STUYVESANT MEDICAL GROUP (NPI# 1235304627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235304627 |
| Entity Type | Organization |
| Organization Name | STUYVESANT MEDICAL GROUP |
| Practice Address |
430 E 20th St Suite Mf New York NY 10009-8202 |
| Practice Telephone | 2126731135 |
| Practice Fax Number | 2129825443 |
| Mailing Telephone | 2126731135 |
| Mailing Fax Number | 2129825443 |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-11-06 |
| Authorized Official Name | DR. THEODORE FREILICH (OWNER) |
| Authorized Official Telephone | 2126731135 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 214931 | NY | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 86598 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
430 E 20TH ST SUITE MF |
| City | NEW YORK |
| State | NY |
| Zip Code | 10009-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861582959 | Sumner I Schwarz | Dentist | 430 E 20th St, Suite Mh, New York, NY 10009-8201 | 2006-10-13 |
| 1366642308 | Harry Bruce Pascal | Dentist | 430 E 20th St, Suite Mh, New York, NY 10009-8201 | 2007-07-18 |
| 1053358242 | James Michael Boyle | Counselor | 430 E 20th St, 10b, New York, NY 10009-8201 | 2006-05-31 |
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| 1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
| 1083187728 | Catherine Ngai | Physical Therapist | 63 Avenue A, New York, NY 10009 | 2019-01-05 |
| 1194203273 | Seif Abobakr Mohamed Eldib | Pharmacist | 221 East 2nd Street, Apt 2f, New York, NY 10009 | 2018-08-01 |
| 1912496365 | Jeremy Ying | Student in an Organized Health Care Education/Training Program | Fierman Hall, Room 9f02, 317 East 17th St, New York, NY 10009 | 2018-05-01 |
| 1750895041 | Shane Health and Strength Physical Therapy LLC | Physical Medicine & Rehabilitation | 280 E 10th St, New York, NY 10009 | 2017-11-22 |
| 1639605892 | Ramonita Garcia | Specialist | 523 East 14 Street Apt. 6g, New York, NY 10009 | 2017-05-10 |
| 1699212308 | Christina Crowder | Physical Therapist | 435 East 12th Street Apt 6, New York, NY 10009 | 2017-01-20 |
| 1528514841 | Katey Bernard | Specialist | 655 East 14th Street, Apt. Me, New York, NY 10009 | 2016-08-28 |
| 1255884474 | Ashley Long | Behavioral Analyst | 521 E 12th St Apt Gfe, New York, NY 10009 | 2016-07-25 |
| Find all providers in zip 10009 | ||||
| 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. |
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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.