FORT WASHINGTON MEDICAL OFFICE PC (NPI# 1205870078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205870078 |
| Entity Type | Organization |
| Organization Name | FORT WASHINGTON MEDICAL OFFICE PC |
| Practice Address |
66 Fort Washington Ave New York NY 10032-4711 |
| Practice Telephone | 2129270013 |
| Practice Fax Number | 2129270014 |
| Mailing Telephone | 2129270013 |
| Mailing Fax Number | 2129270014 |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2011-01-05 |
| Authorized Official Name | DR. FAUSTO A GONZALEZ (PARTNER/OWNER) |
| Authorized Official Telephone | 2129270013 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | 229968 | NY | Managed Care Organizations |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03288346 | 05 |
| Street Address |
66 FORT WASHINGTON AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-4711 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760407084 | Luis Antonio Vasquez | Legal Medicine | 66 Fort Washington Ave, Fort Washington Medicall Office, New York, NY 10032-4711 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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|---|---|---|---|---|
| 1124563879 | Pascale Gousseland, Ph.d | Point of Service | 117 E 71st St, Suite A, New York, NY 10021-4215 | 2017-01-04 |
| 1386015824 | Reina Sara Park Avenue | Point of Service | 71 Park Ave Ste 1c, New York, NY 10016-2507 | 2015-10-09 |
| 1720412703 | Aa Plus Managerment Inc | Point of Service | 225 Park Row, New York, NY 10038-1144 | 2013-08-27 |
| 1043465602 | Laser & Mohs Surgery of New York Pllc | Point of Service | 130 W 42nd St Ste 1805, New York, NY 10036-7902 | 2008-11-24 |
| 1861600397 | Cohens Optical | Point of Service | 2561 Broadway, New York, NY 10025-5657 | 2007-05-18 |
| 1992826713 | Dr. John W. Wolf Dds, PC | Point of Service | 212 W 15th St Fl 1, New York, NY 10011-6501 | 2007-04-02 |
| 1710586086 | Charles Saha Md PC | Point of Service | 120 E 86th St Fl 2, New York, NY 10028-1062 | 2020-10-19 |
| 1255868634 | Maya E Kunofsky Np Psychiatry PC | Point of Service | 1115 Broadway Fl 12, New York, NY 10010-3452 | 2017-05-17 |
| 1740715150 | Nios Spa | Point of Service | 315 W 57th St, Suite 308, New York, NY 10019-3158 | 2017-04-23 |
| 1417407628 | Guy Pasculli Lcsw PC | Point of Service | 200 W 18th St Apt 5h, New York, NY 10011-4521 | 2016-10-12 |
| Find all providers in NEW YORK | ||||
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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.