ID: 6709960347 Enrollment ID: I20090709000083 |
| Provider Name | Vyacheslav Shamalov |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346482437 PECOS PAC ID: 9032261367 Enrollment ID: I20090717000439 |
| Provider Name | Faraj M Faour |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053579276 PECOS PAC ID: 1557414307 Enrollment ID: I20090728000094 |
| Provider Name | Kaye E Hale |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1306087507 PECOS PAC ID: 7214080563 Enrollment ID: I20090804000204 |
| Provider Name | Tania P Castro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1366670762 PECOS PAC ID: 5597819268 Enrollment ID: I20090814000026 |
| Provider Name | Igor Zilberman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1245498195 PECOS PAC ID: 6800940222 Enrollment ID: I20090820000161 |
| Provider Name | Vino K Palli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013080167 PECOS PAC ID: 6103806435 Enrollment ID: I20091007000361 |
| Provider Name | Daniela Lipovic |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1922254275 PECOS PAC ID: 5799822946 Enrollment ID: I20091021000356 |
| Provider Name | Lisa S Wiechmann |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1942460365 PECOS PAC ID: 8820135718 Enrollment ID: I20091026000564 |
| Provider Name | Sanin Syed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992953590 PECOS PAC ID: 4587701354 Enrollment ID: I20091027000776 |
| Provider Name | Matilda M Taddeo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1376647784 PECOS PAC ID: 1759484231 Enrollment ID: I20091124000512 |
| Provider Name | Seema Agarwal |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902031917 PECOS PAC ID: 5294874368 Enrollment ID: I20091202000528 |
| Provider Name | Subha Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326373580 PECOS PAC ID: 4284773383 Enrollment ID: I20091203000079 |
| Provider Name | Charles L Fishman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1730181728 PECOS PAC ID: 1850467671 Enrollment ID: I20091230000533 |
| Provider Name | Theodore Casper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1457352593 PECOS PAC ID: 6305912122 Enrollment ID: I20091230000575 |
| Provider Name | Marguerite E Katt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588814784 PECOS PAC ID: 5092856070 Enrollment ID: I20100113000377 |
| Provider Name | Leah P Gruss |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1184669004 PECOS PAC ID: 9234264185 Enrollment ID: I20100317000138 |
| Provider Name | Agata Stancato-pasik |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1669401584 PECOS PAC ID: 4385779255 Enrollment ID: I20100317000388 |
| Provider Name | Iqbal Q Sheikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114960895 PECOS PAC ID: 8224164041 Enrollment ID: I20100331000928 |
| Provider Name | Cindy Kaufman |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1861459919 PECOS PAC ID: 9133256969 Enrollment ID: I20100427000237 |
| Provider Name | Louis P Caragine |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467558171 PECOS PAC ID: 2961532924 Enrollment ID: I20100617000723 |
| Provider Name | Syed A Kamal |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1013232396 PECOS PAC ID: 7113059106 Enrollment ID: I20100709000003 |
| Provider Name | Lawrence D Koutcher |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1316141773 PECOS PAC ID: 5294868170 Enrollment ID: I20100728001195 |
| Provider Name | Pallavi S Utukuri |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1891901070 PECOS PAC ID: 8224162565 Enrollment ID: I20100823000336 |
| Provider Name | Michael S Snyder |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124091269 PECOS PAC ID: 7810011087 Enrollment ID: I20100825000974 |
| Provider Name | Andrew M Amaranto |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659538635 PECOS PAC ID: 9931224177 Enrollment ID: I20100913000207 |
| Provider Name | Adnan Yunus |
|---|---|
| Provider Type | Practitioner - Geriatric Medicine |
| Provider Identifiers | NPI Number: 1174843213 PECOS PAC ID: 0941326391 Enrollment ID: I20100923000387 |
| Provider Name | Thomas J Camisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467483149 PECOS PAC ID: 9739371683 Enrollment ID: I20101011000163 |
| Provider Name | Anthony F Provenzano |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1205995776 PECOS PAC ID: 9335331016 Enrollment ID: I20101013000781 |
| Provider Name | Carlos M Meletiche |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1386791390 PECOS PAC ID: 7416140710 Enrollment ID: I20101019001123 |
| Provider Name | Hyunsoon B Im |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1932421377 PECOS PAC ID: 5496948663 Enrollment ID: I20101020000481 |
| Provider Name | Niesha Westmoreland |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215096680 PECOS PAC ID: 9638362551 Enrollment ID: I20101022000997 |
| Provider Name | Denis Valentin Kapkov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043466022 PECOS PAC ID: 3476747700 Enrollment ID: I20101101000905 |
| Provider Name | Nancy E Mills |
|---|---|
| Provider Type | Practitioner - Medical Oncology |
| Provider Identifiers | NPI Number: 1992775795 PECOS PAC ID: 5193919371 Enrollment ID: I20101102000020 |
| Provider Name | Julie Tobak |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679506034 PECOS PAC ID: 1456452580 Enrollment ID: I20101104001590 |
| Provider Name | Simon K Cheng |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1639360100 PECOS PAC ID: 1456547264 Enrollment ID: I20101118001183 |
| Provider Name | David M Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1295751246 PECOS PAC ID: 7911008040 Enrollment ID: I20101124000525 |
| Provider Name | Carlos R Flores |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1790802049 PECOS PAC ID: 5597951848 Enrollment ID: I20101129000321 |
| Provider Name | Frantz Torchon |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1902970932 PECOS PAC ID: 1052509262 Enrollment ID: I20110103000333 |
| Provider Name | Deborah E Finkelstein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346377512 PECOS PAC ID: 3577752203 Enrollment ID: I20110112000422 |
| Provider Name | Jennie A Scalisi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285661132 PECOS PAC ID: 7618166927 Enrollment ID: I20110118000483 |
| Provider Name | Ralph J Dangelo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417074741 PECOS PAC ID: 9830378678 Enrollment ID: I20110125000910 |
| Provider Name | Rachel Sullivan |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1710994116 PECOS PAC ID: 6507883618 Enrollment ID: I20110128000411 |
| Provider Name | Neelanjan Ray |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942445861 PECOS PAC ID: 2961681309 Enrollment ID: I20110201000129 |
| Provider Name | Anthony J Salvate |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1124053962 PECOS PAC ID: 9234310640 Enrollment ID: I20110217000825 |
| Provider Name | Sarabjit S Phokela |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1518938141 PECOS PAC ID: 6305020884 Enrollment ID: I20110407000172 |
| Provider Name | Masoumeh J Hassaninejad-farahani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376513929 PECOS PAC ID: 6204011554 Enrollment ID: I20110430000006 |
| Provider Name | Henry J Lee |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1407857055 PECOS PAC ID: 0244416733 Enrollment ID: I20110518000206 |
| Provider Name | Gary C Guerrino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811981194 PECOS PAC ID: 8123205598 Enrollment ID: I20110613000159 |
| Provider Name | Paul D Weinstein |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1316027030 PECOS PAC ID: 3173701364 Enrollment ID: I20110616000352 |
| Provider Name | Rita Shah |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1154583227 PECOS PAC ID: 0244418432 Enrollment ID: I20110616000376 |
| Provider Name | Matthew L Scherer |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215197074 PECOS PAC ID: 8325226376 Enrollment ID: I20110622000631 |
| Provider Name | Sarah E Vollbracht |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1982926325 PECOS PAC ID: 8820266091 Enrollment ID: I20110714000709 |
| Provider Name | Arpan Goel |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1497915417 PECOS PAC ID: 8123296274 Enrollment ID: I20110721000254 |
| Provider Name | Alyssa Nicole Humphrey |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1609002179 PECOS PAC ID: 7416009972 Enrollment ID: I20110726000140 |
| Provider Name | Naveena Pathmakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861550782 PECOS PAC ID: 7214106343 Enrollment ID: I20110808000137 |
| Provider Name | Dhruti P Mehta |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1497804793 PECOS PAC ID: 5092986026 Enrollment ID: I20110922000317 |
| Provider Name | Eileen P Connolly |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1730372160 PECOS PAC ID: 1052583309 Enrollment ID: I20111007000633 |
| Provider Name | Ahmed Asif |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1427144476 PECOS PAC ID: 1355513102 Enrollment ID: I20111020000495 |
| Provider Name | Sunitha M Abraham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235413980 PECOS PAC ID: 1850564683 Enrollment ID: I20111024000207 |
| Provider Name | Nadine A Chang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093097263 PECOS PAC ID: 5193998565 Enrollment ID: I20111031000245 |
| Provider Name | Silvia Guevara |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609023126 PECOS PAC ID: 0941330104 Enrollment ID: I20111214000079 |
| Provider Name | Anna Belman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699006221 PECOS PAC ID: 4587831318 Enrollment ID: I20120119000589 |
| Provider Name | Steven L Grenell |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1831115872 PECOS PAC ID: 2163681941 Enrollment ID: I20120314000576 |
| Provider Name | Denis T Sconzo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1750323671 PECOS PAC ID: 6305006701 Enrollment ID: I20120322000021 |
| Provider Name | Daniel R Miller |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275576696 PECOS PAC ID: 4587824982 Enrollment ID: I20120322000038 |
| Provider Name | Hiral Shah |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1639338262 PECOS PAC ID: 6103086079 Enrollment ID: I20120330000046 |
| Provider Name | Marise St Charles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1174599682 PECOS PAC ID: 4183629546 Enrollment ID: I20120417000064 |
| Provider Name | Michael Monaco |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1851577399 PECOS PAC ID: 9032287933 Enrollment ID: I20120725000024 |
| Provider Name | Mark A Francescone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1548449465 PECOS PAC ID: 9133375686 Enrollment ID: I20120816000066 |
| Provider Name | Karyi L Coyle |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1679802284 PECOS PAC ID: 4183871965 Enrollment ID: I20120830000032 |
| Provider Name | Hideki Kishikawa |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1447528229 PECOS PAC ID: 0042467607 Enrollment ID: I20120904000649 |
| Provider Name | Nicholas D Caputo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1699937052 PECOS PAC ID: 2466609946 Enrollment ID: I20120906000433 |
| Provider Name | Rakhee L Ippili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215192653 PECOS PAC ID: 4183895246 Enrollment ID: I20120912000039 |
| Provider Name | Ecaterina M Moisa-babii |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144484940 PECOS PAC ID: 5496904492 Enrollment ID: I20121008000481 |
| Provider Name | Tony J Wang |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265682819 PECOS PAC ID: 9234389594 Enrollment ID: I20121022000600 |
| Provider Name | Michelle Grosso |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619155777 PECOS PAC ID: 9133394950 Enrollment ID: I20121029000272 |
| Provider Name | George D Lominadze |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1902184971 PECOS PAC ID: 1153572078 Enrollment ID: I20121127000020 |
| Provider Name | Sofia Y Naz |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1104027366 PECOS PAC ID: 8123166907 Enrollment ID: I20121205000330 |
| Provider Name | Karen A Looney |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1154642924 PECOS PAC ID: 4385896372 Enrollment ID: I20121221000306 |
| Provider Name | Franz R Hinojosa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043521412 PECOS PAC ID: 3577750553 Enrollment ID: I20130110000291 |
| Provider Name | Marzena M Bona |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1710951074 PECOS PAC ID: 6507883949 Enrollment ID: I20130206000025 |
| Provider Name | Eva Rubin |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1952437162 PECOS PAC ID: 6103065347 Enrollment ID: I20130618000836 |
| Provider Name | Tony T Wong |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1952560369 PECOS PAC ID: 4486896172 Enrollment ID: I20130808000622 |
| Provider Name | Irina Kaminyar |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1144668484 PECOS PAC ID: 9133362510 Enrollment ID: I20130904000484 |
| Provider Name | Brijal Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1104023472 PECOS PAC ID: 4880865161 Enrollment ID: I20130911000877 |
| Provider Name | Michael A Feuerstein |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1427217041 PECOS PAC ID: 1557505583 Enrollment ID: I20130913000096 |
| Provider Name | Shenequa Alisha Mcleod |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1265756969 PECOS PAC ID: 7911131271 Enrollment ID: I20130930000267 |
| Provider Name | Karolina Weiss |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801039599 PECOS PAC ID: 5395979173 Enrollment ID: I20131010000110 |
| Provider Name | Shankari N Ravichandran |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548421936 PECOS PAC ID: 6103957790 Enrollment ID: I20131014000045 |
| Provider Name | Caitlin E Dwyer |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629411301 PECOS PAC ID: 5698909190 Enrollment ID: I20131017000241 |
| Provider Name | Deborah J Hemel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396062717 PECOS PAC ID: 5597990465 Enrollment ID: I20131030001630 |
| Provider Name | Bianca C Martinez-edmonds |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811260888 PECOS PAC ID: 7012143316 Enrollment ID: I20131114001452 |
| Provider Name | Deepthi S Sony |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003112954 PECOS PAC ID: 6507093184 Enrollment ID: I20131206000652 |
| Provider Name | Yue Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013232545 PECOS PAC ID: 7113158890 Enrollment ID: I20140321000840 |
| Provider Name | Jacqueline Angles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285681494 PECOS PAC ID: 1951355080 Enrollment ID: I20140421000996 |
| Provider Name | Guy W Ross |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710949482 PECOS PAC ID: 7618976762 Enrollment ID: I20140519000792 |
| Provider Name | Kathryn A Pisseri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184055204 PECOS PAC ID: 9830313253 Enrollment ID: I20140604002175 |
| Provider Name | Michael J Orofino |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619051562 PECOS PAC ID: 9830313022 Enrollment ID: I20140609001827 |
| Provider Name | Marcin Karcz |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1144484569 PECOS PAC ID: 6709001142 Enrollment ID: I20140627001008 |
| Provider Name | Amole O Ojo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1982983672 PECOS PAC ID: 4688899404 Enrollment ID: I20140710000385 |
| Provider Name | Anatoliy Tsirlin |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1366603078 PECOS PAC ID: 8325263130 Enrollment ID: I20140711001286 |
| Provider Name | Lamah Massasati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679819981 PECOS PAC ID: 9335373133 Enrollment ID: I20140822000409 |
| Provider Name | Susan Thomas-raju |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1811270036 PECOS PAC ID: 2860612132 Enrollment ID: I20141008002421 |
| Provider Name | Serena Mak |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1114155934 PECOS PAC ID: 2365663705 Enrollment ID: I20141028000933 |
| Provider Name | David P Horowitz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841425717 PECOS PAC ID: 8022239326 Enrollment ID: I20141030001997 |
| Provider Name | Stacy K Ugras |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1629235262 PECOS PAC ID: 5799008017 Enrollment ID: I20141217002289 |
| Provider Name | Neelkamal Kaur Randhawa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043403553 PECOS PAC ID: 4385730845 Enrollment ID: I20150130000101 |
| Provider Name | Shinta Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548658453 PECOS PAC ID: 3274858246 Enrollment ID: I20150216000021 |
| Provider Name | Eva Cheung |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1124293469 PECOS PAC ID: 5597081018 Enrollment ID: I20150227001456 |
| Provider Name | Joseph Vozzolo |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1023314895 PECOS PAC ID: 3375869423 Enrollment ID: I20150306001955 |
| Provider Name | Bess C Stillman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1548553993 PECOS PAC ID: 6800114125 Enrollment ID: I20150417000989 |
| Provider Name | Yolima Salazar |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1346661972 PECOS PAC ID: 7810215928 Enrollment ID: I20150421000606 |
| Provider Name | Mark C Liszewski |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962677229 PECOS PAC ID: 1052559515 Enrollment ID: I20150428001772 |
| Provider Name | Sean Javier Cloonan |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1912171430 PECOS PAC ID: 6709000672 Enrollment ID: I20150527000563 |
| Provider Name | Nitasha Garg Jain |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1952615239 PECOS PAC ID: 8820219447 Enrollment ID: I20150616000719 |
| Provider Name | Megha Kothari |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1215170816 PECOS PAC ID: 4284863655 Enrollment ID: I20150709001571 |
| Provider Name | Cassandra Blot Simmons |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518007855 PECOS PAC ID: 8628167335 Enrollment ID: I20150723009143 |
| Provider Name | Adam Castano |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1639494552 PECOS PAC ID: 6800109414 Enrollment ID: I20150724010688 |
| Provider Name | Ashita S Batavia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376786897 PECOS PAC ID: 1254648298 Enrollment ID: I20150923001961 |
| Provider Name | Zainab Z Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720240054 PECOS PAC ID: 0840468666 Enrollment ID: I20150930001359 |
| Provider Name | Ruhy Afza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114157963 PECOS PAC ID: 1254568074 Enrollment ID: I20151015000942 |
| Provider Name | Diarra A Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730556341 PECOS PAC ID: 9830499557 Enrollment ID: I20151202002792 |
| Provider Name | Mona Kennedy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629364328 PECOS PAC ID: 6103126552 Enrollment ID: I20151208000531 |
| Provider Name | Roy G Oommen |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1669653184 PECOS PAC ID: 9537316054 Enrollment ID: I20151214000832 |
| Provider Name | Asma Iftikhar |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1427344761 PECOS PAC ID: 2163664715 Enrollment ID: I20151221002446 |
| Provider Name | Jenny Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740647213 PECOS PAC ID: 2163727249 Enrollment ID: I20160227000070 |
| Provider Name | Rashmi Dubey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053358234 PECOS PAC ID: 0547214181 Enrollment ID: I20160229000534 |
| Provider Name | Biana Volfinzon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952664351 PECOS PAC ID: 5092011007 Enrollment ID: I20160316001794 |
| Provider Name | Donald Basdeo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295146249 PECOS PAC ID: 8224327671 Enrollment ID: I20160525001280 |
| Provider Name | Veronica Mastrogiacomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023488327 PECOS PAC ID: 2860785474 Enrollment ID: I20160720000140 |
| Provider Name | Mala Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376862813 PECOS PAC ID: 0840417523 Enrollment ID: I20160808002375 |
| Provider Name | Michelle C Azu |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316105711 PECOS PAC ID: 3678619004 Enrollment ID: I20160812000881 |
| Provider Name | Kathleen Gentry Brennan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1033353610 PECOS PAC ID: 3173817145 Enrollment ID: I20160815000798 |
| Provider Name | Thillai Sekar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1710279187 PECOS PAC ID: 3971897885 Enrollment ID: I20160815002259 |
| Provider Name | Abdulkader Kasabji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427234897 PECOS PAC ID: 4587722871 Enrollment ID: I20160816002581 |
| Provider Name | Douglas Jay Saphier |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689960676 PECOS PAC ID: 5193010874 Enrollment ID: I20160819000277 |
| Provider Name | Peace Y Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598037319 PECOS PAC ID: 0143515718 Enrollment ID: I20160822000553 |
| Provider Name | Ehizode Udevbulu |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1477984631 PECOS PAC ID: 3678887635 Enrollment ID: I20160823002179 |
| Provider Name | Manuel L Fajardo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831461417 PECOS PAC ID: 3375764210 Enrollment ID: I20160909000762 |
| Provider Name | Lin Corson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902249345 PECOS PAC ID: 2668769787 Enrollment ID: I20160916002102 |
| Provider Name | Jillian A Cohen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063863694 PECOS PAC ID: 8921395856 Enrollment ID: I20160921000707 |
| Provider Name | Inseon Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821477787 PECOS PAC ID: 0446567002 Enrollment ID: I20160928002592 |
| Provider Name | Jonah Shulman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669799920 PECOS PAC ID: 8325336985 Enrollment ID: I20161013002112 |
| Provider Name | Xiaorong Yan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811125776 PECOS PAC ID: 3274685201 Enrollment ID: I20161014002168 |
| Provider Name | Faiyaz Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447542832 PECOS PAC ID: 8628356714 Enrollment ID: I20161024002736 |
| Provider Name | Anthony M Dedonatis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093261398 PECOS PAC ID: 4587942214 Enrollment ID: I20161031001188 |
| Provider Name | Ioana Livinti |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255694188 PECOS PAC ID: 2860770328 Enrollment ID: I20161103001655 |
| Provider Name | Lisa K Torres |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1871849554 PECOS PAC ID: 8325262835 Enrollment ID: I20161104000425 |
| Provider Name | Anne West |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124380035 PECOS PAC ID: 8921387259 Enrollment ID: I20161109001506 |
| Provider Name | Eva Polar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316233521 PECOS PAC ID: 2365721461 Enrollment ID: I20161114000193 |
| Provider Name | Babak S Jazayeri-moghadass |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205102225 PECOS PAC ID: 2264711290 Enrollment ID: I20161116000518 |
| Provider Name | Adrian Kuker |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1477879252 PECOS PAC ID: 1456630953 Enrollment ID: I20161123001715 |
| Provider Name | Kelley Yan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1376781567 PECOS PAC ID: 6002196128 Enrollment ID: I20161207001806 |
| Provider Name | Arnold S Han |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1639317811 PECOS PAC ID: 5890009013 Enrollment ID: I20161208000398 |
| Provider Name | John-paul Bellistri |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1669752580 PECOS PAC ID: 5193007268 Enrollment ID: I20170125001065 |
| Provider Name | Diana Victoria Marin |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1093701161 PECOS PAC ID: 0042276818 Enrollment ID: I20170206002595 |
| Provider Name | Napoleon Deveyra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639428659 PECOS PAC ID: 2365725298 Enrollment ID: I20170220000582 |
| Provider Name | Eleanor M Dethomas |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1326458415 PECOS PAC ID: 6103100870 Enrollment ID: I20170223001784 |
| Provider Name | Heather J Bigby |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1801283957 PECOS PAC ID: 6608150867 Enrollment ID: I20170307001724 |
| Provider Name | Avni S Mehta |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235420035 PECOS PAC ID: 2860711728 Enrollment ID: I20170315001268 |
| Provider Name | Kimberly Murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770712499 PECOS PAC ID: 6002067055 Enrollment ID: I20170404000483 |
| Provider Name | Patricia A Philipps |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528354222 PECOS PAC ID: 8729364013 Enrollment ID: I20170421001745 |
| Provider Name | Syed Husain |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1952696221 PECOS PAC ID: 7214155654 Enrollment ID: I20170530000861 |
| Provider Name | Lee Finkelstone |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1063711653 PECOS PAC ID: 4880962281 Enrollment ID: I20170607001321 |
| Provider Name | Eliza Miller |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1093081663 PECOS PAC ID: 2860760022 Enrollment ID: I20170613001346 |
| Provider Name | Shawna L Hughes |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851682512 PECOS PAC ID: 4284902016 Enrollment ID: I20170619002704 |
| Provider Name | Matthew P Moy |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1821397704 PECOS PAC ID: 8921250937 Enrollment ID: I20170620003287 |
| Provider Name | Moses Akiri Agborenow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518008887 PECOS PAC ID: 1557639168 Enrollment ID: I20170622000586 |
| Provider Name | Leah Minnie Katz |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962763839 PECOS PAC ID: 8224308382 Enrollment ID: I20170721001967 |
| Provider Name | Aparna Dole |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063666493 PECOS PAC ID: 2365631934 Enrollment ID: I20170815000471 |
| Provider Name | Tehilla Apfel |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396163341 PECOS PAC ID: 0345519070 Enrollment ID: I20170822000870 |
| Provider Name | Shama Patel |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1235544644 PECOS PAC ID: 9133493133 Enrollment ID: I20170914000893 |
| Provider Name | Enaame L Farrell |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649539594 PECOS PAC ID: 8921375205 Enrollment ID: I20170918000113 |
| Provider Name | Michael M Shehata |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396162426 PECOS PAC ID: 4688948912 Enrollment ID: I20170925002439 |
| Provider Name | Debra Adler-klein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245278886 PECOS PAC ID: 4183725922 Enrollment ID: I20171002001641 |
| Provider Name | Roshni Rao |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1639136963 PECOS PAC ID: 8921061870 Enrollment ID: I20171017001562 |
| Provider Name | Christos C Christolias |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750728051 PECOS PAC ID: 0446526057 Enrollment ID: I20171026002468 |
| Provider Name | Divaya Bhutani |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1942404298 PECOS PAC ID: 2466544846 Enrollment ID: I20171102002569 |
| Provider Name | Mzimeli M Morris |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1912340530 PECOS PAC ID: 9234421850 Enrollment ID: I20171114000333 |
| Provider Name | Min Yu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528473162 PECOS PAC ID: 6002173226 Enrollment ID: I20171127000923 |
| Provider Name | Mohit K Turagam |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1275709941 PECOS PAC ID: 1557556164 Enrollment ID: I20171129001685 |
| Provider Name | Jennifer L Park |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326307588 PECOS PAC ID: 7113240698 Enrollment ID: I20171222000480 |
| Provider Name | Mary Grace A Treschitta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922499318 PECOS PAC ID: 1052617511 Enrollment ID: I20171226000404 |
| Provider Name | Granit Veseli |
|---|---|
| Provider Type | Practitioner - Cardiac Electrophysiology |
| Provider Identifiers | NPI Number: 1396036091 PECOS PAC ID: 9830459957 Enrollment ID: I20180212000899 |
| Provider Name | Tunku Abubakar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275571515 PECOS PAC ID: 0345154043 Enrollment ID: I20180307000873 |
| Provider Name | Xuxin Chen |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366821001 PECOS PAC ID: 3274896535 Enrollment ID: I20180419000493 |
| Provider Name | Kathleen Campbell |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1699111922 PECOS PAC ID: 6305100181 Enrollment ID: I20180502001441 |
| Provider Name | Sandes Chery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548655467 PECOS PAC ID: 4284989526 Enrollment ID: I20180611000242 |
| Provider Name | Di Pan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639564958 PECOS PAC ID: 1658626650 Enrollment ID: I20180614002835 |
| Provider Name | Lyndon Luk |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1356608558 PECOS PAC ID: 4880940030 Enrollment ID: I20180702001722 |
| Provider Name | Edwine Rinvil-wailes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386810182 PECOS PAC ID: 7315093911 Enrollment ID: I20180710000597 |
| Provider Name | Karimah Smith |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1982093365 PECOS PAC ID: 1850605361 Enrollment ID: I20180711000494 |
| Provider Name | Solimma Antony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518478254 PECOS PAC ID: 2860748548 Enrollment ID: I20180711000645 |
| Provider Name | Horia Vulpe |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1023520095 PECOS PAC ID: 8022365337 Enrollment ID: I20180718000857 |
| Provider Name | Rachel Mehendale |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1235558842 PECOS PAC ID: 8426305756 Enrollment ID: I20180718001764 |
| Provider Name | Diego Jaramillo |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1164473633 PECOS PAC ID: 3779562400 Enrollment ID: I20180719002119 |
| Provider Name | John S Harrington |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093081911 PECOS PAC ID: 9234388018 Enrollment ID: I20180730000777 |
| Provider Name | Faisal Jamal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346207560 PECOS PAC ID: 8224127832 Enrollment ID: I20180813002949 |
| Provider Name | Mark Stephen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275912495 PECOS PAC ID: 7618226895 Enrollment ID: I20180821003059 |
| Provider Name | Cheng-chia Wu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1770926701 PECOS PAC ID: 7911257522 Enrollment ID: I20180831001191 |
| Provider Name | Ernestine I Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205112836 PECOS PAC ID: 3274765847 Enrollment ID: I20180904000407 |
| Provider Name | Zachary Sheingold |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1336534510 PECOS PAC ID: 4486904943 Enrollment ID: I20180904000965 |
| Provider Name | Amer Y Sayed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467892372 PECOS PAC ID: 2668776394 Enrollment ID: I20180912003394 |
| Provider Name | Lee Grodin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1659711992 PECOS PAC ID: 0840541850 Enrollment ID: I20181001001461 |
| Provider Name | Nasiratu Larry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1689069742 PECOS PAC ID: 1951654417 Enrollment ID: I20181030002660 |
| Provider Name | Nonso C. Osakwe |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1477968121 PECOS PAC ID: 9931452299 Enrollment ID: I20181102001321 |
| Provider Name | Mohammed Abdula Al Shalal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1346622420 PECOS PAC ID: 4587918727 Enrollment ID: I20181107000543 |
| Provider Name | Vanessa K Goldenberg |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1861768996 PECOS PAC ID: 1052665817 Enrollment ID: I20181114000048 |
| Provider Name | Clara Engmann |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629412390 PECOS PAC ID: 0345536751 Enrollment ID: I20181114000500 |
| Provider Name | Kayode Odutayo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1790118875 PECOS PAC ID: 2567756992 Enrollment ID: I20181114000931 |
| Provider Name | Zahra Ghiassi-nejad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1982946505 PECOS PAC ID: 7113261900 Enrollment ID: I20181205001550 |
| Provider Name | Usman Siddiqui |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356774491 PECOS PAC ID: 2769727106 Enrollment ID: I20181213000425 |
| Provider Name | Mingzhu Xu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285864983 PECOS PAC ID: 6608022157 Enrollment ID: I20181221000960 |
| Provider Name | Ugo Paolucci |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1265658793 PECOS PAC ID: 9032287040 Enrollment ID: I20190102000551 |
| Provider Name | Paige Hempe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932647666 PECOS PAC ID: 9133466618 Enrollment ID: I20190122001588 |
| Provider Name | Quratulain Zeeshan |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508266321 PECOS PAC ID: 9638416167 Enrollment ID: I20190122003444 |
| Provider Name | Fundime Elmazi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1962636761 PECOS PAC ID: 4587898333 Enrollment ID: I20190129002971 |
| Provider Name | Rachel R Bondi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427416932 PECOS PAC ID: 1153611272 Enrollment ID: I20190320000028 |
| Provider Name | Princess Okunola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043790116 PECOS PAC ID: 9931449287 Enrollment ID: I20190322001445 |
| Provider Name | Charlene Shervonne Emmanuel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1417110958 PECOS PAC ID: 4880845023 Enrollment ID: I20190408002004 |
| Provider Name | Sonali V Lala |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1689010720 PECOS PAC ID: 6305115486 Enrollment ID: I20190416001727 |
| Provider Name | Melissa Martyn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003290362 PECOS PAC ID: 3678814860 Enrollment ID: I20190417000653 |
| Provider Name | Amy Parikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437578192 PECOS PAC ID: 1254673049 Enrollment ID: I20190426000714 |
| Provider Name | Nicola C Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396202172 PECOS PAC ID: 7517209240 Enrollment ID: I20190430000901 |
| Provider Name | Thomas H Mcconville |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1780027862 PECOS PAC ID: 4183960784 Enrollment ID: I20190509000598 |
| Provider Name | Consuella G Margineanu Albastroiu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124245816 PECOS PAC ID: 8628124849 Enrollment ID: I20190521001180 |
| Provider Name | Maria Jovie Pagsuguiron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659837235 PECOS PAC ID: 7810220787 Enrollment ID: I20190607000769 |
| Provider Name | Benjamin Scott Hooe |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700248150 PECOS PAC ID: 9335472703 Enrollment ID: I20190618001319 |
| Provider Name | Brendan Rowan Norwood |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1144461153 PECOS PAC ID: 4688831522 Enrollment ID: I20190619001160 |
| Provider Name | Hubert G Robin |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1295815843 PECOS PAC ID: 8123106192 Enrollment ID: I20190625002899 |
| Provider Name | Jacob Lauer |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245525997 PECOS PAC ID: 6608189550 Enrollment ID: I20190628000913 |
| Provider Name | Christopher J Elder |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1033553979 PECOS PAC ID: 2062746613 Enrollment ID: I20190702000388 |
| Provider Name | Nicholas G Brown |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1326304072 PECOS PAC ID: 1153640982 Enrollment ID: I20190719001015 |
| Provider Name | Pavan K Ananth |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1396148573 PECOS PAC ID: 2264768191 Enrollment ID: I20190730001643 |
| Provider Name | Ross Mccormack |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1952716326 PECOS PAC ID: 9739466723 Enrollment ID: I20190731002198 |
| Provider Name | Joan Ma |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1902285380 PECOS PAC ID: 8820300700 Enrollment ID: I20190731003166 |
| Provider Name | William R Flores |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639537608 PECOS PAC ID: 5496099772 Enrollment ID: I20190801000305 |
| Provider Name | Sheneen Lalani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851707160 PECOS PAC ID: 2466709662 Enrollment ID: I20190808000737 |
| Provider Name | Luona Sun |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1396036729 PECOS PAC ID: 3870732779 Enrollment ID: I20190819002538 |
| Provider Name | Alyssa Bautista |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1588073969 PECOS PAC ID: 4981932456 Enrollment ID: I20190821002633 |
| Provider Name | Heather R Mozdy |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1639586308 PECOS PAC ID: 7810119526 Enrollment ID: I20190828002203 |
| Provider Name | Jordan M Yakoby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811364375 PECOS PAC ID: 4587961834 Enrollment ID: I20190828002491 |
| Provider Name | Shauna H Gunaratne |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1407269350 PECOS PAC ID: 4385862846 Enrollment ID: I20190916001150 |
| Provider Name | Tatiana M Terlecky |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1932586658 PECOS PAC ID: 0941539043 Enrollment ID: I20190916002351 |
| Provider Name | Svjetlana Lozo |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1326277435 PECOS PAC ID: 5597990879 Enrollment ID: I20190920000483 |
| Provider Name | Saeid Mirafzali |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285014720 PECOS PAC ID: 5698081271 Enrollment ID: I20190924001577 |
| Provider Name | Eugene Medvedev |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760745657 PECOS PAC ID: 1658685383 Enrollment ID: I20190924001934 |
| Provider Name | Christine Chin |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1649690629 PECOS PAC ID: 1456698109 Enrollment ID: I20190925000756 |
| Provider Name | Gulnaz Bachlani |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1083072979 PECOS PAC ID: 1557606886 Enrollment ID: I20191011001390 |
| Provider Name | Lisa A Kachnic |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962493874 PECOS PAC ID: 2961487004 Enrollment ID: I20191024001500 |
| Provider Name | Catrina Jean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497114862 PECOS PAC ID: 7618209677 Enrollment ID: I20191024002585 |
| Provider Name | James H Marcus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568716629 PECOS PAC ID: 2365716990 Enrollment ID: I20191028000844 |
| Provider Name | Heather Belle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356704670 PECOS PAC ID: 0840537312 Enrollment ID: I20191029001161 |
| Provider Name | Lorena N Conz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467014340 PECOS PAC ID: 4183956402 Enrollment ID: I20191105002510 |
| Provider Name | Sooraj Poonawala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922469105 PECOS PAC ID: 1153753934 Enrollment ID: I20191115002369 |
| Provider Name | Ayesha F Mir |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265895064 PECOS PAC ID: 0941547269 Enrollment ID: I20191115002800 |
| Provider Name | Anjuli R Cogman |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255718268 PECOS PAC ID: 8820424948 Enrollment ID: I20200210002114 |
| Provider Name | Lisa M Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083985832 PECOS PAC ID: 2163726019 Enrollment ID: I20200312000178 |
| Provider Name | Deepa Kenia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770934275 PECOS PAC ID: 0345678389 Enrollment ID: I20200325001363 |
| Provider Name | Rebecca F Carlin |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194968990 PECOS PAC ID: 7214243369 Enrollment ID: I20200327001367 |
| Provider Name | Hamid Bagce |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1962821066 PECOS PAC ID: 0446597298 Enrollment ID: I20200407002393 |
| Provider Name | Nikhil Dave Sharma |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902268949 PECOS PAC ID: 5395083455 Enrollment ID: I20200423001656 |
| Provider Name | Thomas Hays |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952728883 PECOS PAC ID: 7719223304 Enrollment ID: I20200504002515 |
| Provider Name | Steven Caldwell |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417969387 PECOS PAC ID: 8820064744 Enrollment ID: I20200514000572 |
| Provider Name | Marcus C Lien |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1063439941 PECOS PAC ID: 9638175714 Enrollment ID: I20200518000807 |
| Provider Name | Thaofiq O Ijaiya |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1609299502 PECOS PAC ID: 2365789484 Enrollment ID: I20200603001876 |
| Provider Name | Cristina C Ciorlian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1730160862 PECOS PAC ID: 1456377241 Enrollment ID: I20200617002872 |
| Provider Name | Omer Ahmed |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1235387119 PECOS PAC ID: 5294999116 Enrollment ID: I20200623001354 |
| Provider Name | Tannaz Iranpour Boroujeni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003175597 PECOS PAC ID: 3870712359 Enrollment ID: I20200707001501 |
| Provider Name | Joel A Lichman Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194278069 PECOS PAC ID: 1850716549 Enrollment ID: I20200728003215 |
| Provider Name | Iman Afzal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134653603 PECOS PAC ID: 7416372875 Enrollment ID: I20200731001434 |
| Provider Name | Crystal Kay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952934754 PECOS PAC ID: 4880019207 Enrollment ID: I20200803000947 |
| Provider Name | Joshua Hartman |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1730421355 PECOS PAC ID: 5991049785 Enrollment ID: I20200814002249 |
| Provider Name | Catherine S Spina |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1417331737 PECOS PAC ID: 0143648139 Enrollment ID: I20200908001077 |
| Provider Name | Akua A Ampadu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144581570 PECOS PAC ID: 5991006710 Enrollment ID: I20200921001000 |
| Provider Name | Allan M So |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1598129389 PECOS PAC ID: 9739508706 Enrollment ID: I20200925000378 |
| Provider Name | Zoe Ramirez |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1619401262 PECOS PAC ID: 9436496973 Enrollment ID: I20200929001735 |
| Provider Name | Carlito Arenas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376896860 PECOS PAC ID: 5597906149 Enrollment ID: I20201001001017 |
| Provider Name | David G Hankins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942663075 PECOS PAC ID: 7113265380 Enrollment ID: I20201013001011 |
| Provider Name | Chao Song |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528416351 PECOS PAC ID: 1254614878 Enrollment ID: I20201221002547 |
| Provider Name | Anurag Sharma |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1124391727 PECOS PAC ID: 5395066906 Enrollment ID: I20201222002630 |
| Provider Name | Guslene Belleus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437448396 PECOS PAC ID: 7012320062 Enrollment ID: I20210112000659 |
| Provider Name | Chidinma Nwachukwu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043662695 PECOS PAC ID: 2668809682 Enrollment ID: I20210202000788 |
| Provider Name | Clara Lee |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639437353 PECOS PAC ID: 9436465713 Enrollment ID: I20210226000984 |
| Provider Name | Michelle D Dagostino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154928133 PECOS PAC ID: 2961818356 Enrollment ID: I20210310000300 |
| Provider Name | Okeanos Z Gerell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528158169 PECOS PAC ID: 6305732165 Enrollment ID: I20210402000156 |
| Provider Name | Ioan-florinel Frunza |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1407236318 PECOS PAC ID: 8729497243 Enrollment ID: I20210512002169 |
| Provider Name | Briana L Baxter |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1427589548 PECOS PAC ID: 3072851443 Enrollment ID: I20210524002073 |
| Provider Name | Zohra Salehi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1477993582 PECOS PAC ID: 5496034019 Enrollment ID: I20210525001616 |
| Provider Name | Amy Zhang |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1881088003 PECOS PAC ID: 1153678321 Enrollment ID: I20210525001682 |
| Provider Name | Zohaib Y Ahmad |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1811384027 PECOS PAC ID: 1456646579 Enrollment ID: I20210614000920 |
| Provider Name | Dinesh Kumar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1992200083 PECOS PAC ID: 4183025521 Enrollment ID: I20210623002031 |
| Provider Name | Ellis Rochelson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1942627955 PECOS PAC ID: 8325441579 Enrollment ID: I20210726001175 |
| Provider Name | Dwight Aberle |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1255794616 PECOS PAC ID: 7810390994 Enrollment ID: I20210727002632 |
| Provider Name | Faith S Kim |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1245641943 PECOS PAC ID: 9638446263 Enrollment ID: I20210728002181 |
| Provider Name | Nadir Rana |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770010746 PECOS PAC ID: 6608270475 Enrollment ID: I20210802002766 |
| Provider Name | Sameer Aggarwal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699139972 PECOS PAC ID: 8224324132 Enrollment ID: I20210802002837 |
| Provider Name | Shreyas B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396164885 PECOS PAC ID: 8325314776 Enrollment ID: I20210803001910 |
| Provider Name | Saroj Khanal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316292733 PECOS PAC ID: 5395058499 Enrollment ID: I20210804003185 |
| Provider Name | Mark C Ludwig |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033501507 PECOS PAC ID: 6608137294 Enrollment ID: I20210806000062 |
| Provider Name | Kurun Partap Singh Oberoi |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1972948669 PECOS PAC ID: 2769887462 Enrollment ID: I20210818002442 |
| Provider Name | Camilla Casadei |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558038679 PECOS PAC ID: 3173921905 Enrollment ID: I20211008002364 |
| Provider Name | Lisa Reppert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114278389 PECOS PAC ID: 4284887779 Enrollment ID: I20211027000571 |
| Provider Name | Saviour K Datsomor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487061958 PECOS PAC ID: 3779971536 Enrollment ID: I20211027001850 |
| Provider Name | Sofia Rustemi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1699272815 PECOS PAC ID: 3971848250 Enrollment ID: I20211108002528 |
| Provider Name | Jonathan S Kirshner |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1235584509 PECOS PAC ID: 8921344391 Enrollment ID: I20211201002069 |
| Provider Name | Lisa L Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972780336 PECOS PAC ID: 1153408042 Enrollment ID: I20211201002252 |
| Provider Name | Mohammad Alboushi Aldabagh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1740787357 PECOS PAC ID: 2264772987 Enrollment ID: I20211214002726 |
| Provider Name | Lawrence A Mumm |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1205178662 PECOS PAC ID: 1254609738 Enrollment ID: I20211214002868 |
| Provider Name | Usman Akhtar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619387735 PECOS PAC ID: 0042597999 Enrollment ID: I20211214002904 |
| Provider Name | Juan P Vera Gomez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538540299 PECOS PAC ID: 7618221391 Enrollment ID: I20211214003022 |
| Provider Name | Yochai Re'em |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407352271 PECOS PAC ID: 9830437920 Enrollment ID: I20220117000008 |
| Provider Name | James Byunghoon Yu |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1306020474 PECOS PAC ID: 3375695901 Enrollment ID: I20220127002381 |
| Provider Name | Jesintha Stephenson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003343229 PECOS PAC ID: 8628493079 Enrollment ID: I20220129000002 |
| Provider Name | Jack Wilkinson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538663570 PECOS PAC ID: 3870928807 Enrollment ID: I20220323002124 |
| Provider Name | Laura Renee Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023581790 PECOS PAC ID: 5294072955 Enrollment ID: I20220401001371 |
| Provider Name | Komal Kasbati |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1164927505 PECOS PAC ID: 2466796438 Enrollment ID: I20220427002194 |
| Provider Name | William M Whalen |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1912386871 PECOS PAC ID: 0749579340 Enrollment ID: I20220527000234 |
| Provider Name | Ikenna Erinne |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1790170645 PECOS PAC ID: 3779881198 Enrollment ID: I20220613001138 |
| Provider Name | Jacob Mclean |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1437682325 PECOS PAC ID: 5193105013 Enrollment ID: I20220708001800 |
| Provider Name | Jaehoon Cho |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1023471695 PECOS PAC ID: 5395174312 Enrollment ID: I20220721000150 |
| Provider Name | Arith Ruth Selda Reyes |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1700319829 PECOS PAC ID: 2668854332 Enrollment ID: I20220728001329 |
| Provider Name | Francesco Michelassi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1730685165 PECOS PAC ID: 3678955796 Enrollment ID: I20220804003719 |
| Provider Name | Christopher I Sayegh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1184086431 PECOS PAC ID: 5698013811 Enrollment ID: I20220812002541 |
| Provider Name | Nuwan Thilina Gunawardhana |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1689107674 PECOS PAC ID: 6406123538 Enrollment ID: I20220815000422 |
| Provider Name | Angelena M Labella |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053423921 PECOS PAC ID: 9638236672 Enrollment ID: I20220816001047 |
| Provider Name | Kristin Berger |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1396276929 PECOS PAC ID: 5395013833 Enrollment ID: I20220907000111 |
| Provider Name | Samantha K Cipriano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972253714 PECOS PAC ID: 9436535606 Enrollment ID: I20220927000263 |
| Provider Name | Kamalveer S Grewal |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902301203 PECOS PAC ID: 7911383914 Enrollment ID: I20220928002065 |
| Provider Name | Kelly Werner |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1639532625 PECOS PAC ID: 5294079919 Enrollment ID: I20221020000501 |
| Provider Name | Lauren Sanlorenzo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1326365842 PECOS PAC ID: 3779832340 Enrollment ID: I20221024000840 |
| Provider Name | Xiannian Wu |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1053675645 PECOS PAC ID: 4486928926 Enrollment ID: I20221028000621 |
| Provider Name | Maria D Pimentel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1508050162 PECOS PAC ID: 0840386330 Enrollment ID: I20230112002990 |
| Provider Name | Noel Carrillo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033672761 PECOS PAC ID: 3072841691 Enrollment ID: I20230124002216 |
| Provider Name | Nicholas A Romano |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255894093 PECOS PAC ID: 1456681428 Enrollment ID: I20230124002506 |
| Provider Name | Susan M Clifford |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1518944768 PECOS PAC ID: 8527036599 Enrollment ID: I20230124002517 |
| Provider Name | Zhenzhen Shi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598228587 PECOS PAC ID: 1759619232 Enrollment ID: I20230206000555 |
| Provider Name | Lisa K Mccaskill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407511132 PECOS PAC ID: 6103298815 Enrollment ID: I20230206002886 |
| Provider Name | Luqman K Dad |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1013136886 PECOS PAC ID: 7214105733 Enrollment ID: I20230316001684 |
| Provider Name | Sainu Joby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780274605 PECOS PAC ID: 4183098809 Enrollment ID: I20230321001190 |
| Provider Name | Rohit Gupta |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1093198475 PECOS PAC ID: 0143568527 Enrollment ID: I20230328002585 |
| Provider Name | Benjamin Ashby Goodrum |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1861893414 PECOS PAC ID: 4981825361 Enrollment ID: I20230424000319 |
| Provider Name | Sarah Peprah |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1619474244 PECOS PAC ID: 8628433877 Enrollment ID: I20230424001300 |
| Provider Name | Emmanuel Ramos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184263089 PECOS PAC ID: 7810352804 Enrollment ID: I20230426001600 |
| Provider Name | Sarah Zoubaa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417690421 PECOS PAC ID: 6406214576 Enrollment ID: I20230621003414 |
| Provider Name | Anthony Bowen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1538658570 PECOS PAC ID: 6406107242 Enrollment ID: I20230706003550 |
| Provider Name | Austin Michael Oberlin |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184186223 PECOS PAC ID: 5597093211 Enrollment ID: I20230725001341 |
| Provider Name | Myo Myint Tun |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972112316 PECOS PAC ID: 4183085756 Enrollment ID: I20230728001557 |
| Provider Name | Ghassan C Habib |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1700318672 PECOS PAC ID: 9436496817 Enrollment ID: I20230831000574 |
| Provider Name | Michael Chen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316505951 PECOS PAC ID: 6305172800 Enrollment ID: I20230906003496 |
| Provider Name | M. Kathleen Moynihan Hardart |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1689996514 PECOS PAC ID: 7719341866 Enrollment ID: I20230908000432 |
| Provider Name | Brandon Scott Mogrovejo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437787223 PECOS PAC ID: 6204290810 Enrollment ID: I20230915000853 |
| Provider Name | Kristine Kim |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1962999235 PECOS PAC ID: 1951659283 Enrollment ID: I20231006000304 |
| Provider Name | Betsy Hinrichsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760160410 PECOS PAC ID: 0547616054 Enrollment ID: I20231019001108 |
| Provider Name | Prit Patel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093371460 PECOS PAC ID: 9931555323 Enrollment ID: I20231020001420 |
| Provider Name | Natalie Cummings |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891291837 PECOS PAC ID: 7911353818 Enrollment ID: I20231030001313 |
| Provider Name | Ifesinachi C. Nnaji |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174152425 PECOS PAC ID: 7315394541 Enrollment ID: I20231109002808 |
| Provider Name | Matthew Ryan Kearney |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1023470788 PECOS PAC ID: 3678860442 Enrollment ID: I20240118001370 |
| Provider Name | Christopher Ceccolini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184143604 PECOS PAC ID: 9739532037 Enrollment ID: I20240201003593 |
| Provider Name | Axxel Alexis Frometa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659083897 PECOS PAC ID: 6608216239 Enrollment ID: I20240430003103 |
| Provider Name | Shawnlee P Hutchinson-mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043935505 PECOS PAC ID: 6103266275 Enrollment ID: I20240507000393 |
| Provider Name | Ruth Tyan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003675935 PECOS PAC ID: 8426490475 Enrollment ID: I20240522003580 |
| Provider Name | Marcia Lyn-roberts |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881311926 PECOS PAC ID: 1759723133 Enrollment ID: I20240530003070 |
Convenient Care Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 Rte 6 & Mahopac Ave, Yorktown Heights, NY 10598 Phone: 914-248-5556 Fax: 914-248-4091 | |
Newyork-presbyterian Medical Group/westchester Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2649 Strang Blvd Ste 304, Yorktown Heights, NY 10598 Phone: 267-979-8095 | |
Divinity Medical Services Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3379 Crompond Rd, Yorktown Heights, NY 10598 Phone: 914-930-5550 Fax: 914-930-5551 | |
Northern Westchester Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1872 Commerce St, Yorktown Heights, NY 10598 Phone: 914-962-3303 Fax: 914-962-4271 | |
Mount Kisco Medical Group Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: Mt Kisco Medical Group Pc, 1825 Commerce St, Yorktown Heights, NY 10598 Phone: 914-962-5060 Fax: 914-242-1516 | |
Asira Medical, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3505 Hill Blvd Ste C, Yorktown Heights, NY 10598 Phone: 516-697-2336 Fax: 646-845-9966 |