VILLAGE FAMILY PRACTICE (NPI# 1104182880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104182880 |
| Entity Type | Organization |
| Organization Name | VILLAGE FAMILY PRACTICE |
| Other Organization Name | VILLAGE TRAVEL MEDICINE |
| Practice Address |
30 5th Ave 1e New York NY 10011-8859 |
| Practice Telephone | 2124771750 |
| Mailing Telephone | 2124771750 |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |
| Authorized Official Name | JERRY CLEMENTS (PRESIDENT) |
| Authorized Official Telephone | 2124771750 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
166998 | NY | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| village travel medicine | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588998488 | Village Family Practice | Family Medicine | 8250 Bryan Dairy Rd Ste 300, Largo, FL 33777-1356 | 2009-09-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Ohio Business Entities | VILLAGE FAMILY PRACTICE | 272 Hospital Rd, Chillicothe, OH 45601 |
| Street Address |
30 5TH AVE 1E |
| City | NEW YORK |
| State | NY |
| Zip Code | 10011-8859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013930411 | Michael Fredrick Leifert | Dentist | 30 5th Ave, Suite 1j.k., New York, NY 10011-8859 | 2006-07-26 |
| 1649517632 | Christina Noel Demartino | Physician Assistant | 30 5th Ave, Suite 1d, New York, NY 10011-8859 | 2013-01-10 |
| 1902048911 | Village Family Practice, PC | Family Medicine | 30 5th Ave, New York, NY 10011-8859 | 2009-04-06 |
| 1437300670 | Edward John Gorecki | Chiropractor | 30 5th Ave, Suite 1c, New York, NY 10011-8859 | 2008-10-07 |
| 1073792354 | Ronniette Cristina Garcia | Dentist | 30 5th Ave, Apt 1k, New York, NY 10011-8859 | 2007-11-02 |
| 1710183728 | Giulio Mazzarelli Chiropractic | Chiropractor | 30 5th Ave, New York, NY 10011-8859 | 2007-06-26 |
| 1598968323 | Eugene B Kalin | Psychoanalyst | 30 5th Ave, New York, NY 10011-8859 | 2007-06-08 |
| 1306060538 | Melvyn Martin Leifert | Dentist | 30 5th Ave, Suite 1j.k., New York, NY 10011-8859 | 2007-04-11 |
| 1275667875 | Eric M Wahl | Specialist | 30 5th Ave, 1e, New York, NY 10011-8859 | 2007-03-15 |
| 1992849004 | Steven David Levine | Chiropractor | 30 5th Ave, Suite 1-h, New York, NY 10011-8859 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603863 | Sara Lavner | Psychoanalyst | 80 Fith Avenue, Suite 1503, New York City, NY 10011 | 2020-06-15 |
| 1649829219 | Clara Angel Inc. | Counselor | 12 Fifth Avenue, Suite 1f, New York, NY 10011 | 2019-09-06 |
| 1245797786 | Efrat Ginot | Psychologist | 20 W 16th St Ground Floor, New York, NY 10011 | 2019-02-20 |
| 1619441276 | Deify Laser & Beauty Lounge | Specialist | 134 W. 23rd St., New York, NY 10011 | 2019-01-17 |
| 1215408117 | Habitat Specialty Pharmacy, Inc. | Pharmacy | Habitat Specialty Pharmacy, Inc, 171 Seventh Ave, New York, NY 10011 | 2018-12-17 |
| 1518437136 | Melissa Kate Mcintosh, Inc. | Counselor | 167 W. 21st St., #3se, Ny, NY 10011 | 2018-11-26 |
| 1700367851 | Chana Zigelboym | Speech-Language Pathologist | 353 W 17th St, New York, NY 10011 | 2018-08-27 |
| 1376042358 | Claudia Eleanore Lament | Social Worker | 31 Washington Square West, Pha, New York, NY 10011 | 2018-02-06 |
| 1023527611 | Linda Jacobs | Psychologist | 96 5th Avenue, Sutie 1d, New York, NY 10011 | 2017-09-26 |
| 1861919359 | Ireen Miras Ninonuevo | Social Worker | 80 5th Ave Ofc 2004-6, New York, NY 10011 | 2017-08-24 |
| Find all providers in zip 10011 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265978365 | Jin Qiu Md PC | Clinic/Center | 141 E 55th St Apt 4c, Apt 4c, New York, NY 10022-4050 | 2017-01-12 |
| 1588112031 | Babak Tofighi, Md | Clinic/Center | 229 E 28th St, Apt 1b, New York, NY 10016-8507 | 2016-09-13 |
| 1699172551 | Win Medical Services,pc | Clinic/Center | 98 E Broadway # 501, New York, NY 10002-7181 | 2014-11-20 |
| 1023446978 | The Medical Offices of Occupational Health Resources P C | Clinic/Center | 1 Madison Ave # Level2b, New York, NY 10010-3603 | 2013-10-30 |
| 1114290012 | Myron I Buchman Mdpcv | Clinic/Center | 117 East 72nd St, New York, NY 10021 | 2012-02-23 |
| 1225308570 | Zov Medical Pllc | Clinic/Center | 116 E 63rd St, 1a, New York, NY 10065-7325 | 2012-01-04 |
| 1649576729 | New York Patientfirst Medical and Geriatric Quality Health Services | Clinic/Center | 41 Mott St Fl 5, New York, NY 10013-5041 | 2011-02-07 |
| 1881922821 | New York-presbyterian Hospital | Clinic/Center | 622 W. 168th St, Vc401, New York-presbyterian Hospital, New York, NY 10032 | 2009-12-03 |
| 1851554851 | Village Health Care Clinic | Clinic/Center | 121 A West 20th St, Village Diagnostic and Treatment Center, New York, NY 10011 | 2008-07-09 |
| 1609060367 | Mmc At American Red Cross Family Shelter Icahn East | Clinic/Center | 4 East 28th Street, Mmc At American Red Cross Family Shelter Icahn East, New York, NY 10016-7402 | 2007-09-05 |
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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.