DR. SHYAM SUNDER PRABHAKAR (NPI# 1215935945) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215935945 |
| Entity Type | Individual |
| Full Name | DR. SHYAM SUNDER PRABHAKAR |
| Credential | M.D. |
| Practice Address |
865 Merrick Rd Suite 204 Baldwin NY 11510-3338 |
| Practice Telephone | 5162237744 |
| Practice Fax Number | 5162237221 |
| Mailing Telephone | 5162237744 |
| Mailing Fax Number | 5162237221 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2010-10-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
134367 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | EMPIRE BLUE CROSS & BLUE | 344111 | 01 |
| NY | 00319306 | 05 |
| Street Address |
865 MERRICK RD SUITE 204 |
| City | BALDWIN |
| State | NY |
| Zip Code | 11510-3338 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912903154 | Anamika Patni | Internal Medicine | 865 Merrick Rd, Suite 301, Baldwin, NY 11510-3338 | 2005-06-22 |
| 1356700066 | Psychology Practice | Clinic/Center | 865 Merrick Rd, #305, Baldwin, NY 11510-3338 | 2016-02-23 |
| 1669897005 | Maura Ellen Anderson | Massage Therapist | 865 Merrick Rd, Suite # 201, Baldwin, NY 11510-3338 | 2014-02-21 |
| 1336580851 | South Baldwin Facilities Management Corp | Urology | 865 Merrick Rd, Baldwin, NY 11510-3338 | 2013-07-12 |
| 1841552312 | Dacmedicine, PC | Pediatrics | 865 Merrick Rd, Suite 206, Baldwin, NY 11510-3338 | 2012-06-11 |
| 1609134717 | Antigone Christos Hatzimihalis | Nurse Practitioner | 865 Merrick Rd, Suite 206, Baldwin, NY 11510-3338 | 2012-04-26 |
| 1861764706 | Judith Mckenzie | Nurse Practitioner | 865 Merrick Rd, Baldwin, NY 11510-3338 | 2012-02-08 |
| 1285921726 | Vinoth K Chandra Mohan | Physical Therapist | 865 Merrick Rd, Suite Number 201, Baldwin, NY 11510-3338 | 2011-07-06 |
| 1346570322 | Gina Revzin | Physician Assistant | 865 Merrick Rd, Suite 203, Baldwin, NY 11510-3338 | 2010-01-13 |
| 1578891073 | Newyork Pediatrics Pllc | Pediatrics | 865 Merrick Rd, Suite :305, Baldwin, NY 11510-3338 | 2009-11-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952810657 | Garfield Patrick | Nurse Practitioner | 2044 Pine Street, Baldwin, NY 11510 | 2017-09-25 |
| 1447794557 | Amanda Rose Marcos | Specialist/Technologist | 2830 Laurel Ave, Baldwin, NY 11510 | 2016-12-08 |
| 1184170896 | Steffany Lissette Martinez | Home Health | 606 Rose Blvd, Baldwin, NY 11510 | 2016-09-01 |
| 1992188429 | Robert Bunstead | Specialist | 2475 Soper Ave., Baldwin, NY 11510 | 2015-07-01 |
| 1376926907 | Hazel Mckain | Registered Nurse | 1011 Alexander Pl, North Baldwin, NY 11510 | 2015-07-01 |
| 1922481605 | Nonie Craige | Social Worker | 2811 Tulip Ave, Baldwin, NY 11510 | 2015-06-30 |
| 1942625058 | Stefanie Scherner | Massage Therapist | 2789 Milburn Ave, Baldwin, NY 11510 | 2014-02-26 |
| 1497090476 | Thelma B Grant | Midwife | 1323 Tanwood Dr., Baldwin, NY 11510 | 2012-12-03 |
| 1366712432 | Maria Carmen Antoine | Psychologist | 3098 Ann St, Baldwin, NY 11510 | 2012-01-06 |
| 1992003818 | Carole Marie Mondesir | Nurse Practitioner | 489 Demott Avenue, Baldwin, NY 11510 | 2011-03-01 |
| Find all providers in zip 11510 | ||||
| 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 |
|---|---|---|---|---|
| 1396071445 | Grand Medical Baldwin | Internal Medicine | 1651 Grand Ave, Baldwin, NY 11510 | 2009-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
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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.