PETER STEVEN MIDULLA (NPI# 1104892488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104892488 |
| Entity Type | Individual |
| Full Name | PETER STEVEN MIDULLA |
| Credential | MD |
| Practice Address |
5 E 98th St 14th Fl New York NY 10029-6574 |
| Mailing Address |
5 E 98th St Box 1259 New York NY 10029-6501 |
| Practice Telephone | 2122411656 |
| Practice Fax Number | 2125342654 |
| Mailing Telephone | 2122411608 |
| Mailing Fax Number | 2122415975 |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2013-02-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
188585 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01936185 | 05 |
| Street Address |
5 E 98TH ST 14TH FL |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6574 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154324226 | Waleed A Hassen | Specialist | 5 E 98th St, Fl 6, New York, NY 10029-6501 | 2005-05-23 |
| 1780282236 | Alanna Shinske | Social Worker | 5 E 98th St, New York, NY 10029-6501 | 2020-10-15 |
| 1518576842 | Molly Eve Skoff | Physician Assistant | 5 E 98th St, New York, NY 10029-6501 | 2020-07-22 |
| 1215551395 | Bahar Moghaddam | Internal Medicine | 5 E 98th St, New York, NY 10029-6501 | 2020-06-03 |
| 1710509682 | Chelsea Castaneda | Physician Assistant | 5 E 98th St, New York, NY 10029-6501 | 2020-05-13 |
| 1275152506 | David E Kantrowitz | Student in an Organized Health Care Education/Training Program | 5 E 98th St, New York, NY 10029-6501 | 2020-04-16 |
| 1700405487 | Christine Sarah Williams | Student in an Organized Health Care Education/Training Program | 5 E 98th St, New York, NY 10029-6501 | 2020-04-13 |
| 1548889256 | Kathryn Carr Whitelaw | Student in an Organized Health Care Education/Training Program | 5 E 98th St, New York, NY 10029-6501 | 2020-04-13 |
| 1285253278 | Alexander Lieber | Student in an Organized Health Care Education/Training Program | 5 E 98th St, New York, NY 10029-6501 | 2020-04-10 |
| 1871056945 | Kelsey Berger | Student in an Organized Health Care Education/Training Program | 5 E 98th St, New York, NY 10029-6501 | 2019-04-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972154243 | Andrea Volpe | Surgery | 504 E 63rd St Apt 17n, New York, NY 10065-7920 | 2019-09-26 |
| 1225388416 | Lucas Krauel | Surgery | 404 E 66th St Apt 1e, New York, NY 10065-9309 | 2012-09-14 |
| 1780983460 | Jun Tashiro | Surgery | 530 1st Ave Ste 10w, New York, NY 10016-6402 | 2011-03-21 |
| 1497914675 | Brian Arrinza Coakley | Surgery | 5 East 98th Street Box 1259, Department of Surgery Mount Sinai School of Medicine, New York, NY 10029 | 2008-06-03 |
| 1245218502 | Emily Rachel Christison-lagay | Surgery | 1275 York Ave Ste H1315, Memorial Sloan Kettering Cancer Center, New York, NY 10065-6007 | 2006-01-06 |
| 1356970768 | Jonathan Howard Durell | Surgery | 1275 York Ave, New York, NY 10065-6007 | 2020-04-07 |
| 1730608837 | Hemal Kodikara | Surgery | Memorial Sloan Kettering Cancer Center, 1275 York Ave, New York, NY 10065 | 2017-09-11 |
| 1538566252 | Kailas Bhandarkar | Surgery | 425 E 76th St, 7f, New York, NY 10021-2510 | 2014-11-24 |
| 1790034981 | Nelson Piche | Surgery | 404 E 66th St, New York, NY 10065-9308 | 2012-09-03 |
| 1285911800 | Bimc Faculty Practice | Surgery | 126 W 60th St, New York, NY 10023-7402 | 2011-11-10 |
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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.