DR. VALERY BAYSHTOK (NPI# 1063447878) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063447878 |
| Entity Type | Individual |
| Full Name | DR. VALERY BAYSHTOK |
| Credential | MD |
| Practice Address |
9905 63rd Dr Rego Park NY 11374-2450 |
| Practice Telephone | 7188965219 |
| Mailing Telephone | 7188965219 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2016-09-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
157463 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01063487 | 05 |
| Street Address |
9905 63RD DR |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-2450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093224107 | Jenny Liu | Family Medicine | 1320 York Ave Apt 19b, New York, NY 10021-4860 | 2017-09-21 |
| 1972848307 | A Merryland Operating LLC | Family Medicine | 1704-06 Mermaid Ave, Brooklyn, NY 11224-2622 | 2012-12-12 |
| 1598844433 | Yefim Isaac Sosonkin | Family Medicine | 2221 Ocean Ave, Brooklyn, NY 11229-2303 | 2006-11-02 |
| 1861402273 | Melissa L. Trazzera | Family Medicine | 470 Woodbury Rd, Cold Spring Harbor, NY 11724-2234 | 2006-08-08 |
| 1841286325 | Denise Octaviani | Family Medicine | 1223 N Salina St, Syracuse, NY 13208-1519 | 2005-09-21 |
| 1275525040 | Harlee A Fried | Family Medicine | 28 Rykowski Ln, Middletown, NY 10941-4018 | 2005-08-18 |
| 1326049529 | Charles Richard Gordon | Family Medicine | 200 Cabrini Blvd, Suite 17, New York, NY 10033-1100 | 2005-08-10 |
| 1396211918 | Manhattan Medical Arts, Pllc | Family Medicine | 123 W 20th St, New York, NY 10011-3639 | 2018-10-22 |
| 1932699709 | Medea Medical PC | Family Medicine | 6829 Springfield Blvd, Oakland Gdns, NY 11364-2632 | 2018-05-16 |
| 1285993956 | Ocean Medical Plus PC | Family Medicine | 315 E 105th St, Suite 104, New York, NY 10029-5000 | 2012-05-15 |
| Find all providers with the same taxonomy | ||||
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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.