THEODORE ALLEN PHYSICIAN, PC (NPI# 1083912216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083912216 |
| Entity Type | Organization |
| Organization Name | THEODORE ALLEN PHYSICIAN, PC |
| Practice Address |
92 E Old Country Rd Hicksville NY 11801-4217 |
| Practice Telephone | 5166812700 |
| Practice Fax Number | 5166817115 |
| Mailing Telephone | 5166812700 |
| Mailing Fax Number | 5166817115 |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |
| Authorized Official Name | THEODORE ALLEN (PRESIDENT) |
| Authorized Official Telephone | 5166812700 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 129095 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00238188 | 05 |
| Street Address |
92 E OLD COUNTRY RD |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801-4217 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407259278 | Accurate Medical | Neuromusculoskeletal Medicine, Sports Medicine | 92 E Old Country Rd, Hicksville, NY 11801-4217 | 2014-10-07 |
| 1316361439 | Delta Chiropractic PC | Chiropractor | 92 E Old Country Rd, Hicksville, NY 11801-4217 | 2014-02-10 |
| 1659794204 | Hicksville Primary Medical Oc | Physical Medicine & Rehabilitation | 92 E Old Country Rd, Hicksville, NY 11801-4217 | 2014-01-31 |
| 1518398593 | Epiq Medical, PC | Physical Medicine & Rehabilitation | 92 E Old Country Rd, Hicksville, NY 11801-4217 | 2013-12-02 |
| 1477985836 | 570 Medical, P.C. | Family Medicine | 92 E Old Country Rd, Hicksville, NY 11801-4217 | 2013-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154773588 | Sharmila Gabriel | Internal Medicine | 326 New South Rd, Hicksville, NY 11801-5221 | 2016-07-09 |
| 1851636351 | Remedial Primary Medical Care, PC | Internal Medicine | 252 W Old Country Rd, Hicksville, NY 11801-4011 | 2012-12-10 |
| 1689868820 | David Lotfi, Md, PC | Internal Medicine | 188 Woodbury Rd, Hicksville, NY 11801-3024 | 2007-08-30 |
| 1275693467 | Kyung Ok Kim | Internal Medicine | 2 Woodbury Court, Hicksville, NY 11801-3159 | 2006-12-11 |
| 1538228390 | Lei Wong | Internal Medicine | 16 E John St, Hicksville, NY 11801-1310 | 2006-12-07 |
| 1578632865 | Mario A Ragusa | Internal Medicine | 105 Newbridge Rd, Hicksville, NY 11801 | 2006-11-08 |
| 1720170400 | Hicksville Medical Care, PC | Internal Medicine | 117 Newbridge Rd, Hicksville, NY 11801-3908 | 2006-09-29 |
| 1225135619 | David Schwartz | Internal Medicine | 43 Barter Ln, Hicksville, NY 11801-3904 | 2006-09-20 |
| 1730285800 | David G. Schwartz, Internal Medicine, P.C. | Internal Medicine | 43 Barter Lane, Hicksville, NY 11801 | 2006-09-16 |
| 1679519656 | Kauser Yasmeen | Internal Medicine | 100 Newbridge Rd, Suites 1 and 2, Hicksville, NY 11801-3963 | 2006-06-20 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
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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.