ENGRACIO GARY VILLANUEVA (NPI# 1205899606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205899606 |
| Entity Type | Individual |
| Full Name | ENGRACIO GARY VILLANUEVA |
| Credential | MD |
| Practice Address |
3080 Atlantic Ave Brooklyn NY 11208 |
| Mailing Address |
89-06 135th St 7l Jamaica NY 11418 |
| Practice Telephone | 7186470240 |
| Practice Fax Number | 7182778203 |
| Mailing Telephone | 7182066984 |
| Mailing Fax Number | 7182066786 |
| Enumeration Date | 2006-04-08 |
| Last Update Date | 2015-08-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 113865 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3080 ATLANTIC AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558363788 | Anastasia Fokas | Pediatrics | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2005-06-01 |
| 1235518978 | Sherissa Charles | Family Medicine | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2015-05-27 |
| 1588004097 | May Lai | Pediatrics | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2013-06-28 |
| 1760752315 | Natalie M Sauro | Nurse Practitioner | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2012-01-12 |
| 1245482611 | Beth Giaquinto | Physician Assistant | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2008-10-16 |
| 1629105432 | Kathryn Lynn Elshoff | Nurse Practitioner | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2007-02-28 |
| 1396852505 | Irina Ilyayeva | Dentist | 3080 Atlantic Ave, Brooklyn, NY 11208 | 2006-08-24 |
| 1457398620 | Nicolae Mosu | Obstetrics & Gynecology | 3080 Atlantic Ave, Brooklyn, NY 11208-1268 | 2006-05-31 |
| 1326001967 | Susan Philips Abraham | Internal Medicine | 3080 Atlantic Ave, Brooklyn, NY 11208 | 2006-04-06 |
| 1326000977 | Renato Gega | Pediatrics | 3080 Atlantic Ave, Brooklyn, NY 11208 | 2006-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316595564 | Danielle Sharaby-glasser | Nurse Practitioner | Franklin K Lane School Based Health Center, 999 Jamaica Avenue, Brooklyn, NY 11208 | 2019-08-30 |
| 1205320769 | Lucrece Bonostro | Nurse Practitioner | 1804 Liberty Avenue, Brooklyn, NY 11208 | 2018-06-19 |
| 1952824682 | Jeniffer Zephyrine | Psychologist | 318 Milford St, Brooklyn, NY 11208 | 2017-07-25 |
| 1518408822 | Lavern Souvenir | Licensed Practical Nurse | 502 Cleveland, Brooklyn, NY 11208 | 2017-03-20 |
| 1376083378 | Department of Education | General Acute Care Hospital | 923 Elton Street, 2nd Floor, Brooklyn, NY 11208 | 2017-02-24 |
| 1477098606 | Robert Terrelonge | Registered Nurse | 791 Drew St, Brooklyn, NY 11208 | 2016-12-26 |
| 1881140606 | Mana Traore | Social Worker | 761 Essex Street, Brooklyn, NY 11208 | 2016-08-31 |
| 1699121079 | Sarah Bipath | Speech-Language Pathologist | 2944 Pitkin Ave, Brooklyn, NY 11208 | 2016-05-04 |
| 1184087074 | Instacareems | Special Hospital | 688 Crescent Street, Brooklyn, NY 11208 | 2016-03-30 |
| 1073988549 | Mutiat Yusuf | Licensed Practical Nurse | 675 Lincoln Avenue Apt 11m, Brooklyn, NY 11208 | 2015-12-09 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1669099115 | East New York Medical Healthcare PC | Internal Medicine | 2673 Atlantic Ave, Brooklyn, NY 11207-2801 | 2020-07-01 |
| 1083242978 | Quratulain Nasir | Internal Medicine | 8301 Bay Pkwy Apt 603, Brooklyn, NY 11214-2692 | 2020-03-28 |
| 1831723725 | Pitkin Medical Office P.C. | Internal Medicine | 1746 Pitkin Ave Fl 1, Brooklyn, NY 11212-6707 | 2020-02-28 |
| 1083246920 | Dora Johnson | Internal Medicine | 374 Stockholm St # B, Brooklyn, NY 11237-4006 | 2020-02-09 |
| 1245876143 | Richard Casseus | Internal Medicine | 6525 Avenue N, Brooklyn, NY 11234-5622 | 2019-11-26 |
| 1598309569 | Md Care Now P.C. | Internal Medicine | 1849 Utica Ave, Brooklyn, NY 11234-2122 | 2019-11-03 |
| 1609410968 | Zaki Nakach, Md PC | Internal Medicine | 1309 Avenue P Ste 1, Brooklyn, NY 11229-1184 | 2019-10-30 |
| 1881158897 | Yuanli Xie Medical PC | Internal Medicine | 749 61st St Ste 403, Brooklyn, NY 11220-5163 | 2019-01-23 |
| 1689146417 | Frederik Peter Lindberg | Internal Medicine | 30 Garfield Pl Apt 2e, Brooklyn, NY 11215-1963 | 2018-12-18 |
| 1598233033 | Greenfield Medical | Internal Medicine | 1716 E 28th St, Brooklyn, NY 11229-2513 | 2018-11-02 |
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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.