JACK P PARILLO


Address: 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618
Phone: 5186773961

JACK P PARILLO (NPI# 1144438128) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144438128
Entity Type Individual
Full Name JACK P PARILLO
Credential MD
Practice Address 35 Gilbert St
Cambridge Family Health Center
Cambridge
NY 12816-2618
Mailing Address Po Box 304
Glens Falls
NY 12801-0304
Practice Telephone 5186773961
Practice Fax Number 5186773180
Mailing Telephone 5186773961
Mailing Fax Number 5186773180
Enumeration Date 2007-05-21
Last Update Date 2012-06-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine 145074 NY Allopathic & Osteopathic Physicians
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
145074-1 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY BLUE CROSS 68E431 01
NY MVP 91032 01
NY CDPHP 10017565 01
NY PREFERRED CARE 145074A 01
NY SENIOR BLUE 000462005001 01
NY 00650266 05

Office Location

Street Address 35 GILBERT ST
CAMBRIDGE FAMILY HEALTH CENTER
City CAMBRIDGE
State NY
Zip Code 12816-2618

Providers in the same location

NPI Name Taxonomy Address Enumeration
1538157623 Jennifer Baker-porazinski Family Medicine 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 2005-10-12
1780174516 Janet M Oliver Nurse Practitioner 35 Gilbert St, Cambridge, NY 12816-2618 2018-05-17
1306272687 Melanie C Clark Nurse Practitioner 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 2013-09-19
1598012015 Glens Falls Hospital Inc Family Medicine 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 2012-08-15
1235425653 William P. Keating Social Worker 35 Gilbert St, Cambridge, NY 12816-2618 2011-06-23
1528363009 Peter J Hughes Physical Therapist 35 Gilbert St, Cambridge, NY 12816-2618 2011-01-14
1225150717 Raymond J Short Social Worker 35 Gilbert St, Cambridge, NY 12816-2618 2007-04-04
1861574055 Howard A Freed Emergency Medicine 35 Gilbert St, Cambridge, NY 12816-2618 2006-10-19
1134212673 Gayle B Depan-cartier Physician Assistant 35 Gilbert St, Cambridge, NY 12816-2618 2006-10-02
1285678938 Ella Ruth Derbyshire Family Medicine 35 Gilbert St, Cambridge Family Health Center, Cambridge, NY 12816-2618 2006-06-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558477596 Ellen Marie Biggers Obstetrics & Gynecology 22 North Park Street, Cambridge, NY 12816 2006-08-22
1750385381 Joanne Steele Nurse Practitioner 57 W Main St, Cambridge, NY 12816 2005-06-10
1669513685 Francis Stanley Pultorak Dentist 14 Myrtle Ave, Cambridge, NY 12816-1004 2007-02-11
1104442839 Icc Management & Consulting, Inc Assisted Living Facility 11 S Union St, Cambridge, NY 12816-1008 2020-06-18
1861640526 Bridget O Rowan Pharmacist 55 W Main St, Cambridge, NY 12816-1021 2008-09-05
1457433260 Ohearns Pharmacy Inc Pharmacist 55 W Main St, Cambridge, NY 12816-1021 2006-10-20
1518935741 Heather K Alden Chiropractor 57 W Main St, Cambridge, NY 12816-1021 2006-03-14
1699094656 Michael Fredrick Bohley Counselor 84 W Main St, Suite 2, Cambridge, NY 12816-1086 2010-05-28
1154501872 David Lester Pharmacist 2 N Park St, Cambridge, NY 12816-1105 2007-11-09
1356450662 Rite Aid of New York Inc Durable Medical Equipment & Medical Supplies 2 North Park Street, Cambridge, NY 12816-1105 2006-08-30
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720253156 Farbod Nicholas Rahaghi Internal Medicine 73 Martin St, Apt 46, Cambridge, MA 02138-1641 2008-04-27
1164554945 Susan Michele Cowley Internal Medicine 330 Mount Auburn St, Cambridge, MA 02138-5502 2007-03-09
1144393844 Elena Tilly Internal Medicine 300 Byrn St, Dorchester General Hospital, Cambridge, MD 21613-1908 2006-11-17
1992779623 Carey Thomson Internal Medicine 300 Mount Auburn St, Suite 419, Cambridge, MA 02138-5600 2006-02-17

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1225508179 Critical Care Telemedicine, Pllc Internal Medicine 1971 Western Ave # 197, Albany, NY 12203-5066 2018-12-04
1962908376 Jan Bakker Internal Medicine 555 First Ave, New York, NY 10016 2018-04-04
1124543095 Ccmma Nj LLC Internal Medicine 224 W 18th St Apt 8a, New York, NY 10011-4558 2017-08-11
1538698642 Medical Care for All PC Internal Medicine 22 E 41st St Fl 4, New York, NY 10017-6280 2017-06-12
1437606050 Sleep Solutions Inc. Internal Medicine 2446 East Tremont Avenue, Bronx, NY 10461-2817 2016-09-01
1841609302 Laura Miranda Internal Medicine 4750 59th St, Woodside, NY 11377-5570 2014-08-10
1104236611 Britta Kumley Internal Medicine 450 Clarkson Ave # Sl-50, Brooklyn, NY 11203-2012 2014-05-06
1467872739 Glen Thomas Granati Internal Medicine Mather Hospital, 75 N Country Rd, Port Jefferson, NY 11777 2014-04-24
1497172548 Michael Joseph Lau Internal Medicine 39 Brentwood Rd Ste 102, Bay Shore, NY 11706-8031 2014-03-26
1821431164 Nidhi Kavi Internal Medicine 56 Myles Ave, Levittown, NY 11756-1717 2013-04-16
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City CAMBRIDGE
Zip Code 12816

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Dataset Information

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.

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