MR. WALID M ELZOMOR (NPI# 1255374930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1255374930 |
Entity Type | Individual |
Full Name | MR. WALID M ELZOMOR |
Credential | PA-C |
Practice Address |
506 6th St Brooklyn NY 11215-3609 |
Mailing Address |
309 Wedgewood Dr Paramus NJ 07652 |
Practice Telephone | 7187807700 |
Mailing Telephone | 2014833008 |
Enumeration Date | 2006-06-13 |
Last Update Date | 2019-09-20 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00140500 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
010232 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
506 6TH ST |
City | BROOKLYN |
State | NY |
Zip Code | 11215-3609 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053310847 | Peilin Zhang | Pathology | 506 6th St, Brooklyn, NY 11215-3609 | 2005-07-14 |
1922607514 | Sandra Sewanu Ajimavo | Nurse Practitioner | 506 6th St, Brooklyn, NY 11215-3609 | 2020-10-23 |
1831797745 | Lindy Ganthier | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2020-10-13 |
1013521954 | Anna W Ku | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2020-09-08 |
1588289318 | Walid Khass | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2020-06-08 |
1093339996 | Beatrice Saintard | Registered Nurse | 506 6th St, Brooklyn, NY 11215-3609 | 2020-06-05 |
1295359958 | Naomi Acheampong | General Acute Care Hospital | 506 6th St, Brooklyn, NY 11215-3609 | 2020-05-28 |
1932721024 | John Kelly | Physical Therapist | 506 6th St, Brooklyn, NY 11215-3609 | 2020-05-11 |
1134749575 | Jennifer Ann Tokash | Occupational Therapist | 506 6th St, Brooklyn, NY 11215-3609 | 2020-04-24 |
1700406311 | Paul Myung Kim | Student in an Organized Health Care Education/Training Program | 506 6th St, Brooklyn, NY 11215-3609 | 2020-04-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609493584 | Lakshmi Menon | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York-presbyterian Brooklyn Methodis, Brooklyn, NY 11215 | 2020-06-26 |
1083234785 | Yalda Hazrat | Student in an Organized Health Care Education/Training Program | 5066th Street, Brooklyn, NY 11215 | 2020-04-22 |
1548815384 | Brittany Dalbow | Counselor | 732 Carroll Street, Garden Apt, Brooklyn, NY 11215 | 2019-08-08 |
1669032504 | Bilal Ghassan Jaradat | Student in an Organized Health Care Education/Training Program | 506 6th St, Nyp Brooklyn Methodist Hospital, Brooklyn, NY 11215 | 2019-06-13 |
1598322547 | Abeer Ashfaq | Student in an Organized Health Care Education/Training Program | 506 6th Street, New York Presbyterian Brooklyn Methodis, Room 3113, Brooklyn, NY 11215 | 2019-05-24 |
1508422809 | Racha Cassard | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-05-13 |
1972066884 | Nourhan Arafa Kika | Student in an Organized Health Care Education/Training Program | Nyp Brooklyn Methodist Hospital 506 6th St, New York - Brooklyn, NY 11215 | 2019-04-08 |
1891258703 | Mountasir El-tohami | Student in an Organized Health Care Education/Training Program | New York-presbyterian Brooklyn Methodist Hospital, 506 Sixth Street, Brooklyn, NY 11215 | 2019-04-08 |
1386106938 | Anita Krish | Student in an Organized Health Care Education/Training Program | Newyork-presbyterian Brooklyn Methodist Hospital, 506 6th St, Brooklyn, NY 11215 | 2019-04-03 |
1497237549 | Elizabeth Hopkins | Social Worker | 439 9th Street, Suite 1a, Brooklyn, NY 11215 | 2018-09-05 |
Find all providers in zip 11215 |
Taxonomy Code | 363AS0400X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Surgical Technologist |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831736602 | Ll Physician Assistant PC | Physician Assistant | 2279 Coney Island Ave Fl 2, Brooklyn, NY 11223-3337 | 2019-11-29 |
1447716824 | Laura Holmes | Physician Assistant | 401 S 5th St Fl 2, Brooklyn, NY 11211-7426 | 2019-02-11 |
1497206981 | Viktoriya Sionov | Physician Assistant | 6522 Avenue M, Brooklyn, NY 11234-5600 | 2016-10-19 |
1003212994 | Precision Physicians Assistant | Physician Assistant | 149 Dupont St, Apt1, Brooklyn, NY 11222-1279 | 2014-11-05 |
1417386640 | Alexandra Demeglio | Physician Assistant | 1357 Ovington Ave, Brooklyn, NY 11219-6111 | 2013-11-07 |
1659706570 | Lyudmila Trubetsky | Physician Assistant | 2942 W 5th St, Apt. 7t, Brooklyn, NY 11224-3834 | 2013-09-10 |
1831531094 | Julio Alberto Chau | Physician Assistant | 173 Clinton St Apt B, Brooklyn, NY 11201-5640 | 2013-07-29 |
1164799508 | James Earl La Voy | Physician Assistant | 257 Gold St, # 6 J, Brooklyn, NY 11201-2034 | 2011-11-30 |
1629363486 | Michael Joseph Levine | Physician Assistant | 1030 Park Pl Apt B10, Brooklyn, NY 11213-1967 | 2011-06-09 |
1134411630 | Suzanne Cassandra Forde | Physician Assistant | 1850 Brooklyn Avenue, Apt. 4h, Brooklyn, NY 11210-4248 | 2011-05-03 |
Find all providers in BROOKLYN |
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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.