Patient First Medical Practice Pc | |
1256 E 31st St Brooklyn NY 11210-4741 | |
(718) 534-0689 | |
Not Available |
Full Name | Patient First Medical Practice Pc |
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Speciality | Internal Medicine |
Location | 1256 E 31st St, Brooklyn, New York |
Authorized Official Name and Position | Jason Zimmerman (OWNER) |
Authorized Official Contact | 7185340689 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Patient First Medical Practice Pc 250 Skillman St Ste 204 Brooklyn NY 11205-1218 Ph: (718) 534-0689 | Patient First Medical Practice Pc 1256 E 31st St Brooklyn NY 11210-4741 Ph: (718) 534-0689 |
NPI Number | 1255067955 |
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Provider Enumeration Date | 07/26/2022 |
Last Update Date | 03/12/2024 |
Medicare PECOS PAC ID | 0042687006 |
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Medicare Enrollment ID | O20221103001230 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255067955 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Robert T Woltman |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1386723088 PECOS PAC ID: 0648262584 Enrollment ID: I20040331001705 |
Provider Name | Sharon L. Bronner |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578509253 PECOS PAC ID: 9032108956 Enrollment ID: I20040506001763 |
Provider Name | Thomas F Kandora |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144214503 PECOS PAC ID: 2961463377 Enrollment ID: I20041020000032 |
Provider Name | Christopher Minacapilli |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1770676819 PECOS PAC ID: 5496796146 Enrollment ID: I20050512000830 |
Provider Name | Roger Boyce |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1134110547 PECOS PAC ID: 3971534504 Enrollment ID: I20050824000169 |
Provider Name | Marc S Schumann |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1972525418 PECOS PAC ID: 4385642917 Enrollment ID: I20061115000184 |
Provider Name | Benita Kinard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578633608 PECOS PAC ID: 4082616016 Enrollment ID: I20070205000453 |
Provider Name | Samuel Stephen Carr |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1295898732 PECOS PAC ID: 4688765332 Enrollment ID: I20070809000283 |
Provider Name | Georges R Ramalanjaona |
---|---|
Provider Type | Practitioner - General Practice |
Provider Identifiers | NPI Number: 1104811785 PECOS PAC ID: 4587688429 Enrollment ID: I20081119000554 |
Provider Name | Marva Butters |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1649306648 PECOS PAC ID: 8224193677 Enrollment ID: I20090218000347 |
Provider Name | Anna Wojtaszek |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093905911 PECOS PAC ID: 1759424534 Enrollment ID: I20100202000292 |
Provider Name | Stephen C Lansey |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1790818144 PECOS PAC ID: 8921140955 Enrollment ID: I20100603000717 |
Provider Name | Andrew S Wilantewicz |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1457355224 PECOS PAC ID: 1254543465 Enrollment ID: I20101014000500 |
Provider Name | Stephanie Melissa Chambers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437467743 PECOS PAC ID: 9133313612 Enrollment ID: I20101028000741 |
Provider Name | Lorna C Forbes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477873776 PECOS PAC ID: 6901093269 Enrollment ID: I20101213000448 |
Provider Name | Peyman Younesi |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1891942645 PECOS PAC ID: 0345420790 Enrollment ID: I20110202000565 |
Provider Name | Kathleen A Joseph |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851688840 PECOS PAC ID: 8325201734 Enrollment ID: I20120523000041 |
Provider Name | Ifeoma Ukachukwu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568721470 PECOS PAC ID: 7012163439 Enrollment ID: I20120817000046 |
Provider Name | Deborah L Norris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215062690 PECOS PAC ID: 4385532274 Enrollment ID: I20120917000131 |
Provider Name | Brian Kelly |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1235494774 PECOS PAC ID: 7315189800 Enrollment ID: I20130813000509 |
Provider Name | Joy K Obihara |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356608095 PECOS PAC ID: 1052548443 Enrollment ID: I20131210000886 |
Provider Name | Jason S Zimmerman |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1073871067 PECOS PAC ID: 2860613775 Enrollment ID: I20141017001653 |
Provider Name | Gwendolyn Moore |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487058145 PECOS PAC ID: 1355563925 Enrollment ID: I20141114001358 |
Provider Name | Sandra Boateng-wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255585295 PECOS PAC ID: 6800113507 Enrollment ID: I20150317001944 |
Provider Name | Jaya Francis Mathew |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659754273 PECOS PAC ID: 5496049876 Enrollment ID: I20160808001835 |
Provider Name | Amit Gandhi |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1508297268 PECOS PAC ID: 7810285624 Enrollment ID: I20161011002340 |
Provider Name | Sobha Panicker-thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134678022 PECOS PAC ID: 9739462599 Enrollment ID: I20170202000518 |
Provider Name | Kamla N Gurcharan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386095248 PECOS PAC ID: 2466739917 Enrollment ID: I20170510000994 |
Provider Name | Payel Ghosh |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1457766495 PECOS PAC ID: 9537452867 Enrollment ID: I20170628000354 |
Provider Name | Lesya Tarascina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093243180 PECOS PAC ID: 2668742461 Enrollment ID: I20170727001732 |
Provider Name | Kerby Laguerre-simon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699949636 PECOS PAC ID: 1658644372 Enrollment ID: I20170831001462 |
Provider Name | John Mark Carlos Bonagua |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477077535 PECOS PAC ID: 6406122191 Enrollment ID: I20171025000498 |
Provider Name | Theresa Abdul-massih |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619495942 PECOS PAC ID: 1456627835 Enrollment ID: I20171031000521 |
Provider Name | Elizabeth Nosier-turenne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841701711 PECOS PAC ID: 6709148000 Enrollment ID: I20180327000766 |
Provider Name | Natalie Paul |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922282029 PECOS PAC ID: 8426303033 Enrollment ID: I20180622001978 |
Provider Name | Ginel C Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891288551 PECOS PAC ID: 2668723198 Enrollment ID: I20180924000612 |
Provider Name | Pamela Bethel-wilson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013404292 PECOS PAC ID: 1850645540 Enrollment ID: I20181115001805 |
Provider Name | Thelma Monterroso |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265786545 PECOS PAC ID: 5193950418 Enrollment ID: I20190102000788 |
Provider Name | Pamela Bustos Aranda |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194292607 PECOS PAC ID: 9537405097 Enrollment ID: I20190104001267 |
Provider Name | Charlotte Starks |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245724467 PECOS PAC ID: 2466798079 Enrollment ID: I20190117002768 |
Provider Name | Sasha Kimberly Aristide |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306336052 PECOS PAC ID: 3678811270 Enrollment ID: I20190206001251 |
Provider Name | Magdalene Pavilus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699293472 PECOS PAC ID: 9537494414 Enrollment ID: I20190715002519 |
Provider Name | Gaboy Jupiter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033656715 PECOS PAC ID: 0648554758 Enrollment ID: I20191213000772 |
Provider Name | Maysoon O.a. Agarib |
---|---|
Provider Type | Practitioner - Geriatric Medicine |
Provider Identifiers | NPI Number: 1780047019 PECOS PAC ID: 9335567148 Enrollment ID: I20200910002322 |
Provider Name | Carrie Elizabeth Trubia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962645010 PECOS PAC ID: 1759791312 Enrollment ID: I20201110001951 |
Provider Name | Lacarla Denise Holmes |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1760682751 PECOS PAC ID: 3072924141 Enrollment ID: I20201120000514 |
Provider Name | Marisa Brava |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225470586 PECOS PAC ID: 7719111632 Enrollment ID: I20201202001989 |
Provider Name | Alex Abraham |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467075812 PECOS PAC ID: 2163835729 Enrollment ID: I20201229001290 |
Provider Name | Fatima Gazayeva |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770062226 PECOS PAC ID: 0345655148 Enrollment ID: I20210208002325 |
Provider Name | Ihuoma Ottih |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508142506 PECOS PAC ID: 2466628177 Enrollment ID: I20210310001079 |
Provider Name | Jennifer H Kuinov |
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Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1619474830 PECOS PAC ID: 8224373238 Enrollment ID: I20210803000707 |
Provider Name | Joshua Starteri |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972818797 PECOS PAC ID: 0143624171 Enrollment ID: I20210812001051 |
Provider Name | Daniel S Yaeger |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1720577828 PECOS PAC ID: 5496150971 Enrollment ID: I20210820002767 |
Provider Name | Carolyn Hutchinson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124608641 PECOS PAC ID: 3274938329 Enrollment ID: I20210827000232 |
Provider Name | Moshe Damavandi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235722901 PECOS PAC ID: 8729484290 Enrollment ID: I20210908002898 |
Provider Name | Noe E Garza |
---|---|
Provider Type | Practitioner - Podiatry |
Provider Identifiers | NPI Number: 1902332786 PECOS PAC ID: 8123424447 Enrollment ID: I20210910001684 |
Provider Name | Lora Hong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366043259 PECOS PAC ID: 3678971181 Enrollment ID: I20211014001149 |
Provider Name | Olga Kiriluk |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609415645 PECOS PAC ID: 1759772072 Enrollment ID: I20211221002374 |
Provider Name | Robyn Avigdor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558780270 PECOS PAC ID: 0749671956 Enrollment ID: I20211223000856 |
Provider Name | Shelly Atine |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649739996 PECOS PAC ID: 3577955699 Enrollment ID: I20220124001611 |
Provider Name | Violet Soyfer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962165290 PECOS PAC ID: 1355735275 Enrollment ID: I20220218000600 |
Provider Name | Laura Anne Mcnally |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1407514284 PECOS PAC ID: 4082008552 Enrollment ID: I20220225001653 |
Provider Name | Naomi Goldman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437775103 PECOS PAC ID: 3971994179 Enrollment ID: I20220329001314 |
Provider Name | Talya Vernon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568103661 PECOS PAC ID: 8921495979 Enrollment ID: I20220422000174 |
Provider Name | Leah Terry |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750847976 PECOS PAC ID: 9436490596 Enrollment ID: I20220512001863 |
Provider Name | Katherine Maychenko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700527025 PECOS PAC ID: 5092195420 Enrollment ID: I20220701001799 |
Provider Name | Ita Illene Golus |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801961651 PECOS PAC ID: 1355725003 Enrollment ID: I20220830003883 |
Provider Name | Allyson Marie Jessen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124736087 PECOS PAC ID: 7012386857 Enrollment ID: I20221216001945 |
Provider Name | Mae Cheryl Laborde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366152811 PECOS PAC ID: 0345619052 Enrollment ID: I20221219001937 |
Provider Name | Tonia Boddie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871996736 PECOS PAC ID: 9537249453 Enrollment ID: I20221221000797 |
Provider Name | Tenzin Zompa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871206599 PECOS PAC ID: 9537530936 Enrollment ID: I20230123001600 |
Provider Name | Fleeta Burgess Okolie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710121942 PECOS PAC ID: 6800065699 Enrollment ID: I20230125000301 |
Provider Name | Lisa Tse |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477298826 PECOS PAC ID: 6204209190 Enrollment ID: I20230223001178 |
Provider Name | Rainier Castro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063113546 PECOS PAC ID: 1951776178 Enrollment ID: I20230331000575 |
Provider Name | Lovely Faith Suficiencia Rubio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972211209 PECOS PAC ID: 8022483049 Enrollment ID: I20230405000721 |
Provider Name | Kahlima Oni Collins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205505401 PECOS PAC ID: 1557726809 Enrollment ID: I20230420002225 |
Provider Name | Celestine Gaines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235532490 PECOS PAC ID: 2062878820 Enrollment ID: I20230519002973 |
Provider Name | Hilma Hill-lawrence |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215624259 PECOS PAC ID: 5698132314 Enrollment ID: I20230612000102 |
Provider Name | Mary Ogundare |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225723638 PECOS PAC ID: 1153789797 Enrollment ID: I20230614001695 |
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