NEW YORK MEDICAL PRACTICE, PC (NPI# 1043769300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043769300 |
| Entity Type | Organization |
| Organization Name | NEW YORK MEDICAL PRACTICE, PC |
| Practice Address |
9413 Flatlands Ave Brooklyn NY 11236-3726 |
| Mailing Address |
565 Plandome Rd Unit 286 Manhasset NY 11030-1945 |
| Practice Telephone | 6463554450 |
| Enumeration Date | 2016-09-28 |
| Last Update Date | 2017-04-12 |
| Authorized Official Name | CHAITANYA KADIYALA (OWNER) |
| Authorized Official Telephone | 6463554450 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CERT# 4168 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AMERICAN ASSOCIATION FOR ACCREDITATION OF AMBULATORY SURGERY FAC | CERT# 4168 | 01 |
| Street Address |
9413 FLATLANDS AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11236-3726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205819919 | Koorosh Shamtoub | Dentist | 9413 Flatlands Ave, Ste 102w, Brooklyn, NY 11236-3707 | 2005-11-28 |
| 1215421052 | Sabrina Jean Baptiste | Counselor | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2018-06-15 |
| 1609381102 | Levi Rapoport | Counselor | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2017-12-06 |
| 1487174504 | Shamaine Andrea Francis | Social Worker | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2017-06-20 |
| 1962856401 | Rosell Billingy | Social Worker | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2016-04-21 |
| 1417318205 | Tricha Menelas | Social Worker | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2016-03-08 |
| 1699145334 | James Ervin Young | Nurse Practitioner | 9413 Flatlands Ave, Suite 101w, Brooklyn, NY 11236-3726 | 2015-10-06 |
| 1821474255 | Care Physical Therapy, P.c | Physical Therapist | 9413 Flatlands Ave, Suite 1w, Brooklyn, NY 11236-3726 | 2015-08-07 |
| 1619378791 | University Physicians of Brooklyn, Inc. | Orthopaedic Surgery | 9413 Flatlands Ave, Brooklyn, NY 11236-3726 | 2014-09-09 |
| 1245672278 | Joann Michelle Makatura | Massage Therapist | 9413 Flatlands Ave, Suite 001w, Brooklyn, NY 11236-3726 | 2013-07-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619575578 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 900 Remsen Ave, Canarsie, NY 11236 | 2020-10-13 |
| 1659996080 | Elina Fils Aime | Licensed Practical Nurse | 8 Parter Gate 15, Brooklyn, NY 11236 | 2020-06-11 |
| 1649806761 | Courtney Zhang | Technician/Technologist | 10204 Flatlands Avenue, Store 2906, Brooklyn, NY 11236 | 2020-03-20 |
| 1114559309 | Jonathan Eisen Dc, PC | Chiropractor | 9207 Flatlands Ave, Brooklyn, NY 11236 | 2020-02-06 |
| 1508497462 | New Direction Supportive Services | Clinic/Center | 1123 East 100th Street, Brooklyn, NY 11236 | 2020-01-30 |
| 1073151544 | Belinda Clesidor | Registered Nurse | 1200 E 5519 St, Brooklyn, NY 11236 | 2019-12-16 |
| 1154898880 | Shanice A Mcghie | Licensed Practical Nurse | 718 East 84th Street, Brooklyn, NY 11236 | 2018-10-31 |
| 1891286241 | Casandra Christine Gibbs | Licensed Practical Nurse | 1380 East 84th Stree, 2 Fl, Brooklyn, NY 11236 | 2018-05-22 |
| 1942707161 | Suzette Rebecca Ryan | Registered Nurse | 1009 E 86th Street, 3rd Floor, Brooklyn, NY 11236 | 2018-04-13 |
| 1275045395 | Danica Noel-sylvester | Nurse Practitioner | 6565 Flatlands Ave Rm C-150, Brooklyn, NY 11236 | 2017-10-30 |
| Find all providers in zip 11236 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467826388 | Essica Huggins | Clinic/Center | 1600 Caton Ave, # 2d, Brooklyn, NY 11226-1001 | 2015-11-16 |
| 1033517263 | Island Ambulatory Surgery Center | Clinic/Center | 2279-83 Coney Island Ave, 1st Floor, Brooklyn, NY 11223-3337 | 2014-12-22 |
| 1992119135 | Chc Surgical Center LLC | Clinic/Center | 79 Bridge St, Brooklyn, NY 11201-1596 | 2014-06-16 |
| 1164848453 | Pbgs, LLC | Clinic/Center | 14 Dekalb Ave, 4th Floor, Brooklyn, NY 11201-5311 | 2014-03-11 |
| 1255675062 | Brooklyn Sc LLC | Clinic/Center | 6010 Bay Parkway 4th Floor, Brooklyn, NY 11204 | 2012-11-16 |
| 1316259831 | 758 Medical Services PC | Clinic/Center | 758 56th St, Brooklyn, NY 11220-3504 | 2010-07-13 |
| 1285867135 | Discreet Plastic Surgery PC | Clinic/Center | 2120 Ocean Ave, Brooklyn, NY 11229-1406 | 2009-08-26 |
| 1366646416 | Dallas Broadway | Clinic/Center | 18 Sumner Place, Brooklyn, NY 11206 | 2007-06-13 |
| 1942363098 | Beth Israel Ambulatory Care Services Corp | Clinic/Center | 3121 Kings Highway, Beth Israel Ambulatory Care Services Corp, Brooklyn, NY 11234-2644 | 2006-12-19 |
| 1710979109 | Sheepshead Bay Surgery Center, Inc. | Clinic/Center | 2269 Ocean Ave, Brooklyn, NY 11229-3103 | 2005-08-22 |
| Find all providers in BROOKLYN | ||||
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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.