PETER CONNOLLY (NPI# 1104066356) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104066356 |
| Entity Type | Individual |
| Full Name | PETER CONNOLLY |
| Credential | MD |
| Practice Address |
525 E 68th St Payson-7 New York NY 10065-4870 |
| Practice Telephone | 2127460421 |
| Practice Fax Number | 2127465812 |
| Mailing Telephone | 2127460421 |
| Mailing Fax Number | 2127465812 |
| Enumeration Date | 2009-03-01 |
| Last Update Date | 2011-12-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
243565 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871620740 | Peter Nelson Connolly | Specialist | 195 1st Pl Nw, Suite 1, Issaquah, WA 98027-3285 | 2007-02-27 |
| 1760739205 | Peter Thomas Connolly | Case Manager/Care Coordinator | 7621 N Portsmouth Ave, Portland, OR 97203-5953 | 2012-08-14 |
| 1083626824 | Peter Connolly | Internal Medicine | 20 Squadron Blvd, New City, NY 10956-5200 | 2006-08-12 |
| 1376534909 | Peter Connolly | Internal Medicine | 145 Ward Hill Ave, Whittier Rehab, Bradford, MA 01835 | 2005-11-02 |
| Street Address |
525 E 68TH ST PAYSON-7 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10065-4870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952307266 | Kevin Holcomb | Obstetrics & Gynecology | 525 E 68th St, J-130, New York, NY 10065-4870 | 2005-06-22 |
| 1881295632 | Cathy Liu | Registered Nurse | 525 E 68th St, New York, NY 10065-4870 | 2020-11-06 |
| 1336740638 | Gina Papili | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-11-03 |
| 1740880186 | Seulgi Heo | Registered Nurse | 525 E 68th St, New York, NY 10065-4870 | 2020-10-26 |
| 1518564954 | Paramjit Kaur Sembhi | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-10-08 |
| 1679170260 | Matthew Seeba | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-10-06 |
| 1407463144 | Claire L Douglass | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-09-27 |
| 1669088274 | Alison Nicole Lyle-bonaparte | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-09-18 |
| 1831703743 | Melissa Ann Rice | Nurse Practitioner | 525 E 68th St, New York, NY 10065-4870 | 2020-09-08 |
| 1467066191 | Nicholas Christopher Craven | Physician Assistant | 525 E 68th St, New York, NY 10065-4870 | 2020-09-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1154948016 | Andrew Timothy Mclean | Student in an Organized Health Care Education/Training Program | Memorial Sloan Kettering Cancer Centre, 1275 York Ave, New York, NY 10065 | 2020-06-26 |
| 1972128700 | Seeminder Brar | Anesthesiology | Weill Cornell Medicine - Department of Anesthesiology, 525 East 68th Street, New York, NY 10065 | 2020-06-08 |
| 1114548245 | Mohamed Medhat Soliman | Student in an Organized Health Care Education/Training Program | 525 East 68th Street, Room F734, New York-presbyterian Hospital/weill Cornell Medical Ce, Manhattan, NY 10065 | 2020-04-29 |
| 1700417672 | Carlos Henrique Dos Anjos | Internal Medicine | 300 E 66th St, New York, Ny, New York, NY 10065 | 2020-01-30 |
| 1134788557 | Marvin Herbert Braun | Student in an Organized Health Care Education/Training Program | Department of Neurology, Sixth Floor, Weill Cornell Med, 525 East 68 St., New York, NY 10065 | 2019-06-10 |
| 1356907356 | Andrew Garton | Student in an Organized Health Care Education/Training Program | New York Weill Cornell Medical Center, 525 E 68th St, New York, NY 10065 | 2019-05-15 |
| 1104481845 | Rana Abualsaud | Student in an Organized Health Care Education/Training Program | New York Presbyterian Hospital, 525 E 68th St, Room M130, New York City, NY 10065 | 2019-05-08 |
| Find all providers in zip 10065 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366914483 | Star Veins Centers PC | Surgery | 225 W 35th St Frnt 2, New York, NY 10001-1904 | 2018-12-31 |
| 1033631064 | St. Nicholas Professional Medical Services of New York LLC | Surgery | 1264 Saint Nicholas Ave Ste A, New York, NY 10033-7263 | 2017-07-11 |
| 1417340134 | Washington Heights Medical of New York LLC | Surgery | 4159 Broadway, New York, NY 10033-3702 | 2015-03-05 |
| 1154613214 | Bakir Mohammed Altai | Surgery | 606 W 146th St, New York, NY 10031-4305 | 2011-05-09 |
| 1245547124 | Milton Waner Md, Pllc | Surgery | 126 W 60th St, New York, NY 10023-7402 | 2010-09-13 |
| 1114097094 | Windsor Ting, Md | Surgery | 128 Mott St Ste 701, New York, NY 10013-5575 | 2006-11-08 |
| 1538255336 | Robert J Mulcare Md PC | Surgery | 3 East 74th St, Suite 1e, New York, NY 10021-2604 | 2006-10-05 |
| 1619061926 | Moshe N Haimov | Surgery | 12 E 97th St, New York, NY 10029-6918 | 2006-10-03 |
| 1346331519 | Richard W Schutzer | Surgery | 161 Fort Washington Ave Ste 532, New York, NY 10032-3729 | 2006-09-27 |
| 1659470219 | Danielle R Bajakian | Surgery | 161 Ft Washingtn Ave Fl 5, Columbia University- Dept of Surgey, New York, NY 10032-3729 | 2006-09-21 |
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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.