MADISON PHYSICIAN PRACTICE PC


Address: 983 Park Ave # 1d, New York, NY 10028-0808
Phone: 2124278761

MADISON PHYSICIAN PRACTICE PC (NPI# 1194206441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194206441
Entity Type Organization
Organization Name MADISON PHYSICIAN PRACTICE PC
Practice Address 983 Park Ave # 1d
New York
NY 10028-0808
Mailing Address 983 Park Ave Ste 1d
New York
NY 10028-0808
Practice Telephone 2124278761
Practice Fax Number 2124278762
Mailing Telephone 2124278761
Enumeration Date 2018-08-24
Last Update Date 2018-08-24
Authorized Official Name ANGELA LAZA (BILLING MANAGER)
Authorized Official Telephone 6463510911
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 983 PARK AVE # 1D
City NEW YORK
State NY
Zip Code 10028-0808

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1427601574 Vasileios Bouris Student in an Organized Health Care Education/Training Program 152 E 84th St., Manhattan, New York, NY 10028 2019-07-18
1770049728 Kinetic Kids Occupational Therapy Pllc Occupational Therapist 312 E 85th Street, Ba, New York, NY 10028 2019-02-14
1447744909 Blueprint-nutrition P.l.l.c. Dietitian, Registered 345 E. 81st Street, Apt 5d, New York, NY 10028 2018-06-19
1073024840 Katrina Dever Nurse Practitioner 12 E 86th St Ofc 4c, New York, NY 10028 2017-10-19
1255853610 Alison C Baker Social Worker 1035 Park Avenue, #8b, New York, NY 10028 2017-07-07
1427411248 Bibek Gurung Registered Nurse 517 E 83rd Street, Apt 3w, Ny, NY 10028 2016-03-30
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205265030 Jeana Joseph Family Medicine 1275 1st Ave, New York, NY 10065-5605 2013-11-02
1932460151 Lyubov Gritsenko Family Medicine 400 Ft. Washington Ave., Suite 1a, New York, NY 10033 2012-06-05
1417233735 Robert Tabrizi Family Medicine 216 Fort Washington Ave, New York, NY 10032-1322 2011-11-01
1295980795 Virginia Gerhart Soules Family Medicine 407 Central Park W Apt 2c, New York, NY 10025-4803 2008-11-25
1073772794 Randolph (randy) Eric Gross Family Medicine 161 William Street, Office 508, New York, NY 10038 2008-06-06
1518087030 Lohrasb Ahmadian Family Medicine 160 West 26th Street, New York, NY 10001 2007-03-29
1831286897 Virgilio A. Valdez Family Medicine 619 W 176th St Ofc A, New York, NY 10033-7829 2006-10-09
1609980044 Michelle Li Family Medicine 420 E 51st St, Office A, New York, NY 10022-8014 2006-08-19
1346269636 Teresa Cuadra Family Medicine 275 7th Ave Fl 4, New York, NY 10001-6757 2006-07-18
1841290046 Debbian Fletcher-blake Family Medicine 30 E 33rd St, 5th Floor, New York, NY 10016-5337 2005-07-28
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Competitor

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City NEW YORK
Zip Code 10028

Improve Information

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Dataset Information

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.

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