| Rockwell Health Llc | |
|
17 W 9th St Brooklyn NY 11231-2501 | |
| (718) 599-9090 | |
| Not Available |
| Full Name | Rockwell Health Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 17 W 9th St, Brooklyn, New York |
| Authorized Official Name and Position | Wolf Eisenbach (OWNER) |
| Authorized Official Contact | 9172028542 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rockwell Health Llc 202 Caton Ave Brooklyn NY 11218-1617 Ph: () - | Rockwell Health Llc 17 W 9th St Brooklyn NY 11231-2501 Ph: (718) 599-9090 |
| NPI Number | 1699479733 |
|---|---|
| Provider Enumeration Date | 03/30/2023 |
| Last Update Date | 10/29/2024 |
| Medicare PECOS PAC ID | 5597125609 |
|---|---|
| Medicare Enrollment ID | O20230721000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699479733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Seth D Kurtz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1023113453 PECOS PAC ID: 3375543051 Enrollment ID: I20070102000424 |
| Provider Name | Keran S Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407917289 PECOS PAC ID: 8325103419 Enrollment ID: I20090410000000 |
| Provider Name | Saleela C Raja |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538463534 PECOS PAC ID: 4183807993 Enrollment ID: I20110331000242 |
| Provider Name | Sherine A Browne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376887950 PECOS PAC ID: 6305086547 Enrollment ID: I20130711000067 |
| Provider Name | Oksook Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134467954 PECOS PAC ID: 8123253408 Enrollment ID: I20131022000584 |
| Provider Name | Nisha Jose |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538547351 PECOS PAC ID: 5597077297 Enrollment ID: I20150805006988 |
| Provider Name | Joanne Deguia-rayos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659764553 PECOS PAC ID: 5092014407 Enrollment ID: I20160505001293 |
| Provider Name | Bhupinderjit Singh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225490956 PECOS PAC ID: 5092003665 Enrollment ID: I20161013002379 |
| Provider Name | Kil Hyon Hwang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568705382 PECOS PAC ID: 3577844414 Enrollment ID: I20170109000017 |
| Provider Name | Min Jo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538601315 PECOS PAC ID: 0749562585 Enrollment ID: I20170131001025 |
| Provider Name | Priscilla Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184792152 PECOS PAC ID: 2668733262 Enrollment ID: I20180222001192 |
| Provider Name | Tinashe A Mudiwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740632876 PECOS PAC ID: 7911269386 Enrollment ID: I20180322002040 |
| Provider Name | Watson R Jean-baptiste |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487913737 PECOS PAC ID: 4183985146 Enrollment ID: I20180709000966 |
| Provider Name | Mark Joel Neuman |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386985943 PECOS PAC ID: 4880944651 Enrollment ID: I20180829002438 |
| Provider Name | Mark Ilyagu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073994711 PECOS PAC ID: 8820340151 Enrollment ID: I20181015000980 |
| Provider Name | Tatyana N. Zaytseva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790813624 PECOS PAC ID: 4789923160 Enrollment ID: I20190301000396 |
| Provider Name | Nichole Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881186120 PECOS PAC ID: 4688903057 Enrollment ID: I20190910002480 |
| Provider Name | Ella Miyerov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548715733 PECOS PAC ID: 7911237300 Enrollment ID: I20190927001222 |
| Provider Name | Ashley Seo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093176810 PECOS PAC ID: 2668761214 Enrollment ID: I20200401002120 |
| Provider Name | Stephanie Renee Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780138305 PECOS PAC ID: 2668748369 Enrollment ID: I20201228001632 |
| Provider Name | Jiyoun Song |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003347253 PECOS PAC ID: 6204214802 Enrollment ID: I20220610001304 |
| Provider Name | Darina Abayeva |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811635261 PECOS PAC ID: 8527443829 Enrollment ID: I20220922003433 |
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