MR. JEFFREY PAUL THIBOUTOT (NPI# 1154610962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154610962 |
| Entity Type | Individual |
| Full Name | MR. JEFFREY PAUL THIBOUTOT |
| Credential | M.D. |
| Practice Address |
1 Gustave L. Levy Place New York NY 10029-5204 |
| Mailing Address |
1 Gustave L Levy Pl Box 3000 New York NY 10029-6504 |
| Practice Telephone | 2122411653 |
| Mailing Telephone | 2129873100 |
| Mailing Fax Number | 2127315210 |
| Enumeration Date | 2011-04-01 |
| Last Update Date | 2014-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 273887 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
1 GUSTAVE L. LEVY PLACE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-5204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609865195 | Vikram Dhawan | Anesthesiology | 1 Gustave L. Levy Place, Mount Sinai Medical Center, New York, NY 10029-6574 | 2005-10-18 |
| 1053929828 | Shamire Juste | Social Worker | 1 Gustave L. Levy Place, New York, NY 10029 | 2020-07-17 |
| 1730704032 | Latisha Johnson | Nurse Practitioner | 1 Gustave L. Levy Place, New York, NY 10029-6574 | 2020-06-11 |
| 1932737376 | Adam Spencer Kornmehl | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Place, New York, NY 10029 | 2020-03-31 |
| 1801423686 | Kunj Bhatt | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Place, New York, NY 10029-6574 | 2020-03-24 |
| 1659917821 | Clara Ceccanti | Social Worker | 1 Gustave L. Levy Place, New York, NY 10029 | 2019-11-22 |
| 1881230324 | Zhaoling He | Social Worker | 1 Gustave L. Levy Place, New York, NY 10029-6574 | 2019-11-19 |
| 1932741881 | Brenda Ramirez | Social Worker | 1 Gustave L. Levy Place, New York, NY 10029 | 2019-10-11 |
| 1750931416 | Zhen Zhao | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Place, New York, NY 10029 | 2019-09-16 |
| 1598311318 | Jennifer Gorman | Social Worker | 1 Gustave L. Levy Place, Mount Sinai Hospital, New York, NY 10029-6504 | 2019-08-16 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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. |
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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.