RALPH BEAUBRUN (NPI# 1144697483) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144697483 |
| Entity Type | Individual |
| Full Name | RALPH BEAUBRUN |
| Credential | SA-C |
| Practice Address |
5205 Church Ave Brooklyn NY 11203-3513 |
| Mailing Address |
1259 Flatbush Ave Apt 3b Brooklyn NY 11226-7607 |
| Practice Telephone | 7186888088 |
| Mailing Telephone | 3474992912 |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
15446 | NY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
5205 CHURCH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962462416 | Igor Khutoretskiy | Specialist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2006-03-27 |
| 1114324696 | Afam Family Dental Pllc | Dentist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2014-11-26 |
| 1316289853 | American Comprehensive Healthcare Medical Group. PC | Specialist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2013-03-22 |
| 1033475157 | Lenore Shamah | Dietitian, Registered | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2012-04-03 |
| 1063718435 | Afam Dental Pllc | Dentist | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2011-02-02 |
| 1508176801 | Anna Kapustina | Physician Assistant | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2010-10-20 |
| 1316195530 | Afam Dental Associates P C | Dentist | 5205 Church Ave, 2nd Fl, Brooklyn, NY 11203-3513 | 2008-08-29 |
| 1477723468 | Jane Jaroonnarm | Dentist | 5205 Church Ave, Floor 2, Brooklyn, NY 11203-3513 | 2008-03-05 |
| 1659576726 | Afam Dental Associates, LLP | Dentist | 5205 Church Ave, 2nd Floor, Dental Suite, Brooklyn, NY 11203-3513 | 2007-06-19 |
| 1184830689 | Yamit Busidan | Obstetrics & Gynecology | 5205 Church Ave, Brooklyn, NY 11203-3513 | 2007-05-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174094031 | Ygnacio Trinidad Mosquea Farias | Specialist/Technologist, Other | 811 Pine St Fl 2, Brooklyn, NY 11208-5527 | 2018-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922611599 | Fritz Damas Francois | Specialist/Technologist, Other | 159 S Lexington Ave Apt 6e, White Plains, NY 10601-4123 | 2020-08-25 |
| 1124650056 | Luis Edgardo Cova Salazar | Specialist/Technologist, Other | 3549 166th St, Flushing, NY 11358-1722 | 2020-02-08 |
| 1336771260 | Samuel Antonio Rodriguez Polanco | Specialist/Technologist, Other | 8824 242nd St, Bellerose, NY 11426-1241 | 2020-02-08 |
| 1073164000 | Freddy Alejandro Hung Balza | Specialist/Technologist, Other | 4046 69th St, Woodside, NY 11377-3836 | 2019-09-20 |
| 1699328401 | Carolina Bejarano Vargas | Specialist/Technologist, Other | 28 Hedgerow Ln, Commack, NY 11725-2731 | 2019-07-20 |
| 1245883040 | Juan Alejandro Lantigua | Specialist/Technologist, Other | 541 W 204th St Apt 3k, New York, NY 10034-4041 | 2019-07-20 |
| 1235782038 | Sergia Melendez | Specialist/Technologist, Other | 2865 University Ave Apt C1, Bronx, NY 10468-2354 | 2019-07-20 |
| 1609429521 | Maria Medina | Specialist/Technologist, Other | 615 Wadleigh Ave, West Hempstead, NY 11552-3714 | 2019-07-19 |
| 1942764998 | Janeth Lebowitz | Specialist/Technologist, Other | 42 Beacon Hill Dr Apt 7a1, Dobbs Ferry, NY 10522-2463 | 2019-01-24 |
| 1144792854 | Rafael Reyes | Specialist/Technologist, Other | 14809 88th Ave Apt 2a, Jamaica, NY 11435-3424 | 2018-12-19 |
| Find all providers with the same taxonomy | ||||
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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.