DR. JOSE M POULOSE (NPI# 1104905058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104905058 |
| Entity Type | Individual |
| Full Name | DR. JOSE M POULOSE |
| Credential | M.D |
| Practice Address |
99 Hillside Ave Ste D Williston Park NY 11596-2306 |
| Mailing Address |
150 Lincoln Ave Mineola NY 11501-2541 |
| Practice Telephone | 5167392930 |
| Practice Fax Number | 5167394870 |
| Mailing Telephone | 5167393909 |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
225615 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
99 HILLSIDE AVE STE D |
| City | WILLISTON PARK |
| State | NY |
| Zip Code | 11596-2306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1578973475 | Lauren Catherine Vaughan | Occupational Therapist | 161 Canterbury Rd, Williston Park, NY 11596 | 2014-04-30 |
| 1174757421 | Thomas Matthew Boes | Psychiatry & Neurology | 15 Smith Place, Williston Park, NY 11596 | 2009-05-14 |
| 1639313232 | Melissa Jane Lerner | Social Worker | 195 Lafayette Street, Williston Park, NY 11596 | 2009-04-27 |
| 1578708434 | Corrin Wedin | Occupational Therapist | 580 Liberty Avenue, Williston Park, NY 11596 | 2008-12-08 |
| 1710159439 | Harry N Kasparian | Dentist | 126 Hillside Avenue, Williston Park, NY 11596 | 2008-04-02 |
| 1124249966 | Felice Ellen Barasch-giedt | Specialist | 101d Hillside Ave., Williston Park, NY 11596 | 2007-05-01 |
| 1740300722 | Aphrodite M. Koinoglou | Nurse Practitioner | 78 Mayflower Avenue, Williston Park, NY 11596 | 2007-03-31 |
| 1043341704 | Susana M Rabines | Chiropractor | 486 Willis Ave, Williston Park, NY 11596 | 2007-03-07 |
| 1710016928 | Elizabeth Fedalis Patton | Registered Nurse | 41 Syracuse St., Williston Park, NY 11596 | 2007-03-05 |
| Find all providers in zip 11596 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1962719310 | Robert I Rattiner Md Pllc | Internal Medicine | 99 Hillside Avenue, Suite T, Williston Park, NY 11596 | 2010-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
| City | WILLISTON PARK |
| Zip Code | 11596 |
Please comment or provide details below to improve the information on DR. JOSE M POULOSE.
| 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.