BIMC FACULTY PRACTICE (NPI# 1033408414) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033408414 |
| Entity Type | Organization |
| Organization Name | BIMC FACULTY PRACTICE |
| Other Organization Name | COMMUNITY PRIMARY CARE |
| Practice Address |
1825 Park Ave New York NY 10035-1641 |
| Mailing Address |
160 Water St 20th Fl New York NY 10038-4922 |
| Practice Telephone | 2127743254 |
| Mailing Telephone | 2127743254 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Authorized Official Name | DEBORAH HACKETT (VP) |
| Authorized Official Telephone | 2122563424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 2084P0802X |
Psychiatry & Neurology Specialization: Addiction Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| COMMUNITY PRIMARY CARE | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538375845 | Bimc Faculty Practice | Radiology | 1st Avenue & 16th Street, Department of Radiology, New York, NY 10003-4901 | 2007-05-15 |
| 1205102571 | Bimc Faculty Practice | Dentist | 10 Union Sq E, Suite 5b, New York, NY 10003-3314 | 2012-03-30 |
| 1285911800 | Bimc Faculty Practice | Surgery | 126 W 60th St, New York, NY 10023-7402 | 2011-11-10 |
| 1023314978 | Bimc Faculty Practice | Orthopaedic Surgery | 54 South Dean Street, Englewood, NJ 07631 | 2011-02-09 |
| 1619277340 | Bimc Faculty Practice | Orthopaedic Surgery | 1408 Ocean Ave, Brooklyn, NY 11230-3814 | 2010-10-28 |
| 1356650071 | Bimc Faculty Practice | Orthopaedic Surgery | 3555 Bainbridge Ave, Bronx, NY 10467-1411 | 2010-09-29 |
| 1790093342 | Bimc Faculty Practice | Psychiatry & Neurology | 10 Union Sq E, New York, NY 10003-3314 | 2010-09-16 |
| 1740595990 | Bimc Faculty Practice | Nutritionist | 245 5th Ave, 2nd Floor, New York, NY 10016-8728 | 2010-08-12 |
| 1548594203 | Bimc Faculty Practice | Internal Medicine | 160 Water St, 20th Floor, New York, NY 10038-4922 | 2009-09-29 |
| 1174763445 | Bimc Faculty Practice | Orthopaedic Surgery | 321 E 34th St, New York, NY 10016-4942 | 2009-02-26 |
| Street Address |
1825 PARK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-1641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912972548 | Randy M Seewald | Internal Medicine | 1825 Park Ave, New York, NY 10035-1641 | 2006-02-17 |
| 1447596697 | Janina Thiessen | Internal Medicine | 1825 Park Ave, 2nd Floor, New York, NY 10035-1641 | 2012-12-17 |
| 1134379076 | Ismet Redzep Osmanovic Sr. | Legal Medicine | 1825 Park Ave, 4th Floor, New York, NY 10035-1641 | 2008-09-29 |
| 1851589964 | Jacqueline L Garrett | Physician Assistant | 1825 Park Ave, Clinic 3, Eighth Floor, New York, NY 10035-1641 | 2007-10-15 |
| 1396882841 | Sharon Elyse Schoenholtz | Family Medicine | 1825 Park Ave, 8th Floor, New York, NY 10035-1641 | 2007-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| 1396359642 | Marlene Aquino | Family Medicine | 252 E 4th St Apt 2d, New York, NY 10009-7538 | 2020-09-03 |
| 1164043378 | Weber Medical Care Pllc | Family Medicine | 10 Rutgers St Apt 4l, New York, NY 10002-7167 | 2020-04-28 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1770111429 | Live Life Now Health Group Pa | Family Medicine | 350 7th Ave, New York, NY 10001-5013 | 2020-03-30 |
| 1235762899 | 121 Medical P.C. | Family Medicine | 5030 Broadway Ste 818, New York, NY 10034-1670 | 2020-02-21 |
| 1558992206 | Juno Medical Practice, Pllc | Family Medicine | 2119 Frederick Douglass Blvd, New York, NY 10026-2392 | 2020-01-31 |
| 1912567884 | Chinatown True Care Medical Pllc | Family Medicine | 139 Centre St Ste 711, New York, NY 10013-4557 | 2019-06-13 |
| 1295205201 | Mary Scanlon-o'kelly | Family Medicine | 30 West St Apt 2a, New York, NY 10004-3052 | 2018-12-03 |
| 1932691532 | Tala Fanek | Family Medicine | 622 W 168th St Ph 12-1272, New York, NY 10032-3720 | 2018-05-31 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.