DR. AVI SAMSON RETTER (NPI# 1205894268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205894268 |
| Entity Type | Individual |
| Full Name | DR. AVI SAMSON RETTER |
| Credential | MD |
| Practice Address |
2330 Eastchester Rd Bronx NY 10469-5930 |
| Mailing Address |
1500 Route 112 Bldg 4 Port Jefferson Station NY 11776-8055 |
| Practice Telephone | 7187324000 |
| Mailing Telephone | 6317513000 |
| Mailing Fax Number | 6315096559 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-01-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
235196-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2330 EASTCHESTER RD |
| City | BRONX |
| State | NY |
| Zip Code | 10469-5930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841289931 | Fabio Volterra | Internal Medicine | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2005-10-20 |
| 1083264253 | Jennifer Grunhut | Physician Assistant | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2019-09-18 |
| 1457831018 | North Shore Hematology Oncology Associates PC | Internal Medicine | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2018-08-14 |
| 1427419225 | Van Nghiem | Physician Assistant | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2016-03-08 |
| 1457737884 | Joseph Tricarico | Pharmacist | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2015-08-07 |
| 1265858583 | Barbara Matallana | Nurse Practitioner | 2330 Eastchester Rd, Bronx, NY 10469-2900 | 2014-03-11 |
| 1780907832 | Ivan Gordon | Pharmacist | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2010-03-03 |
| 1841457959 | Reuven Z Grossman | Radiology | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2008-05-19 |
| 1548303670 | Howard W Bruckner Md PC | Internal Medicine | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2007-02-15 |
| 1073664678 | Sciode Medical Associates, Pllc | Specialist | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2007-01-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
| 1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
| 1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
| 1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
| 1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
| 1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
| 1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
| 1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
| 1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
| 1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
| Find all providers in zip 10469 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902118706 | Abhishek Kumar | Internal Medicine | 1400 Pelham Pkwy S Ste 3n20, Bronx, NY 10461 | 2010-07-08 |
| 1346321593 | Leon C Landau | Internal Medicine | 75 Gunhill Road, Bronx, NY 10467 | 2006-10-17 |
| 1245311414 | Avi I Einzig | Internal Medicine | 1695 Eastchester Road, Suite 304, Bronx, NY 10461 | 2006-10-17 |
| 1285742379 | Petra Rietschel | Internal Medicine | 1825 Eastchester Road, Rm 2s-55, Bronx, NY 10461 | 2006-08-28 |
| 1831206028 | Yeun-hee Anna Park | Internal Medicine | 130 W Kingsbridge Rd # 3c-32, Bronx, NY 10468-3904 | 2006-08-24 |
| 1043240336 | Azriel Hirschfeld | Internal Medicine | 2330 Eastchester Road, Bronx, NY 10469 | 2006-07-03 |
| 1427095785 | Fernando J Camacho | Internal Medicine | 60 E 208th St, Bronx, NY 10467-2702 | 2006-06-02 |
| 1457315780 | Louis Juden Reed | Internal Medicine | 1180 Morris Park Ave, 3rd Floor, Bronx, NY 10461-1925 | 2006-04-13 |
| 1477516755 | Steven E Vogl | Internal Medicine | 2220 Tiemann Ave, Bronx, NY 10469-6441 | 2006-04-08 |
| 1841289931 | Fabio Volterra | Internal Medicine | 2330 Eastchester Rd, Bronx, NY 10469-5930 | 2005-10-20 |
| Find all providers in BRONX | ||||
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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.