| St John's Medical Services Pc | |
|
327 Beach 19th St Far Rockaway NY 11691-4423 | |
| (718) 869-7641 | |
| (718) 869-8507 |
| Full Name | St John's Medical Services Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 327 Beach 19th St, Far Rockaway, New York |
| Authorized Official Name and Position | Kathleen E Garcia (CONTROLLER) |
| Authorized Official Contact | 7188697641 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| St John's Medical Services Pc Po Box 1388 Far Rockaway NY 11690-1388 Ph: (718) 869-7641 | St John's Medical Services Pc 327 Beach 19th St Far Rockaway NY 11691-4423 Ph: (718) 869-7641 |
| NPI Number | 1023042173 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 04/09/2019 |
| Medicare PECOS PAC ID | 1850314865 |
|---|---|
| Medicare Enrollment ID | O20060105000203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023042173 | NPI | - | NPPES |
| 02770565 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Samina Raghid |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1609950450 PECOS PAC ID: 5092629451 Enrollment ID: I20031119000002 |
| Provider Name | Eva Sahay |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356453468 PECOS PAC ID: 6901705664 Enrollment ID: I20040102000218 |
| Provider Name | Arnold M Hertz |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1942265657 PECOS PAC ID: 4385537760 Enrollment ID: I20040209000146 |
| Provider Name | Anthony S Horvath |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1669567459 PECOS PAC ID: 0840188629 Enrollment ID: I20040304001288 |
| Provider Name | Tessy Peter |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1811008691 PECOS PAC ID: 4284523671 Enrollment ID: I20040312001301 |
| Provider Name | Suresh Nahata |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1033139803 PECOS PAC ID: 9537051149 Enrollment ID: I20040329000244 |
| Provider Name | Allan Hausknecht |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1356498455 PECOS PAC ID: 4082607718 Enrollment ID: I20040407000564 |
| Provider Name | Neysa I. Valentin-capeles |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1790781375 PECOS PAC ID: 9335031053 Enrollment ID: I20040423001404 |
| Provider Name | Delcasse Joseph |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1659367878 PECOS PAC ID: 6204824394 Enrollment ID: I20040505001733 |
| Provider Name | Pervez Akhter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952316606 PECOS PAC ID: 8820087596 Enrollment ID: I20040507001198 |
| Provider Name | Liziamma George |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1467412502 PECOS PAC ID: 4183605959 Enrollment ID: I20040527000202 |
| Provider Name | Sergio Sokol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356398713 PECOS PAC ID: 0042293714 Enrollment ID: I20040611001375 |
| Provider Name | Nagwa S Saleh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1265436802 PECOS PAC ID: 7719964782 Enrollment ID: I20040707000957 |
| Provider Name | Andrew H. Maran |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1356379713 PECOS PAC ID: 2668451113 Enrollment ID: I20040717000223 |
| Provider Name | Isak Isakov |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770521775 PECOS PAC ID: 4981683216 Enrollment ID: I20040719001169 |
| Provider Name | Roman T Pachulski |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1932105566 PECOS PAC ID: 7012989676 Enrollment ID: I20040812000888 |
| Provider Name | Joseph A Tarantino |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1891737011 PECOS PAC ID: 0143289512 Enrollment ID: I20041011000230 |
| Provider Name | Donald T Morrish |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154377570 PECOS PAC ID: 6406816149 Enrollment ID: I20041016000004 |
| Provider Name | Gail A Besson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1639287055 PECOS PAC ID: 9638130040 Enrollment ID: I20041021001082 |
| Provider Name | Jeffrey Craig Kass |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1831297902 PECOS PAC ID: 0648232744 Enrollment ID: I20041101000781 |
| Provider Name | Ali Safavi |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1295728772 PECOS PAC ID: 6406819044 Enrollment ID: I20041104001230 |
| Provider Name | Michael Rotman |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649284100 PECOS PAC ID: 2961465851 Enrollment ID: I20041111000240 |
| Provider Name | Sheldon B Pike |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1225050412 PECOS PAC ID: 8325003098 Enrollment ID: I20041122000701 |
| Provider Name | Dakshayani R Guttal |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427156678 PECOS PAC ID: 0345207361 Enrollment ID: I20041210000974 |
| Provider Name | Jacqueline M Marecheau |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1023083391 PECOS PAC ID: 5395797021 Enrollment ID: I20050210000642 |
| Provider Name | David J Gordon |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1588626964 PECOS PAC ID: 9133174758 Enrollment ID: I20050316000969 |
| Provider Name | Albert J Strojan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871691980 PECOS PAC ID: 8729034780 Enrollment ID: I20050323000901 |
| Provider Name | Mohammed I Chowdhry |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1922050558 PECOS PAC ID: 5991742504 Enrollment ID: I20050414001202 |
| Provider Name | Jonathan E Eckstein |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346266699 PECOS PAC ID: 6103873377 Enrollment ID: I20050419001503 |
| Provider Name | Susana D Bundoc |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1578646477 PECOS PAC ID: 7517996234 Enrollment ID: I20050811000930 |
| Provider Name | Suzanne J Sirota-rozenberg |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1841245859 PECOS PAC ID: 8820023427 Enrollment ID: I20051003000542 |
| Provider Name | Rajasekhar K Valmiki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518926328 PECOS PAC ID: 6709802234 Enrollment ID: I20051024000354 |
| Provider Name | Sharon L Koehler |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437185428 PECOS PAC ID: 4385664721 Enrollment ID: I20051130000903 |
| Provider Name | Sheldon Markowitz |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1548368608 PECOS PAC ID: 0648292128 Enrollment ID: I20051227000508 |
| Provider Name | Yitzhak D Twersky |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1386625556 PECOS PAC ID: 9830112770 Enrollment ID: I20060106000305 |
| Provider Name | Raymond J Pastore |
|---|---|
| Provider Type | Practitioner - Hematology |
| Provider Identifiers | NPI Number: 1649363367 PECOS PAC ID: 4789607706 Enrollment ID: I20060213000142 |
| Provider Name | Raul Mendoza |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1457357667 PECOS PAC ID: 2062426216 Enrollment ID: I20060301000498 |
| Provider Name | Hana Ilan |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1881673291 PECOS PAC ID: 3173532116 Enrollment ID: I20060419000329 |
| Provider Name | Anselm Chibuike Anyoha |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1598788770 PECOS PAC ID: 6002826872 Enrollment ID: I20060425000517 |
| Provider Name | Edbert Morales |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1588657241 PECOS PAC ID: 6507876158 Enrollment ID: I20060427000266 |
| Provider Name | Nathan I Rothman |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1285616136 PECOS PAC ID: 6800813064 Enrollment ID: I20060927000297 |
| Provider Name | Griselda Mabel Bartha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669567517 PECOS PAC ID: 7911904461 Enrollment ID: I20061026000287 |
| Provider Name | Samuel Bavli |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1902917776 PECOS PAC ID: 5092712554 Enrollment ID: I20061026000395 |
| Provider Name | Cynthia L Criss |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528150448 PECOS PAC ID: 5890792089 Enrollment ID: I20061101000077 |
| Provider Name | Andrew J Singer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235225483 PECOS PAC ID: 5991702920 Enrollment ID: I20061103000237 |
| Provider Name | James E Henry |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1366550691 PECOS PAC ID: 7810995651 Enrollment ID: I20061110000117 |
| Provider Name | Madhu G Rajanna |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1275626434 PECOS PAC ID: 5395743595 Enrollment ID: I20061125000002 |
| Provider Name | Heino R Anto |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1184682262 PECOS PAC ID: 6406856772 Enrollment ID: I20070110000533 |
| Provider Name | Saira K Shahab |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1144271784 PECOS PAC ID: 7416058284 Enrollment ID: I20070724000029 |
| Provider Name | Ebenezer K Essuman |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1497741060 PECOS PAC ID: 4082706023 Enrollment ID: I20070822001393 |
| Provider Name | Sheldon H Genack |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1821104308 PECOS PAC ID: 8527156777 Enrollment ID: I20071121000448 |
| Provider Name | Howard Hoffman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1700921277 PECOS PAC ID: 8325128432 Enrollment ID: I20080102000261 |
| Provider Name | Aman K Sekhon |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1114128691 PECOS PAC ID: 1850471343 Enrollment ID: I20080109000790 |
| Provider Name | Rajbir S Chopra |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1710969167 PECOS PAC ID: 0446332860 Enrollment ID: I20080124000251 |
| Provider Name | Javed Ghani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407818941 PECOS PAC ID: 0547342867 Enrollment ID: I20080125000301 |
| Provider Name | Rami R Grossmann |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1962480079 PECOS PAC ID: 4587746649 Enrollment ID: I20080128000719 |
| Provider Name | Valentin G Kolev |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1700070380 PECOS PAC ID: 0244310860 Enrollment ID: I20080416000366 |
| Provider Name | Benjamin E Levine |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1871554329 PECOS PAC ID: 9234151846 Enrollment ID: I20080624000585 |
| Provider Name | Nicholas D Duckworth |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598820177 PECOS PAC ID: 5991878118 Enrollment ID: I20080722000373 |
| Provider Name | Samarth Beri |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1669654372 PECOS PAC ID: 9638247208 Enrollment ID: I20081009000152 |
| Provider Name | Sonia Forbes |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1699930156 PECOS PAC ID: 0345309605 Enrollment ID: I20081103000007 |
| Provider Name | Jacques R Domond |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679775068 PECOS PAC ID: 6305906967 Enrollment ID: I20081201000008 |
| Provider Name | Jerry Watman |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700861135 PECOS PAC ID: 9133280431 Enrollment ID: I20081204000896 |
| Provider Name | Kenneth Roistacher |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1891866604 PECOS PAC ID: 0446307052 Enrollment ID: I20090420000258 |
| Provider Name | Adeola R Uthman |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649204959 PECOS PAC ID: 4385794189 Enrollment ID: I20090617000441 |
| Provider Name | Lokesh K Reddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598934127 PECOS PAC ID: 4082766142 Enrollment ID: I20090721000276 |
| Provider Name | Allan Steinberg |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1275638405 PECOS PAC ID: 4082766167 Enrollment ID: I20090721000470 |
| Provider Name | Eric Teller |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1700097326 PECOS PAC ID: 3173537735 Enrollment ID: I20090810000106 |
| Provider Name | Reuven Z Grossman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1841457959 PECOS PAC ID: 8527107168 Enrollment ID: I20091120000297 |
| Provider Name | Sumith Greina Jebaraj |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1548599780 PECOS PAC ID: 8820132319 Enrollment ID: I20100222000674 |
| Provider Name | Martin J Silverstein |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1952306391 PECOS PAC ID: 6204981491 Enrollment ID: I20100416000776 |
| Provider Name | Natalie Hubbard |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1124220652 PECOS PAC ID: 5092849695 Enrollment ID: I20100818000748 |
| Provider Name | George Manis |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1144431362 PECOS PAC ID: 9436273612 Enrollment ID: I20100824001061 |
| Provider Name | Neeraj Kumar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1356594873 PECOS PAC ID: 3173716735 Enrollment ID: I20101015000449 |
| Provider Name | Ambreen Khalil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063564268 PECOS PAC ID: 2163618406 Enrollment ID: I20101129000173 |
| Provider Name | Apolinario B Mateo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1114964145 PECOS PAC ID: 2668661810 Enrollment ID: I20110104000986 |
| Provider Name | Venkatesh Sabhae Gangadharappa |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1033442058 PECOS PAC ID: 3577744747 Enrollment ID: I20110221000896 |
| Provider Name | Penelope Hsu |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1528150729 PECOS PAC ID: 5890743959 Enrollment ID: I20110317000326 |
| Provider Name | Jay S Fenster |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1467434126 PECOS PAC ID: 3072799717 Enrollment ID: I20110516000167 |
| Provider Name | Ghadir M Salame |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1144517921 PECOS PAC ID: 3577732049 Enrollment ID: I20110818000194 |
| Provider Name | Andrew Gutmajer |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1598045924 PECOS PAC ID: 2668644352 Enrollment ID: I20110930000005 |
| Provider Name | Karen D Lidoshore-fuld |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1548404817 PECOS PAC ID: 8325213846 Enrollment ID: I20111213000067 |
| Provider Name | Aviva H Lubin |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1902066970 PECOS PAC ID: 7517127251 Enrollment ID: I20120404000494 |
| Provider Name | Pavel Gozenput |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1558599381 PECOS PAC ID: 5496903080 Enrollment ID: I20120925000179 |
| Provider Name | Yating Lee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053691493 PECOS PAC ID: 1153571849 Enrollment ID: I20121015000180 |
| Provider Name | Lesly G Michel |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194983429 PECOS PAC ID: 6608021100 Enrollment ID: I20130307000443 |
| Provider Name | Oksana Kostko |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1740356344 PECOS PAC ID: 4082856778 Enrollment ID: I20130808000541 |
| Provider Name | Victoria M Filippi Backus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073792115 PECOS PAC ID: 6507009941 Enrollment ID: I20130904000057 |
| Provider Name | George D Xipoleas |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1861652653 PECOS PAC ID: 7810126281 Enrollment ID: I20140205000199 |
| Provider Name | Angela Yaa Oduro |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1245543354 PECOS PAC ID: 3971733502 Enrollment ID: I20140227001709 |
| Provider Name | Nnamdi Odiah |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083912158 PECOS PAC ID: 3971735762 Enrollment ID: I20140409001683 |
| Provider Name | Zulfiqar Khalique |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1366734436 PECOS PAC ID: 5294997136 Enrollment ID: I20140410000006 |
| Provider Name | Olga Krym |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649393042 PECOS PAC ID: 0941423321 Enrollment ID: I20140604000261 |
| Provider Name | Ernesto Gonzalez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1174765556 PECOS PAC ID: 1456595966 Enrollment ID: I20140620000075 |
| Provider Name | Kaninghat Prasanth |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1770891665 PECOS PAC ID: 4486871019 Enrollment ID: I20140805002637 |
| Provider Name | Caroline D Pessel |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1184820094 PECOS PAC ID: 1355560699 Enrollment ID: I20140918000081 |
| Provider Name | Rami Noumi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1043620172 PECOS PAC ID: 3476773813 Enrollment ID: I20141007000029 |
| Provider Name | Jackie J Battista |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1649617879 PECOS PAC ID: 3173767068 Enrollment ID: I20141014001973 |
| Provider Name | Changrae Kim |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1083022149 PECOS PAC ID: 9638391592 Enrollment ID: I20141107001450 |
| Provider Name | Kamalendra Sen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376987008 PECOS PAC ID: 6507188513 Enrollment ID: I20141202001937 |
| Provider Name | Robert J Stevenson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1780904466 PECOS PAC ID: 8022331263 Enrollment ID: I20141219001449 |
| Provider Name | Narinder Paul Grewal |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1144657560 PECOS PAC ID: 0840514188 Enrollment ID: I20150115001133 |
| Provider Name | Nakul Singhal |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1366733156 PECOS PAC ID: 0648595041 Enrollment ID: I20150205001735 |
| Provider Name | Monica Newborn-murphy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548660806 PECOS PAC ID: 3072838259 Enrollment ID: I20150210001668 |
| Provider Name | Jordan Eli Brodsky |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1386969418 PECOS PAC ID: 1850618125 Enrollment ID: I20150325001638 |
| Provider Name | Vladislav Chernyshenko |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447654322 PECOS PAC ID: 4183931918 Enrollment ID: I20150911000192 |
| Provider Name | Daniel P. Dinardo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851687503 PECOS PAC ID: 2961712658 Enrollment ID: I20151109002383 |
| Provider Name | Tammy Paige Bloom |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740672229 PECOS PAC ID: 2365747037 Enrollment ID: I20160218001371 |
| Provider Name | Omer Haroon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972855104 PECOS PAC ID: 0547565970 Enrollment ID: I20160223002660 |
| Provider Name | Oliver L Aragones |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1053781591 PECOS PAC ID: 7517251945 Enrollment ID: I20160809000104 |
| Provider Name | Cristina Artiles |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1760749378 PECOS PAC ID: 7719274430 Enrollment ID: I20160923001512 |
| Provider Name | Piotr Slowik |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720410574 PECOS PAC ID: 1951697333 Enrollment ID: I20161026001091 |
| Provider Name | Asaf Zvi Klein |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1669761631 PECOS PAC ID: 4688955230 Enrollment ID: I20161220000555 |
| Provider Name | Thomas Harold Lubeski |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1518957554 PECOS PAC ID: 2163447483 Enrollment ID: I20170105001289 |
| Provider Name | Mastan R Lokireddy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124431440 PECOS PAC ID: 0840573127 Enrollment ID: I20170210001800 |
| Provider Name | Syeda Marzia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558774968 PECOS PAC ID: 2567746332 Enrollment ID: I20170223001355 |
| Provider Name | Joshua Harris |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1649531815 PECOS PAC ID: 6901182971 Enrollment ID: I20170406001970 |
| Provider Name | Anton Bogdanov |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891138152 PECOS PAC ID: 6406124684 Enrollment ID: I20170612001259 |
| Provider Name | Talha Shaikh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1043578206 PECOS PAC ID: 5193963437 Enrollment ID: I20170626001936 |
| Provider Name | Letora U Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487065975 PECOS PAC ID: 2769752583 Enrollment ID: I20170726002733 |
| Provider Name | Rohit T. Repala |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1457617169 PECOS PAC ID: 3274830203 Enrollment ID: I20170831002447 |
| Provider Name | Gary Mak |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1801208954 PECOS PAC ID: 3072886621 Enrollment ID: I20170905000288 |
| Provider Name | Arthur J Deluca |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104926096 PECOS PAC ID: 3274890215 Enrollment ID: I20171130000771 |
| Provider Name | Ifeoma Onyeike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770903569 PECOS PAC ID: 1355608803 Enrollment ID: I20171208000510 |
| Provider Name | Steven Rubel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134206196 PECOS PAC ID: 4385902543 Enrollment ID: I20171215000853 |
| Provider Name | Natan P Davoudzadeh |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1487911517 PECOS PAC ID: 3779846266 Enrollment ID: I20180416001507 |
| Provider Name | Marshalette Stephanie Gillings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417370412 PECOS PAC ID: 9335402601 Enrollment ID: I20180419001219 |
| Provider Name | Richard Steward |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831585132 PECOS PAC ID: 9739436080 Enrollment ID: I20180718002353 |
| Provider Name | Louis Jared Siegel |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1922363605 PECOS PAC ID: 6608123534 Enrollment ID: I20180723003008 |
| Provider Name | Cathy-anne Maria Charles |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790120822 PECOS PAC ID: 7911297585 Enrollment ID: I20181107000423 |
| Provider Name | Stacey Foye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629553169 PECOS PAC ID: 3779827787 Enrollment ID: I20181203001230 |
| Provider Name | Madhavilatha Palamoor |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1508262700 PECOS PAC ID: 4880936228 Enrollment ID: I20190503001567 |
| Provider Name | Rana Mongroo |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1437561461 PECOS PAC ID: 5698009876 Enrollment ID: I20190621000282 |
| Provider Name | Laxmi De Jesus |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1689116493 PECOS PAC ID: 0749515997 Enrollment ID: I20190711000480 |
| Provider Name | Jacob David Leigh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134576010 PECOS PAC ID: 4082941497 Enrollment ID: I20190808000173 |
| Provider Name | Daniel Martingano |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1376920165 PECOS PAC ID: 0446599278 Enrollment ID: I20190816001157 |
| Provider Name | Mark Rebolos |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1255746368 PECOS PAC ID: 3072850932 Enrollment ID: I20190821002749 |
| Provider Name | Daniel Cuzzone |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1316171572 PECOS PAC ID: 3779815824 Enrollment ID: I20191023000942 |
| Provider Name | Saundra Lucinda Chisolm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508934514 PECOS PAC ID: 2567898281 Enrollment ID: I20200128002383 |
| Provider Name | Wahib Zafar |
|---|---|
| Provider Type | Practitioner - Hematology/oncology |
| Provider Identifiers | NPI Number: 1700135456 PECOS PAC ID: 1355777582 Enrollment ID: I20200207000767 |
| Provider Name | Theresa Durchhalter |
|---|---|
| Provider Type | Practitioner - Dermatology |
| Provider Identifiers | NPI Number: 1427419241 PECOS PAC ID: 6709217680 Enrollment ID: I20200508001068 |
| Provider Name | Thuy-trang Thi Pham |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1760839658 PECOS PAC ID: 6204267602 Enrollment ID: I20200520000248 |
| Provider Name | Inessa Bronshteyn |
|---|---|
| Provider Type | Practitioner - Critical Care (intensivists) |
| Provider Identifiers | NPI Number: 1558785121 PECOS PAC ID: 0941535173 Enrollment ID: I20200520000562 |
| Provider Name | Igal Breitman |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1881973014 PECOS PAC ID: 7719121847 Enrollment ID: I20200520002559 |
| Provider Name | Tobin Thoppil Abraham |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1649683889 PECOS PAC ID: 1254754161 Enrollment ID: I20200710002583 |
| Provider Name | Sophia Galustian |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1841672110 PECOS PAC ID: 2860742749 Enrollment ID: I20200729002130 |
| Provider Name | Srinivas Bolugoddu Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750756235 PECOS PAC ID: 8325383524 Enrollment ID: I20200803000672 |
| Provider Name | Jamil Lemberanskiy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538513015 PECOS PAC ID: 4082031760 Enrollment ID: I20200826001004 |
| Provider Name | Louis J Nkrumah |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1598923773 PECOS PAC ID: 8527331339 Enrollment ID: I20201117002550 |
| Provider Name | Ramy Elattal |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1447784806 PECOS PAC ID: 5799109138 Enrollment ID: I20201223001026 |
| Provider Name | Rita J Jammal |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1215323191 PECOS PAC ID: 2769728690 Enrollment ID: I20210308002557 |
| Provider Name | Teena George |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1679166755 PECOS PAC ID: 9436565587 Enrollment ID: I20210315002637 |
| Provider Name | Joseph Safdieh |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790078590 PECOS PAC ID: 0941589592 Enrollment ID: I20210329001624 |
| Provider Name | Kayanna Millicent Jonas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538674619 PECOS PAC ID: 4981012572 Enrollment ID: I20210420002401 |
| Provider Name | Nikhil A Agrawal |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1205253648 PECOS PAC ID: 2163840489 Enrollment ID: I20210630001976 |
| Provider Name | Mohammad Anwar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750872826 PECOS PAC ID: 6901202589 Enrollment ID: I20210907002330 |
| Provider Name | Francis Dinh |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1174077101 PECOS PAC ID: 2466788328 Enrollment ID: I20210913000117 |
| Provider Name | Minh-phuong Huynh-le |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1821338682 PECOS PAC ID: 5799004040 Enrollment ID: I20211101002829 |
| Provider Name | Dmitriy Kim |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295116432 PECOS PAC ID: 8224373345 Enrollment ID: I20211222000099 |
| Provider Name | Joanna Susan Trigg |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1073053211 PECOS PAC ID: 8921492968 Enrollment ID: I20220308001474 |
| Provider Name | Kathy Pun |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1407430374 PECOS PAC ID: 3375926728 Enrollment ID: I20220817001841 |
| Provider Name | Marianne Millano Delcastillo |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1730761826 PECOS PAC ID: 0547645400 Enrollment ID: I20220914001318 |
| Provider Name | Jean Dorcy Simon |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1205145083 PECOS PAC ID: 0042695702 Enrollment ID: I20220915002406 |
| Provider Name | Samer Takmaje |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922661107 PECOS PAC ID: 5294102059 Enrollment ID: I20221108000404 |
| Provider Name | Perel Ethel Bursky-tammam |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1821559121 PECOS PAC ID: 9032587068 Enrollment ID: I20221123001813 |
| Provider Name | Margaret Safo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437257698 PECOS PAC ID: 2769847870 Enrollment ID: I20230425001124 |
| Provider Name | Hassan T Qureshi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902394885 PECOS PAC ID: 4587902739 Enrollment ID: I20230530001803 |
| Provider Name | Marc Fenster |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144751595 PECOS PAC ID: 6305186156 Enrollment ID: I20230601002124 |
| Provider Name | Shahrzad Anita Akhavan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306405287 PECOS PAC ID: 4183083926 Enrollment ID: I20230711002651 |
| Provider Name | Valeriya Yevshayeva |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1356981674 PECOS PAC ID: 1759745615 Enrollment ID: I20230911002103 |
| Provider Name | Derrick Acheampong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063750081 PECOS PAC ID: 1951645423 Enrollment ID: I20230921000309 |
| Provider Name | Bamidele Omowumi Agada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467921122 PECOS PAC ID: 5294179230 Enrollment ID: I20240219001586 |
Su Salud Medical Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1855 Mott Ave, Far Rockaway, NY 11691 Phone: 718-200-0723 Fax: 718-471-2865 | |
Cedarhurst Medical Associates P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 407 Beach 20th Street, Far Rockaway, NY 11691 Phone: 718-471-7010 Fax: 718-337-1548 | |
Good Will Medical Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 51 15 Beach Channel Drive, Peninsula Hospital, Far Rockaway, NY 11691 Phone: 718-734-2345 Fax: 718-734-2808 | |
M&l Medical Services. P.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2004 Seagirt Blvd, Far Rockaway, NY 11691 Phone: 718-868-8620 Fax: 718-868-8611 | |
Samuel Bavli, Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 327 Beach 19th St, Department Of Medicine, Far Rockaway, NY 11691 Phone: 718-869-7315 | |
Fegs Far Rockaway Mntl Hlth Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 Central Ave, Far Rockaway, NY 11691 Phone: 718-327-1600 Fax: 718-868-4792 |