THERESA ELIZABETH PONDOK (NPI# 1184823189) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184823189 |
| Entity Type | Individual |
| Full Name | THERESA ELIZABETH PONDOK |
| Credential | MD |
| Practice Address |
102 Park Ave Yonkers NY 10703-2934 |
| Practice Telephone | 9147513524 |
| Practice Fax Number | 9147513525 |
| Mailing Telephone | 9147513524 |
| Mailing Fax Number | 9147513525 |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2019-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
235764 | NY | Allopathic & Osteopathic Physicians |
| N | 207UN0901X |
Nuclear Medicine Specialization: Nuclear Cardiology |
235764 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
102 PARK AVE |
| City | YONKERS |
| State | NY |
| Zip Code | 10703-2934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770571135 | Jose L Lantin | Internal Medicine | 102 Park Ave, 2nd Floor, Yonkers, NY 10703-2934 | 2005-10-11 |
| 1447726526 | Ansu Vergis | Family Medicine | 102 Park Ave, Yonkers, NY 10703-2934 | 2018-10-16 |
| 1598249484 | Daniel Iannello | Physician Assistant | 102 Park Ave, Yonkers, NY 10703-2934 | 2018-09-18 |
| 1679964779 | Kam Kwan Lau | Physician Assistant | 102 Park Ave, Yonkers, NY 10703-2934 | 2015-02-10 |
| 1801290390 | Domenico Tolomeo | Physician Assistant | 102 Park Ave, Yonkers, NY 10703-2934 | 2014-10-13 |
| 1134540214 | Caroline Henry | Pharmacist | 102 Park Ave, Yonkers, NY 10703-2934 | 2013-12-17 |
| 1982025029 | Adam Lau, LLC | Clinic/Center | 102 Park Ave, Yonkers, NY 10703-2934 | 2013-12-16 |
| 1689970683 | Joonsuk Jun | Physician Assistant | 102 Park Ave, Yonkers, NY 10703-2934 | 2011-02-08 |
| 1902112501 | Listy Joseph | Physician Assistant | 102 Park Ave, Yonkers, NY 10703-2934 | 2010-08-20 |
| 1801113683 | Marietta Ecarma Go | Internal Medicine | 102 Park Ave, Yonkers, NY 10703-2934 | 2010-05-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154865269 | Marvin Burgos | Specialist/Technologist, Other | 150 Parck Av., Yonkers, NY 10703 | 2016-12-08 |
| 1417490707 | Charity Excel Okechukwu | Registered Nurse | 10 Amackassin Terrice, Yonkers, NY 10703 | 2016-11-18 |
| 1164871943 | Dian Theresa Skeete-carter | Registered Nurse | 69 Moquette Row, Yonkers, NY 10703 | 2016-06-13 |
| 1962812214 | Greenburgh-north Castle Ufsd/greenburgh Academy | Local Education Agency (LEA) | 108 Shonnard Place, Yonkers, NY 10703 | 2014-05-07 |
| 1336562735 | Gina Robinson | Social Worker | 147 Bolmer Avenue, Yonkers, NY 10703 | 2014-01-22 |
| 1356684062 | Ana Suarez-tiburcio | Dentist | 22 Mt Pleasant Rd, Yonkers, NY 10703 | 2013-04-01 |
| 1326324179 | Godson Ihuoma Enyia | Registered Nurse | #2 Park Ave, Yonkers Service Center, Yonkers, NY 10703 | 2011-10-25 |
| 1326335175 | Compression Medical Supplies Corp. | Durable Medical Equipment & Medical Supplies | 270 Woodland Avenue, #2, Yonkers, NY 10703 | 2011-06-30 |
| 1396069431 | Theodore Cancel | Counselor | 8 Shonnard Place, Yonkers, NY 10703 | 2010-03-18 |
| 1619106481 | Catherine M Dwyer-warren | Licensed Practical Nurse | 87 High St., 2g, Yonkers, NY 10703 | 2009-07-14 |
| Find all providers in zip 10703 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1134384951 | Sachin Kumar Amruthlal Jain | Internal Medicine | 944 N Broadway Ste 106, Yonkers, NY 10701-1315 | 2008-07-21 |
| 1477753275 | Surendra Kumar Chutani | Internal Medicine | 955 Yonkers Ave Ste 103, Yonkers, NY 10704-3062 | 2007-07-19 |
| 1053465971 | Luiza F Petre | Internal Medicine | 125 Corporate Blvd, Yonkers, NY 10701-6856 | 2007-01-22 |
| 1861540296 | Slawomir Malendowicz Md PC | Internal Medicine | 944 N Broadway Ste 102, Yonkers, NY 10701-1314 | 2007-01-08 |
| 1023054202 | Sang H Kim | Internal Medicine | 1086 N Broadway Ste 240, Yonkers, NY 10701-1115 | 2006-06-22 |
| 1073003190 | Sachin Kumar Amruthlal Jain Cardiovascular P.C. | Internal Medicine | 944 N Broadway Ste 106, Yonkers, NY 10701-1315 | 2018-05-14 |
| 1407193899 | St Joseph's Medical Practice PC | Internal Medicine | 955 Yonkers Ave, Suite 200, Yonkers, NY 10704-3060 | 2013-01-07 |
| 1609177567 | Westchester Cardiovascular, PC | Internal Medicine | 655 Yonkers Ave, Yonkers, NY 10704-2695 | 2010-11-09 |
| 1750693842 | Paul Ginelli | Internal Medicine | 1010 N Broadway, Yonkers, NY 10701-1330 | 2010-07-06 |
| Find all providers in YONKERS | ||||
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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.