MARAT AVSHALUMOV (NPI# 1235366618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235366618 |
| Entity Type | Individual |
| Full Name | MARAT AVSHALUMOV |
| Credential | PH.D |
| Practice Address |
100 Merrick Rd Ste 128w Rockville Centre NY 11570-4821 |
| Practice Telephone | 5162559031 |
| Practice Fax Number | 5162556010 |
| Mailing Telephone | 5162559031 |
| Mailing Fax Number | 5162556010 |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2009-06-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0500X |
Specialist/Technologist, Other Specialization: EEG |
1462 | NY | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
100 MERRICK RD STE 128W |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104062553 | Mihai Dimancescu | Neurological Surgery | 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 | 2009-01-06 |
| 1063987428 | Judyta Glover | Physician Assistant | 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 | 2018-10-11 |
| 1396252862 | Avery Sills | Physician Assistant | 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 | 2018-01-05 |
| 1881103323 | Jillian Danielle Forte | Physician Assistant | 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 | 2017-09-27 |
| 1801106315 | Jaclyn Noelle Amaru | Physician Assistant | 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 246ZE0500X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | EEG |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265057434 | Neuwavez Inc | Specialist/Technologist, Other | 99 Wall St Ste 3883, New York, NY 10005-4301 | 2020-06-12 |
| 1003294000 | Sg Ny Services Corp | Specialist/Technologist, Other | 24 Sharon Dr, Middletown, NY 10941-1675 | 2015-05-11 |
| 1821496043 | Stephanie Moise | Specialist/Technologist, Other | 501 Marshall Ct, Uniondale, NY 11553-2111 | 2014-12-22 |
| 1528373578 | Tri-state Eeg LLC | Specialist/Technologist, Other | 6260 99th St Apt 1227, Rego Park, NY 11374-6030 | 2010-08-15 |
| 1396978920 | Stephen R Beebe | Specialist/Technologist, Other | 1164 Maple Rd, Williamsville, NY 14221-3440 | 2009-08-31 |
| 1770714842 | Justin W Silverstein | Specialist/Technologist, Other | 140 Adams Ave, Suite B-13, Hauppauge, NY 11788-3618 | 2009-08-06 |
| 1023534989 | Haseeb Qazi | Specialist/Technologist, Other | 50 Rose Pl, Garden City Park, NY 11040-5312 | 2017-08-22 |
| 1336697598 | Gurbej Virk | Specialist/Technologist, Other | 140 Adams Ave, Suite B-13, Hauppauge, NY 11788-3618 | 2016-09-16 |
| 1437522612 | Ryan Conant | Specialist/Technologist, Other | 399 Knollwood Rd., Suite 108, White Plains, NY 10603 | 2015-11-10 |
| 1881077055 | Sotirios T Keros | Specialist/Technologist, Other | 425 E 63rd St, Apt. E12f, New York, NY 10065-7804 | 2015-07-07 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on MARAT AVSHALUMOV.
| 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.