NEW YORK GENERAL SURGERY, PLLC (NPI# 1114146172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114146172 |
| Entity Type | Organization |
| Organization Name | NEW YORK GENERAL SURGERY, PLLC |
| Practice Address |
1160 5th Ave Ofc 105 New York NY 10029-6932 |
| Practice Telephone | 2128612217 |
| Practice Fax Number | 2128611801 |
| Mailing Telephone | 2128612217 |
| Mailing Fax Number | 2128611801 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. FREDRIC DAVID HARRIS (OWNER) |
| Authorized Official Telephone | 2128612217 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086X0206X |
Surgery Specialization: Surgical Oncology |
132817 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1160 5TH AVE OFC 105 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6932 |
| 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 | 2086X0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Surgical Oncology |
| A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. |
| Notes: Source: Society of Surgical Oncology, 2007 [1/1/2008: definition added, source added, 7/1/2009: definiition reformatted] Additional Resources: http://www.surgonc.org/ ; American Board of Medical Specialties, 2007, www.abms.org ; American Board of Surgery, 2007, http://www.absurgery.org/ Surgical oncology is a recognized fellowship subspecialty program of surgery. Separate board certification is not currently offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336620004 | Jianhong Winson Tan | Surgery | 1233 York Ave Apt 20n, New York, NY 10065-6342 | 2018-08-22 |
| 1811246382 | Iain James Nixon | Surgery | 1378 York Ave, Apt 1c, New York, NY 10021-3415 | 2012-08-30 |
| 1649551953 | Manuela J Junqueira | Surgery | 303 E 60th St Apt 24f, New York, NY 10022-1523 | 2011-08-31 |
| 1447554449 | John Mitchel Barry | Surgery | 1233 York Ave Apt 18n, New York, NY 10065-6342 | 2011-01-05 |
| 1255652608 | Daniel F Roses Md PC | Surgery | 530 1st Ave # 6b, New York, NY 10016-6402 | 2010-06-21 |
| 1780901918 | Noah Avram Cohen | Surgery | 19 E 98th St Fl 7, New York, NY 10029-6501 | 2010-04-28 |
| 1184885451 | Todd C Hanna | Surgery | 16 East 52nd St. Suite 1101, New York, NY 10022 | 2008-06-19 |
| 1790944114 | T Peter Kingham | Surgery | 52 Saint Marks Pl, Apt. 2c, New York, NY 10003-8103 | 2008-06-02 |
| 1013193507 | Michael Lowe | Surgery | 1275 York Ave # H-1206, New York, NY 10065-6007 | 2008-01-14 |
| 1851596142 | Paul H Schmidt | Surgery | 1176 Fifth Avenue, Box 1160, New York, NY 10029 | 2007-06-18 |
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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.