DR. SAMUEL ALLADO BANGUG (NPI# 1255420345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255420345 |
| Entity Type | Individual |
| Full Name | DR. SAMUEL ALLADO BANGUG |
| Credential | MD |
| Practice Address |
17013 Hillside Ave Jamaica NY 11432-4546 |
| Mailing Address |
164 Aster Dr New Hyde Park NY 11040-2134 |
| Practice Telephone | 7186572706 |
| Practice Fax Number | 7186572420 |
| Mailing Telephone | 7186572706 |
| Mailing Fax Number | 7186572420 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 235683 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02194883 | 05 |
| Street Address |
17013 HILLSIDE AVE |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-4546 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114263332 | Ma.lourdes Castillo Gonzales,md,pc | Psychiatric Residential Treatment Facility | 17013 Hillside Ave, Jamaica, NY 11432-4546 | 2012-12-14 |
| 1073717542 | Reverb Physical Therapy PC | Physical Therapist | 17013 Hillside Ave, Jamaica, NY 11432-4546 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326384074 | Nevenka K Zic | Pediatrics | 14127 Coolidge Ave, Jamaica, NY 11435-1120 | 2012-12-28 |
| 1760734040 | P & P Pediatric, PC | Pediatrics | 88-10 175th Street, Jamaica, NY 11432-5554 | 2012-10-10 |
| 1992054480 | Sunita Aryal | Pediatrics | 16710 Highland Ave, Jamaica, NY 11432-2626 | 2012-08-30 |
| 1558663351 | Gregory Nayvelt | Pediatrics | 8385 Woodhaven Boulvard, Apt.5a, Jamaica, NY 11421 | 2010-11-30 |
| 1538309596 | Jerome Robert Harris | Pediatrics | 81-12 Main Street, Jamaica, NY 11435 | 2009-03-03 |
| 1134376049 | Most Lutfun Nahar | Pediatrics | 8712 175th St Unit 2a, Jamaica, NY 11432-5776 | 2008-08-21 |
| 1114119740 | Santa Paul | Pediatrics | 17007 Hillside Ave, Jamaica, NY 11432-4546 | 2007-08-17 |
| 1205993334 | Yuriy Khanin | Pediatrics | 10753 Guy R Brewer Blvd, Jamaica, NY 11433-2351 | 2007-01-01 |
| 1528144953 | Elsa Corpuz | Pediatrics | 90-16 Sutphin Blvd, Jamaica, NY 11435 | 2006-10-27 |
| 1518050921 | Louise Ann Liverpool | Pediatrics | 11402 Guy R Brewer Blvd, Jamaica, NY 11434-1234 | 2006-09-30 |
| Find all providers in JAMAICA | ||||
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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.