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).
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 |
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 |
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 |
Street Address |
35 GILBERT ST CAMBRIDGE FAMILY HEALTH CENTER |
City | CAMBRIDGE |
State | NY |
Zip Code | 12816-2618 |
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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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 |
Find all providers in zip 12816 |
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 |
---|---|---|---|---|
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 |
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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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.