LUTHERAN MEDICAL CARE PLLC (NPI# 1134410780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134410780 |
| Entity Type | Organization |
| Organization Name | LUTHERAN MEDICAL CARE PLLC |
| Practice Address |
8201 4th Ave Apt 1d Brooklyn NY 11209-4429 |
| Practice Telephone | 7186305409 |
| Practice Fax Number | 7187485467 |
| Mailing Telephone | 7186305409 |
| Mailing Fax Number | 7187485467 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2011-04-29 |
| Authorized Official Name | DR. EUGENE GIBILARO (PRESIDENT) |
| Authorized Official Telephone | 7186305409 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LUTHERAN MEDICAL CARE PLLC | 1303 Clove Road, Staten Island, Ny 10301 |
| Street Address |
8201 4TH AVE APT 1D |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11209-4429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649897737 | Antar, LLC | Optometrist | 9714 Fourth Ave, Store Front, Brooklyn, NY 11209 | 2020-07-06 |
| 1184250540 | Daily Strength Physical Therapy Pllc | Physical Therapist | 343 Marshall Drive N #2a, Brooklyn, NY 11209 | 2020-03-18 |
| 1306492731 | Penny Planzos | Dentist | 7815 4th Avenue, Brooklyn, NY 11209 | 2019-08-12 |
| 1932660917 | Kristen Elizabeth Dalelio | Social Worker | 9401 4th Ave Fl 1, Brooklyn, NY 11209 | 2019-03-30 |
| 1346706413 | Yelena Lobova | Specialist | 7100 Ridge Blvd Apt 3c, Brooklyn, NY 11209 | 2019-02-13 |
| 1841781648 | Ian Rugg Psychology Pllc | Psychologist | 545 73rd Street, Ground Floor, Brooklyn, NY 11209 | 2018-05-29 |
| 1194227520 | Constantinos Kokkinos | Social Worker | 37 72nd St Apt 1, Brooklyn, NY 11209 | 2018-03-01 |
| 1760905186 | Ankita Luthra | Student in an Organized Health Care Education/Training Program | 470 84th Street Brooklyn, New York, NY 11209 | 2017-07-18 |
| 1700308186 | Griselda Marleny Rodriguez Jorge | Social Worker | 1 74th Street, Apt 4m, Brooklyn, NY 11209 | 2017-07-07 |
| 1932629854 | Jonathan Dennehy | Social Worker | 307 West 38th Street, Suite 817, New York, NY 11209 | 2017-06-21 |
| Find all providers in zip 11209 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1104236611 | Britta Kumley | Internal Medicine | 450 Clarkson Ave # Sl-50, Brooklyn, NY 11203-2012 | 2014-05-06 |
| 1790031151 | Samir. A. Farhat, M.d., P.C. | Internal Medicine | 421 77th St, Ground Floor, Brooklyn, NY 11209-3205 | 2012-08-03 |
| 1093016149 | Anne Elizabeth Wyman | Internal Medicine | 450 Clarkson Ave # Msc19, Brooklyn, NY 11203 | 2010-11-05 |
| 1972778520 | Lillian Chow | Internal Medicine | 450 Clarkson Ave # 19, Brooklyn, NY 11203-2012 | 2008-04-24 |
| 1346441714 | New York Pulmonary & Sleep Medicine Consultant Pllc | Internal Medicine | 428 Graham Aveune, Brooklyn, NY 11211 | 2007-05-31 |
| 1124159694 | Spiro Demetis Physician PC | Internal Medicine | 9001 Fort Hamilton Pkwy, Brooklyn, NY 11209-6408 | 2007-03-08 |
| 1437224656 | Eli Baladad Alegado | Internal Medicine | 4115 Ritchie Highway, Brooklyn, MD 21225 | 2006-11-22 |
| 1043267610 | Eugene Gibilaro | Internal Medicine | 421 78th St Ste B, Brooklyn, NY 11209-3447 | 2006-05-28 |
| 1154376499 | Prabhat Soni | Internal Medicine | 2519 Avenue O, Brooklyn, NY 11210-5230 | 2006-05-24 |
| 1477520245 | Igor Chernyavskiy | Internal Medicine | 2625 E 14th St, Suite 201, Brooklyn, NY 11235-3973 | 2006-03-01 |
| Find all providers in BROOKLYN | ||||
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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.