| Nightwatch Medicine Pllc | |
|
2 Dewberry Ct Dix Hills NY 11746-5655 | |
| (516) 643-2513 | |
| Not Available |
| Full Name | Nightwatch Medicine Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Dewberry Ct, Dix Hills, New York |
| Authorized Official Name and Position | Nodar Janas (PHYSICIAN) |
| Authorized Official Contact | 5166432513 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nightwatch Medicine Pllc 20 Westwood Cir Roslyn Heights NY 11577-1823 Ph: (718) 454-4356 | Nightwatch Medicine Pllc 2 Dewberry Ct Dix Hills NY 11746-5655 Ph: (516) 643-2513 |
| NPI Number | 1184321739 |
|---|---|
| Provider Enumeration Date | 02/14/2023 |
| Last Update Date | 09/20/2024 |
| Medicare PECOS PAC ID | 4880051366 |
|---|---|
| Medicare Enrollment ID | O20230621003005 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184321739 | NPI | - | NPPES |
| 07728792 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Nodar Janas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770678021 PECOS PAC ID: 2365417631 Enrollment ID: I20040831000121 |
| Provider Name | Syed Samar Raza |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285734715 PECOS PAC ID: 3870507817 Enrollment ID: I20060130000577 |
| Provider Name | Larisa Shpitalnik |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1689839979 PECOS PAC ID: 4587716683 Enrollment ID: I20090721000631 |
| Provider Name | Chiquita Houston Armstrong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003826132 PECOS PAC ID: 4981897618 Enrollment ID: I20101026000539 |
| Provider Name | Anne-margaret Wise |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235683871 PECOS PAC ID: 4486942869 Enrollment ID: I20161018002050 |
| Provider Name | Amy Marie Blunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831502996 PECOS PAC ID: 4183988199 Enrollment ID: I20180618002123 |
| Provider Name | Omosede Uwaifo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255649596 PECOS PAC ID: 0840607826 Enrollment ID: I20210319000517 |
| Provider Name | Joshua Starteri |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972818797 PECOS PAC ID: 0143624171 Enrollment ID: I20210812001051 |
| Provider Name | Ramon Trinidad |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588211627 PECOS PAC ID: 2860829355 Enrollment ID: I20230515001148 |
| Provider Name | Marizel Vasquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104259001 PECOS PAC ID: 4880985597 Enrollment ID: I20230809002935 |
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