PHYLLIS WITZEL SPEISER (NPI# 1124198262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124198262 |
| Entity Type | Individual |
| Full Name | PHYLLIS WITZEL SPEISER |
| Credential | MD |
| Practice Address |
1991 Marcus Ave Suite M100 New Hyde Park NY 11042-2057 |
| Mailing Address |
26901 76th Ave Div Pediatric Endocrinology New Hyde Park NY 11040-1433 |
| Practice Telephone | 5164723750 |
| Practice Fax Number | 5164723751 |
| Mailing Telephone | 5164723750 |
| Mailing Fax Number | 5164723751 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
143670 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1991 MARCUS AVE SUITE M100 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-2057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720081813 | John Rizzo | Internal Medicine | 1991 Marcus Ave, Suite 101, New Hyde Park, NY 11042-2058 | 2005-05-23 |
| 1023621240 | Nina Skaria | Pediatrics | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2020-08-27 |
| 1407491772 | Kimberly Andreacchio | Dietitian, Registered | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2019-11-11 |
| 1407350721 | Jennifer Evans Malheiros | Nurse Practitioner | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2018-03-21 |
| 1336662329 | Bessie Thomas | Optometrist | 1991 Marcus Ave, 2nd Floor, New Hyde Park, NY 11042 | 2017-07-21 |
| 1134665193 | Nhpe, LLC | Clinic/Center | 1991 Marcus Ave, Suite M202, New Hyde Park, NY 11042-2057 | 2017-01-16 |
| 1225482573 | Samera Ahmed | Occupational Therapist | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2016-04-22 |
| 1043676471 | Jessica Marie Mennella | Nurse Practitioner | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2016-01-14 |
| 1710342092 | Kristine R Pascuma | Registered Nurse | 1991 Marcus Ave, Suite M 100, New Hyde Park, NY 11042-2057 | 2015-12-30 |
| 1912362260 | Northwell Dermatology | Dermatology | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2015-12-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 2080P0205X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Endocrinology |
| A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689864225 | Yeouching Hsu | Pediatrics | 1991 Marcus Ave, Suit M100, New Hyde Park, NY 11042-2057 | 2007-07-30 |
| 1518169861 | Sharon Joyce Hyman | Pediatrics | 1991 Marcus Ave, Suite M100, New Hyde Park, NY 11042-2057 | 2007-05-31 |
| 1447384722 | Paula Kreitzer | Pediatrics | 269-01 76th Avenue, Lijmc-dept of Pediatrics Endocrinology, New Hyde Park, NY 11040 | 2007-03-16 |
| 1689745770 | Graeme Frank | Pediatrics | 1991 Marcus Ave, Suite M100, New Hyde Park, NY 11042-2057 | 2006-11-13 |
| 1215008305 | Dennis Carey | Pediatrics | Lijmc-dept of Pediatrics, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861771990 | Larisa Anatolievna Rusyn | Pediatrics | 462 1st Ave Rm 8w52, New York, NY 10016-9196 | 2011-08-07 |
| 1285920314 | Yelena Kogelman | Pediatrics | 6701 Bay Pkwy, Brooklyn, NY 11204-4749 | 2011-06-27 |
| 1326346917 | Chitra Sekaran | Pediatrics | 2 Stonytown Rd, Manhasset, NY 11030-1118 | 2011-03-05 |
| 1497908826 | Bronx Pediatrics, PC | Pediatrics | 2869 Grand Concourse Ste 1, Bronx, NY 10468-1966 | 2008-10-29 |
| 1699927228 | Holly Caren Schachner | Pediatrics | 7 Winslow Pl, Larchmont, NY 10538-2612 | 2008-10-14 |
| 1427212612 | Loretta Iazzetti | Pediatrics | Box 1616, One Gustave Levy Place, New York, NY 10029 | 2008-07-16 |
| 1952565228 | Sofia Shapiro | Pediatrics | 192 Rte 117 Bypass Road, Mount Kisco Medical Group, PC, Bedford Hills, NY 10507-2146 | 2008-07-15 |
| 1528183480 | Queens Endocrinology Partners | Pediatrics | 9320 Roosevelt Ave # A, 2nd Fl, Jackson Heights, NY 11372-7904 | 2007-03-20 |
| 1548396914 | Elka E. Jacobson | Pediatrics | 445 Lenox Road Box 49, Suny Downstate Medical Center Pediactrics, Brooklyn, NY 11203 | 2007-02-27 |
| 1275695298 | Paul Saenger | Pediatrics | 150 Lockwood Ave Ste 34, New Rochelle, NY 10801-4914 | 2006-12-15 |
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| City | NEW HYDE PARK |
| Zip Code | 11042 |
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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.