| Vantage Medical Associates Pc | |
|
1612 Central Ave Far Rockaway NY 11691-4002 | |
| (718) 970-8700 | |
| (347) 474-8670 |
| Full Name | Vantage Medical Associates Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1612 Central Ave, Far Rockaway, New York |
| Authorized Official Name and Position | Michael Jurewicz (OWNER) |
| Authorized Official Contact | 2488600211 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vantage Medical Associates Pc 49 Piermont Ave Hewlett NY 11557-2109 Ph: () - | Vantage Medical Associates Pc 1612 Central Ave Far Rockaway NY 11691-4002 Ph: (718) 970-8700 |
| NPI Number | 1538642996 |
|---|---|
| Provider Enumeration Date | 09/12/2018 |
| Last Update Date | 04/26/2022 |
| Medicare PECOS PAC ID | 0547673816 |
|---|---|
| Medicare Enrollment ID | O20210105001373 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538642996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| Provider Name | Robert D. Solomon |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1720050040 PECOS PAC ID: 5890780209 Enrollment ID: I20040415001272 |
| Provider Name | Salvatore Trazzera |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1568469757 PECOS PAC ID: 4981691789 Enrollment ID: I20040426000906 |
| Provider Name | Clifford Beinart |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1396701678 PECOS PAC ID: 9830187277 Enrollment ID: I20040504000820 |
| Provider Name | Sergio Sokol |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1356398713 PECOS PAC ID: 0042293714 Enrollment ID: I20040611001375 |
| Provider Name | Paul Bonheim |
|---|---|
| Provider Type | Practitioner - Interventional Radiology |
| Provider Identifiers | NPI Number: 1235139775 PECOS PAC ID: 2466355987 Enrollment ID: I20040917000751 |
| Provider Name | Julia Y Oweis |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1487699260 PECOS PAC ID: 1052369824 Enrollment ID: I20050107000745 |
| Provider Name | Ali Tamsen |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1285687269 PECOS PAC ID: 6103875547 Enrollment ID: I20050112001060 |
| Provider Name | Michael Seth Brown |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1811085962 PECOS PAC ID: 7810957941 Enrollment ID: I20050422001209 |
| Provider Name | Dov Rubenstein |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1144215948 PECOS PAC ID: 0749203800 Enrollment ID: I20060104000760 |
| Provider Name | Arun K Mangla |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1134143035 PECOS PAC ID: 7517966963 Enrollment ID: I20061212000333 |
| Provider Name | Scott M Andes |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891803037 PECOS PAC ID: 4486746526 Enrollment ID: I20070822000882 |
| Provider Name | Adam L Moskowitz |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1679652036 PECOS PAC ID: 3971655010 Enrollment ID: I20090721000098 |
| Provider Name | Vincent R Leddy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538201231 PECOS PAC ID: 2860516085 Enrollment ID: I20100825000401 |
| Provider Name | Ernest Tsilov |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1821304080 PECOS PAC ID: 8820284995 Enrollment ID: I20101201000685 |
| Provider Name | Norman Galanti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1730361726 PECOS PAC ID: 7012104714 Enrollment ID: I20101207000914 |
| Provider Name | Moshe Katzenelenbogen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1124198304 PECOS PAC ID: 9032399274 Enrollment ID: I20110205000018 |
| Provider Name | Kelly A Clayton |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1477894509 PECOS PAC ID: 0648417444 Enrollment ID: I20130515000593 |
| Provider Name | Constantin Friedman |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1609191055 PECOS PAC ID: 4981824554 Enrollment ID: I20141002000212 |
| Provider Name | Judithe Apollon-louissaint |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902200520 PECOS PAC ID: 7618243163 Enrollment ID: I20171027000782 |
| Provider Name | Varsha Sinha |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1669814315 PECOS PAC ID: 9931532959 Enrollment ID: I20191205001821 |
| Provider Name | Michael D Jurewicz |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1649562414 PECOS PAC ID: 6406117522 Enrollment ID: I20191205001939 |
| Provider Name | Maaz Begawala |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1780119438 PECOS PAC ID: 5092087023 Enrollment ID: I20210510000895 |
| Provider Name | Susane H Frith-headley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326641242 PECOS PAC ID: 3678972841 Enrollment ID: I20210520002980 |
| Provider Name | Vinod Kapur |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1831624279 PECOS PAC ID: 9830594373 Enrollment ID: I20210823001340 |
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