HENRY CHARLES BODENHEIMER JR. (NPI# 1063497295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063497295 |
| Entity Type | Individual |
| Full Name | HENRY CHARLES BODENHEIMER JR. |
| Credential | MD |
| Practice Address |
10 Union Sq E Ste 2g, Dept of Gastroenterology New York NY 10003-3314 |
| Mailing Address |
160 Water St 20th Floor New York NY 10038-4922 |
| Practice Telephone | 2124204015 |
| Practice Fax Number | 2128445548 |
| Mailing Telephone | 2122563539 |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2013-02-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
128274-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01284564 | 05 |
| Street Address |
10 UNION SQ E STE 2G, DEPT OF GASTROENTEROLOGY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-3314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578564407 | Theresa Tran | Otolaryngology | 10 Union Sq E, Suite 4j, New York, NY 10003-3314 | 2005-08-02 |
| 1497383491 | Grace Orekoya | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2020-03-27 |
| 1730711599 | Candace Snow Johnson | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2020-02-10 |
| 1518441518 | Liyi Hayley Jiang | Physician Assistant | 10 Union Sq E, New York, NY 10003-3314 | 2018-09-17 |
| 1215421466 | Caitlin Rhoades | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2018-06-20 |
| 1265942320 | Rebecca Katherine Rudel | Dietitian, Registered | 10 Union Sq E, New York, NY 10003-3314 | 2017-10-03 |
| 1992215131 | Vanessa Rodriguez | Nurse Practitioner | 10 Union Sq E, New York, NY 10003-3314 | 2017-10-02 |
| 1407375116 | Emily Marie Warner | Surgery | 10 Union Sq E, New York, NY 10003-3314 | 2017-09-13 |
| 1528583382 | Kimberly A Mulloy | Physician Assistant | 10 Union Sq E, New York, NY 10003-3314 | 2017-08-13 |
| 1386168409 | Leslie Kendra Lynn | Physician Assistant | 10 Union Sq E, New York, NY 10003-3314 | 2017-07-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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|---|---|---|---|---|
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1225490477 | Lawrence Franklin Braly | Internal Medicine | 114 Horatio St, 310, New York, NY 10014-1574 | 2016-03-27 |
| 1740693589 | Yaniuska Lescaille | Internal Medicine | 630 W 168th St Rm P&s3-401, New York, NY 10032-3725 | 2014-06-10 |
| 1003233966 | Kohtaro Ooka | Internal Medicine | 530 1st Ave # Hcc4g, New York, NY 10016-6402 | 2014-03-27 |
| 1700201449 | Centre Street Surgery Pllc | Internal Medicine | 139 Centre St Ste 609, New York, NY 10013-4556 | 2014-03-04 |
| 1063844256 | John Chi To Wong | Internal Medicine | 1233 York Ave Apt 15p, New York, NY 10065-6342 | 2013-07-30 |
| 1851735419 | Jonathan Dov Weinberger | Internal Medicine | 145 E 32nd St Fl 3, New York, NY 10016-6055 | 2013-04-24 |
| 1043585227 | Jordan Eric Axelrad | Internal Medicine | 240 E 38th St Fl 23, New York, NY 10016 | 2012-03-20 |
| 1841562758 | Aaa Gastrointestinal PC | Internal Medicine | 499 Fort Washington Ave, Suite Pe1c, New York, NY 10033 | 2012-02-08 |
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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.