VIVE MEDICAL PLLC (NPI# 1164994034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164994034 |
| Entity Type | Organization |
| Organization Name | VIVE MEDICAL PLLC |
| Practice Address |
1250 Ocean Pkwy Brooklyn NY 11230-5155 |
| Mailing Address |
1 Irving Pl Apt V16i New York NY 10003-9716 |
| Practice Telephone | 7185003505 |
| Mailing Telephone | 3059293376 |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |
| Authorized Official Name | MS. MAYA KORCH (MANAGER) |
| Authorized Official Telephone | 3059293376 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207NS0135X |
Dermatology Specialization: Procedural Dermatology |
Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
| Y | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians |
| Street Address |
1250 OCEAN PKWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11230-5155 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942292941 | Shomer Israelian | Dentist | 1250 Ocean Pkwy, Brooklyn, NY 11230-5155 | 2005-08-17 |
| 1285655530 | Yelena Shilimova M.d., P.C. | Internal Medicine | 1250 Ocean Pkwy, Brooklyn, NY 11230-5155 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891392940 | Dr Omolola Omishore Pt, P.C. | Physical Therapist | 1138 Ocean Ave Apt 6i, Brooklyn, NY 11230 | 2020-10-01 |
| 1902411531 | Limelite Recovery Inc. | Durable Medical Equipment & Medical Supplies | 1599 E 15th St 5th Fl. Ste B, Brooklyn, NY 11230 | 2020-09-10 |
| 1861054793 | Morris Kiss | Case Manager/Care Coordinator | 1851 Coney Island Ave., Brooklyn, NY 11230 | 2019-07-01 |
| 1679047062 | Katherine Michelle Moreno | Social Worker | 1309 -1311 Foster Ave, Brooklyn, NY 11230 | 2019-01-18 |
| 1295229987 | Alexander Kuravsky | Specialist | 890 E. 14th St Apt A2, Brooklyn, NY 11230 | 2018-06-18 |
| 1740787308 | Madelaine Paula Wolfond | Social Worker | 1309-1311 Foster Ave., Brooklyn, NY 11230 | 2018-04-10 |
| 1245746288 | Nora Salaheldin Ahmed I | Physical Therapist | 1440 Ocean Parkway,4k, Brooklyn, NY 11230 | 2017-12-27 |
| 1124539192 | Victoria Zavalunova | Case Manager/Care Coordinator | 716 Ocean Pkwy Apt 6c, Brooklyn, NY 11230 | 2017-10-18 |
| 1841717576 | John Philip Gaac | Physical Therapist | 954 E 15th St Apt 3c, Brooklyn, NY 11230 | 2017-08-23 |
| 1134641707 | Brenda E Leibowitz | Speech-Language Pathologist | 864 East 13th Street, Brooklyn, NY 11230 | 2017-07-14 |
| Find all providers in zip 11230 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144684614 | Meagan Sara Keefe | Dermatology | 32 Court St Ste 302, Brooklyn, NY 11201-4408 | 2016-04-11 |
| 1215331228 | Centurion Dermatology PC | Dermatology | 6811 Fort Hamilton Parkway, Brooklyn, NY 11219 | 2014-10-20 |
| 1215349394 | Gladstein Medical Care PC | Dermatology | 1946 Coney Island Ave, Suite 3, Brooklyn, NY 11223-2329 | 2014-05-23 |
| 1578829198 | Sameer Bashey | Dermatology | 387 6th Ave, Brooklyn, NY 11215-3309 | 2012-04-09 |
| 1588938807 | Rachel Rubinstein | Dermatology | 1476 54th St, Brooklyn, NY 11219-4227 | 2012-03-05 |
| 1861775462 | Daniel J Tanner | Dermatology | 1401 55 Street, 5b, Brooklyn, NY 11219 | 2011-09-21 |
| 1639485469 | Aln Medical PC | Dermatology | 7819 Bay Pkwy, Brooklyn, NY 11214-1507 | 2010-08-31 |
| 1053622464 | Dr Stuart R Levine Dermatology and Dermatologic Surgery PC | Dermatology | 1717 86 St, Brooklyn, NY 11214-2817 | 2010-06-30 |
| 1083934087 | Karen Laura Hammerman | Dermatology | 2408 Ocean Ave, Brooklyn, NY 11229-3565 | 2010-06-02 |
| 1073740460 | Irene Josephine Vergilis-kalner | Dermatology | 2727 Ocean Pkwy Ste L1, Brooklyn, NY 11235-7848 | 2009-06-12 |
| 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.