| Sound Physicians Of New York, Pllc | |
|
101 Hospital Rd Patchogue NY 11772-4870 | |
| (631) 654-7100 | |
| Not Available |
| Full Name | Sound Physicians Of New York, Pllc |
|---|---|
| Speciality | Hospitalist |
| Location | 101 Hospital Rd, Patchogue, New York |
| Authorized Official Name and Position | James Kodjababian (CRO) |
| Authorized Official Contact | 2536821710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sound Physicians Of New York, Pllc 1123 Pacific Ave Tacoma WA 98402-4303 Ph: (253) 682-1710 | Sound Physicians Of New York, Pllc 101 Hospital Rd Patchogue NY 11772-4870 Ph: (631) 654-7100 |
| NPI Number | 1174962245 |
|---|---|
| Provider Enumeration Date | 06/21/2013 |
| Last Update Date | 06/21/2013 |
| Medicare PECOS PAC ID | 8628202231 |
|---|---|
| Medicare Enrollment ID | O20131015001809 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174962245 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208M00000X | Hospitalist | (* (Not Available)) | Primary |
| Provider Name | Anser N Lone |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1407851637 PECOS PAC ID: 3375445760 Enrollment ID: I20040126000305 |
| Provider Name | Ibrahim Naim Soliman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891702379 PECOS PAC ID: 6305838582 Enrollment ID: I20040330001154 |
| Provider Name | Dolly Wahid |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1831395177 PECOS PAC ID: 8729073457 Enrollment ID: I20040420000744 |
| Provider Name | Kenneth E Zweig |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619971355 PECOS PAC ID: 6305820630 Enrollment ID: I20040615000997 |
| Provider Name | Jayesh V Sampat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053330001 PECOS PAC ID: 8921084195 Enrollment ID: I20040628001021 |
| Provider Name | Bijo Chacko |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1972679447 PECOS PAC ID: 9931187994 Enrollment ID: I20040708000079 |
| Provider Name | Tatyana Boyko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639251523 PECOS PAC ID: 3072587286 Enrollment ID: I20040824000325 |
| Provider Name | Mohammed Y Noori |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568526259 PECOS PAC ID: 7517926140 Enrollment ID: I20041007000731 |
| Provider Name | Nisar Alvi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124124565 PECOS PAC ID: 1658320429 Enrollment ID: I20050119000418 |
| Provider Name | Gary Phillips |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700884277 PECOS PAC ID: 0840238713 Enrollment ID: I20050420001422 |
| Provider Name | Falguni G Kalra |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1588600134 PECOS PAC ID: 4486683984 Enrollment ID: I20050804001061 |
| Provider Name | Bramdeo Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093743999 PECOS PAC ID: 6709818503 Enrollment ID: I20050831000964 |
| Provider Name | Jina Nocera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538105887 PECOS PAC ID: 6406851666 Enrollment ID: I20060921000121 |
| Provider Name | Shawn K Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649366204 PECOS PAC ID: 1456358027 Enrollment ID: I20061025000348 |
| Provider Name | Henri Robert Delbeau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487725875 PECOS PAC ID: 5597845693 Enrollment ID: I20080102000186 |
| Provider Name | Sundararajan Selvaraj |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891956207 PECOS PAC ID: 7113099912 Enrollment ID: I20080711000087 |
| Provider Name | Beatrice R Marseille |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548440688 PECOS PAC ID: 6901971027 Enrollment ID: I20080823000029 |
| Provider Name | Richard Gil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841480878 PECOS PAC ID: 6103982517 Enrollment ID: I20090311000124 |
| Provider Name | Boris Melnikau |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043476062 PECOS PAC ID: 1052477262 Enrollment ID: I20090312000370 |
| Provider Name | Nataliya Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922114966 PECOS PAC ID: 6709980154 Enrollment ID: I20090505000332 |
| Provider Name | Betina Louis |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891946117 PECOS PAC ID: 9133271976 Enrollment ID: I20090709000145 |
| Provider Name | James S Nesheiwat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487631792 PECOS PAC ID: 8527110766 Enrollment ID: I20090717000600 |
| Provider Name | Israr Khankhel |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427382399 PECOS PAC ID: 8527106392 Enrollment ID: I20091116000427 |
| Provider Name | Johanna Camacho-rivera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588897805 PECOS PAC ID: 1254475155 Enrollment ID: I20100216000369 |
| Provider Name | Olubunmi Bolaji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1619100633 PECOS PAC ID: 8325170574 Enrollment ID: I20100723000178 |
| Provider Name | Medhavini Londhe-nerkar |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1780708735 PECOS PAC ID: 7113109075 Enrollment ID: I20110314000665 |
| Provider Name | Najmi Khan |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1356307961 PECOS PAC ID: 1557359080 Enrollment ID: I20110314000861 |
| Provider Name | Nataliya V Bilokur |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1932405149 PECOS PAC ID: 3476730177 Enrollment ID: I20110607000034 |
| Provider Name | Signa L Perkins |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598081689 PECOS PAC ID: 5496932097 Enrollment ID: I20110608000301 |
| Provider Name | Samira Khan Manji |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851554596 PECOS PAC ID: 4284802026 Enrollment ID: I20110721000188 |
| Provider Name | Gurpreet Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1831477694 PECOS PAC ID: 6406025014 Enrollment ID: I20110816000033 |
| Provider Name | Salma F Syed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215225198 PECOS PAC ID: 1052583945 Enrollment ID: I20111019000525 |
| Provider Name | Zobaria Yaqoob |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1679862387 PECOS PAC ID: 4082881917 Enrollment ID: I20120118000379 |
| Provider Name | Syed A Rizvi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225314941 PECOS PAC ID: 1658548599 Enrollment ID: I20120118000442 |
| Provider Name | Farah Fatima |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598926438 PECOS PAC ID: 6305004730 Enrollment ID: I20120215000052 |
| Provider Name | Sara J Ambatt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821384892 PECOS PAC ID: 0749440733 Enrollment ID: I20120329000030 |
| Provider Name | Catherine C Alcarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326084989 PECOS PAC ID: 1355375676 Enrollment ID: I20120417000533 |
| Provider Name | Nosa D Aigbe Lebarty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629385315 PECOS PAC ID: 3577719335 Enrollment ID: I20120809000669 |
| Provider Name | Mariette I Amadi |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1093977019 PECOS PAC ID: 9234284993 Enrollment ID: I20120824000128 |
| Provider Name | Saba Rahman |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1043465586 PECOS PAC ID: 4688822273 Enrollment ID: I20120925000168 |
| Provider Name | Sholeh Kamalian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114952116 PECOS PAC ID: 5193732212 Enrollment ID: I20130116000323 |
| Provider Name | Felipe Castorena |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811259948 PECOS PAC ID: 0345484804 Enrollment ID: I20130924000060 |
| Provider Name | Noori Al-waili |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215215579 PECOS PAC ID: 5597909093 Enrollment ID: I20130924000470 |
| Provider Name | Alphonsa Mathew |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598934358 PECOS PAC ID: 7315172632 Enrollment ID: I20131022001943 |
| Provider Name | Neriy Yakubov |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1598086597 PECOS PAC ID: 2062647324 Enrollment ID: I20131023000721 |
| Provider Name | Wazhma Hossaini |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780905646 PECOS PAC ID: 6901032952 Enrollment ID: I20131121000101 |
| Provider Name | Mushtaq Nabi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386660017 PECOS PAC ID: 4688749229 Enrollment ID: I20131202001212 |
| Provider Name | Nirmit D Desai |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053637272 PECOS PAC ID: 9032345657 Enrollment ID: I20131203001899 |
| Provider Name | Ahad Ashraf |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1053637025 PECOS PAC ID: 2860620598 Enrollment ID: I20140102000410 |
| Provider Name | George Samuel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407087307 PECOS PAC ID: 8426208950 Enrollment ID: I20140124001765 |
| Provider Name | Shahin Ara S Choudhury |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700903879 PECOS PAC ID: 8921289372 Enrollment ID: I20140401000067 |
| Provider Name | Hatem Mahgoub |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932216033 PECOS PAC ID: 7315942372 Enrollment ID: I20140627001106 |
| Provider Name | Kesha V G Crichlow |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154746782 PECOS PAC ID: 6305064114 Enrollment ID: I20140820000319 |
| Provider Name | Andrew J Ciancimino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891062469 PECOS PAC ID: 9830317098 Enrollment ID: I20140829000763 |
| Provider Name | Minhui Xie |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1811217714 PECOS PAC ID: 4587883517 Enrollment ID: I20140924000275 |
| Provider Name | Pranitha Mantrala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578843496 PECOS PAC ID: 5294955902 Enrollment ID: I20141001000680 |
| Provider Name | Jordan Collier |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376861740 PECOS PAC ID: 5092942870 Enrollment ID: I20141106000358 |
| Provider Name | Harriet Hodgkin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912097080 PECOS PAC ID: 1658443288 Enrollment ID: I20141119002576 |
| Provider Name | Emmanise Louis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255473666 PECOS PAC ID: 4486791985 Enrollment ID: I20141212000706 |
| Provider Name | Shashi Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770802654 PECOS PAC ID: 3476877432 Enrollment ID: I20150122000060 |
| Provider Name | Douglas Odhiambo Ogumbo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205227352 PECOS PAC ID: 2163740887 Enrollment ID: I20150409000784 |
| Provider Name | Reena Mohindra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811955594 PECOS PAC ID: 7315122280 Enrollment ID: I20150425000432 |
| Provider Name | Christian Georges Mayaud |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073770426 PECOS PAC ID: 8123337482 Enrollment ID: I20151027003013 |
| Provider Name | Igor Elman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285024026 PECOS PAC ID: 4981912375 Enrollment ID: I20151105001673 |
| Provider Name | Otto E Garay Soriano |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1972866333 PECOS PAC ID: 4789994344 Enrollment ID: I20151111000265 |
| Provider Name | Pedro Pablo Del Toro Baez |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700106143 PECOS PAC ID: 8325233018 Enrollment ID: I20160316000973 |
| Provider Name | Mikram Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245518463 PECOS PAC ID: 3072828391 Enrollment ID: I20160323000334 |
| Provider Name | Mansi Kallem |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1396178703 PECOS PAC ID: 2466750179 Enrollment ID: I20160803001529 |
| Provider Name | Suchit Khanijao |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942635412 PECOS PAC ID: 1456646371 Enrollment ID: I20160817000242 |
| Provider Name | Naveed Hassan Akhtar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992148647 PECOS PAC ID: 6507153822 Enrollment ID: I20161011000631 |
| Provider Name | Karim Mohammad Rahimi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902296163 PECOS PAC ID: 5496043259 Enrollment ID: I20161011000654 |
| Provider Name | Amna Yaqoob |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1699923573 PECOS PAC ID: 6305977588 Enrollment ID: I20161021000933 |
| Provider Name | Faiyaz Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1447542832 PECOS PAC ID: 8628356714 Enrollment ID: I20161024002736 |
| Provider Name | Alexey Yanilshtein |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770840688 PECOS PAC ID: 2769798339 Enrollment ID: I20161025001174 |
| Provider Name | Yingna Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1265832190 PECOS PAC ID: 0143509406 Enrollment ID: I20161109002639 |
| Provider Name | Zar Chi Win |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215278312 PECOS PAC ID: 9638470305 Enrollment ID: I20161111000917 |
| Provider Name | Papiya Begum |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1215350897 PECOS PAC ID: 3072733864 Enrollment ID: I20161117001415 |
| Provider Name | Nishant Y Vyas |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700294535 PECOS PAC ID: 6305125964 Enrollment ID: I20161205000061 |
| Provider Name | Gloria A Burchett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396014270 PECOS PAC ID: 3375710031 Enrollment ID: I20161229000673 |
| Provider Name | Ying Fang Zhao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013368554 PECOS PAC ID: 6709167604 Enrollment ID: I20170109002295 |
| Provider Name | Omer Ahmed |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1235387119 PECOS PAC ID: 5294999116 Enrollment ID: I20170124000076 |
| Provider Name | Madiha Rabbani |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1497041040 PECOS PAC ID: 6406175280 Enrollment ID: I20170202002018 |
| Provider Name | Jeffy Kalavelil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750724043 PECOS PAC ID: 5597049411 Enrollment ID: I20170221001423 |
| Provider Name | Lizeth Diaz Ledesma |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1700085784 PECOS PAC ID: 0042385684 Enrollment ID: I20170418000414 |
| Provider Name | Michael Gelman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700996295 PECOS PAC ID: 5597931659 Enrollment ID: I20170629002036 |
| Provider Name | Simone L Odonovan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861932717 PECOS PAC ID: 0244502813 Enrollment ID: I20170816002107 |
| Provider Name | Michelle Micheo-rodriguez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548675275 PECOS PAC ID: 8729351697 Enrollment ID: I20170829002970 |
| Provider Name | Sophie A Chrisomalis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417323882 PECOS PAC ID: 6002181187 Enrollment ID: I20170929002487 |
| Provider Name | Bernard Kadosh |
|---|---|
| Provider Type | Practitioner - Advanced Heart Failure And Transplant Cardiology |
| Provider Identifiers | NPI Number: 1861836645 PECOS PAC ID: 7517232044 Enrollment ID: I20171009001686 |
| Provider Name | Hanzel A Friday |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215329990 PECOS PAC ID: 9830465970 Enrollment ID: I20171018000332 |
| Provider Name | Amika Reynolds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336406644 PECOS PAC ID: 0042523532 Enrollment ID: I20171027000670 |
| Provider Name | Mi L Seo |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1568425452 PECOS PAC ID: 1759304439 Enrollment ID: I20171103000776 |
| Provider Name | Michael Gerard Stevens |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1467859769 PECOS PAC ID: 9133486541 Enrollment ID: I20171120001472 |
| Provider Name | Sahib Baljinder Singh |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922442896 PECOS PAC ID: 8527347426 Enrollment ID: I20171128000991 |
| Provider Name | Najeeb U Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467757195 PECOS PAC ID: 4789861592 Enrollment ID: I20171207001419 |
| Provider Name | Sanjeet Baidwan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043585318 PECOS PAC ID: 4486962149 Enrollment ID: I20171221000129 |
| Provider Name | Deepti Kilaru |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1710305750 PECOS PAC ID: 6305104290 Enrollment ID: I20171226000526 |
| Provider Name | Bryan S Blase |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700204021 PECOS PAC ID: 9436378676 Enrollment ID: I20171226000601 |
| Provider Name | Patrick O Odia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285041285 PECOS PAC ID: 0547530859 Enrollment ID: I20180103002138 |
| Provider Name | Alexander Parpas |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1356752448 PECOS PAC ID: 0648560649 Enrollment ID: I20180125003274 |
| Provider Name | Michael Park |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1043659956 PECOS PAC ID: 3274828173 Enrollment ID: I20180131001293 |
| Provider Name | Uri Goldberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1568872828 PECOS PAC ID: 0143504480 Enrollment ID: I20180215001038 |
| Provider Name | Geethapriya Rajasekaran Rathnakumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1255738258 PECOS PAC ID: 0749541753 Enrollment ID: I20180307001140 |
| Provider Name | Yash Rameshbhai Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1548550585 PECOS PAC ID: 4183862139 Enrollment ID: I20180330000274 |
| Provider Name | Christiana Famodimu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1740573849 PECOS PAC ID: 2769609460 Enrollment ID: I20180413002139 |
| Provider Name | Shahab A Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962812552 PECOS PAC ID: 9739444779 Enrollment ID: I20180523000365 |
| Provider Name | Daniel Silovitz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235525130 PECOS PAC ID: 0446541098 Enrollment ID: I20180723000363 |
| Provider Name | James Kaus |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285029413 PECOS PAC ID: 2961750583 Enrollment ID: I20180730002019 |
| Provider Name | Kara Schmidt |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1225414949 PECOS PAC ID: 8123376480 Enrollment ID: I20180802000464 |
| Provider Name | Anuj Kapoor |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1871885509 PECOS PAC ID: 7618110529 Enrollment ID: I20181002002530 |
| Provider Name | Smitha Karuthedom |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225416738 PECOS PAC ID: 3173875978 Enrollment ID: I20181005000647 |
| Provider Name | Reginald Bonnah |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326532938 PECOS PAC ID: 4688926926 Enrollment ID: I20181016001582 |
| Provider Name | Eugenia Notte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326395443 PECOS PAC ID: 3678797289 Enrollment ID: I20181019001299 |
| Provider Name | Rakesh K Goyal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1093956054 PECOS PAC ID: 6305025453 Enrollment ID: I20181128002114 |
| Provider Name | Nima Taghipour |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508271941 PECOS PAC ID: 0345586418 Enrollment ID: I20190110000451 |
| Provider Name | Hyung Dong Park |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1659418382 PECOS PAC ID: 2769584127 Enrollment ID: I20190118000423 |
| Provider Name | Devjit Roy |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1891058996 PECOS PAC ID: 5890918882 Enrollment ID: I20190123002886 |
| Provider Name | Pranav Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881076040 PECOS PAC ID: 0446597694 Enrollment ID: I20190124003750 |
| Provider Name | Persio David Lopez Loyo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629454467 PECOS PAC ID: 2668719840 Enrollment ID: I20190125001379 |
| Provider Name | Lorraine T Parrish |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942313556 PECOS PAC ID: 3577544295 Enrollment ID: I20190325001009 |
| Provider Name | Thomas G Harralson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851559488 PECOS PAC ID: 8628118874 Enrollment ID: I20190402001757 |
| Provider Name | Lela Adeoshun |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1922494335 PECOS PAC ID: 4587906268 Enrollment ID: I20190429002311 |
| Provider Name | Francis O Onwochei |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225404650 PECOS PAC ID: 7719258037 Enrollment ID: I20190516001201 |
| Provider Name | Sana Akhter |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1528441136 PECOS PAC ID: 0244575348 Enrollment ID: I20190619001809 |
| Provider Name | Jami Davis-jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629243886 PECOS PAC ID: 7810050804 Enrollment ID: I20190628000501 |
| Provider Name | Vivek Mathai Varki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407241110 PECOS PAC ID: 5698082931 Enrollment ID: I20190722001490 |
| Provider Name | Zabeer Bhatti |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1619354701 PECOS PAC ID: 9830427921 Enrollment ID: I20190828000562 |
| Provider Name | Cong Zhou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639529415 PECOS PAC ID: 3173851151 Enrollment ID: I20190829000996 |
| Provider Name | Octavia Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568931962 PECOS PAC ID: 6800124884 Enrollment ID: I20190829001004 |
| Provider Name | Donald Harrison Bucher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396945176 PECOS PAC ID: 6103915434 Enrollment ID: I20190903001078 |
| Provider Name | Vinny Singh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851788947 PECOS PAC ID: 5395092084 Enrollment ID: I20191023000893 |
| Provider Name | Kausar Ali |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811554637 PECOS PAC ID: 9032441563 Enrollment ID: I20191101000562 |
| Provider Name | Osnel Hernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447635081 PECOS PAC ID: 3274673769 Enrollment ID: I20191122000942 |
| Provider Name | Rafael Bayramgalin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679988448 PECOS PAC ID: 9739305368 Enrollment ID: I20200109001949 |
| Provider Name | Amanda Lynn Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245457670 PECOS PAC ID: 6800035692 Enrollment ID: I20200505001764 |
| Provider Name | Sergey Shvygin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760647051 PECOS PAC ID: 6103094107 Enrollment ID: I20200910003381 |
| Provider Name | Mohammed Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295265163 PECOS PAC ID: 7517231400 Enrollment ID: I20201001000415 |
| Provider Name | Phillip Son |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255864468 PECOS PAC ID: 2567899081 Enrollment ID: I20201116000151 |
| Provider Name | Shweta Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780038620 PECOS PAC ID: 2860749264 Enrollment ID: I20210114001970 |
| Provider Name | Jasmeet Sandhu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457883654 PECOS PAC ID: 8325385685 Enrollment ID: I20210116000104 |
| Provider Name | Maria Younus |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1710240031 PECOS PAC ID: 5294045365 Enrollment ID: I20210203001241 |
| Provider Name | Huascar Perez Torres |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962857151 PECOS PAC ID: 5294070389 Enrollment ID: I20210203001911 |
| Provider Name | Alex Onyemeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881046753 PECOS PAC ID: 3476848102 Enrollment ID: I20210729000180 |
| Provider Name | Rick G Perez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053808113 PECOS PAC ID: 5799174934 Enrollment ID: I20211110000865 |
| Provider Name | Alvin D Thompson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891059499 PECOS PAC ID: 0749561496 Enrollment ID: I20211222000501 |
| Provider Name | Tracy Lytle Huffstatler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538305800 PECOS PAC ID: 2163588534 Enrollment ID: I20220222001106 |
Brookhaven Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-687-4001 Fax: 631-687-4004 | |
Hospitalist Medicine Physicians Of New York-tcg, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 Hospital Rd, Patchogue, NY 11772 Phone: 631-654-7100 | |
Nooman Silat, Md, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 444 W Main St, Patchogue, NY 11772 Phone: 631-758-7866 | |
Brookhaven Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Hospital Road, Patchogue, NY 11772 Phone: 631-687-6900 Fax: 631-447-5954 | |
Brasil And Shinin Physicians Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 33 Medford Avenue, Suite E, Patchogue, NY 11772 Phone: 631-207-4200 Fax: 631-205-2750 | |
Alive Healthcare & Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 152 N Ocean Ave, Patchogue, NY 11772 Phone: 347-392-7208 |