Nodar Janas Md P.c | |
3501 202nd St Bayside NY 11361-1117 | |
(516) 643-2513 | |
Not Available |
Full Name | Nodar Janas Md P.c |
---|---|
Speciality | Internal Medicine |
Location | 3501 202nd St, Bayside, New York |
Authorized Official Name and Position | Nodar Janas (MD) |
Authorized Official Contact | 7184544356 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Nodar Janas Md P.c 20 Westwood Cir Roslyn Heights NY 11577-1823 Ph: (516) 643-2513 | Nodar Janas Md P.c 3501 202nd St Bayside NY 11361-1117 Ph: (516) 643-2513 |
NPI Number | 1366945339 |
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Provider Enumeration Date | 03/15/2018 |
Last Update Date | 06/01/2023 |
Medicare PECOS PAC ID | 0648534412 |
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Medicare Enrollment ID | O20180502000978 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366945339 | NPI | - | NPPES |
03708629 | 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 | Jyothi Rao Jasti |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972778108 PECOS PAC ID: 6800957291 Enrollment ID: I20081203000689 |
Provider Name | Anna Wojtaszek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093905911 PECOS PAC ID: 1759424534 Enrollment ID: I20100202000292 |
Provider Name | Perihan M El Shanawany |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1821341231 PECOS PAC ID: 6103060868 Enrollment ID: I20130918000856 |
Provider Name | Isabella Park |
---|---|
Provider Type | Practitioner - Hospice/palliative Care |
Provider Identifiers | NPI Number: 1295170686 PECOS PAC ID: 6204060742 Enrollment ID: I20131016000773 |
Provider Name | Neriy Yakubov |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1598086597 PECOS PAC ID: 2062647324 Enrollment ID: I20131023000721 |
Provider Name | Tanya Dadasheva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982975165 PECOS PAC ID: 8224266135 Enrollment ID: I20140122000324 |
Provider Name | Jessica Chappina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699151084 PECOS PAC ID: 3971807975 Enrollment ID: I20160211002439 |
Provider Name | Jina Jacey Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023468832 PECOS PAC ID: 3870871247 Enrollment ID: I20161107000433 |
Provider Name | Ryan James Parnell |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1598170078 PECOS PAC ID: 0840571667 Enrollment ID: I20170110000183 |
Provider Name | Anthony Mullin |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1508235672 PECOS PAC ID: 2466735030 Enrollment ID: I20170206000024 |
Provider Name | Annamaria Giehl |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114361987 PECOS PAC ID: 3779842257 Enrollment ID: I20180108001615 |
Provider Name | Olivia Grant |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518274836 PECOS PAC ID: 5496099178 Enrollment ID: I20181206001961 |
Provider Name | Mohammad Yunus |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1861796153 PECOS PAC ID: 9436322963 Enrollment ID: I20181206002635 |
Provider Name | Ryanna D Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285112441 PECOS PAC ID: 3274878301 Enrollment ID: I20181218003386 |
Provider Name | So Young Lim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316410467 PECOS PAC ID: 1254679491 Enrollment ID: I20190213000519 |
Provider Name | Celeste Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164996039 PECOS PAC ID: 8628317732 Enrollment ID: I20190307003028 |
Provider Name | Rochelle Anna-kaye Marriott |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881961118 PECOS PAC ID: 8921340506 Enrollment ID: I20190501000293 |
Provider Name | Meng Zhong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760815054 PECOS PAC ID: 0244596864 Enrollment ID: I20191223000697 |
Provider Name | Allyson Marie Jessen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124736087 PECOS PAC ID: 7012386857 Enrollment ID: I20221216001945 |
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