DR. WILSON DOMINGO HEREDIA NUNEZ (NPI# 1255776589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255776589 |
| Entity Type | Individual |
| Full Name | DR. WILSON DOMINGO HEREDIA NUNEZ |
| Credential | M.D. |
| Practice Address |
5 East 98th Street Fl 1, Rm# F1-116 New York NY 10029 |
| Practice Telephone | 2122417076 |
| Mailing Telephone | 2122417076 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0402X |
Psychiatry & Neurology Specialization: Neurology with Special Qualifications in Child Neurology |
299483 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1650 Grand Concourse, Bronx, NY 104577606 | 7189601417 |
| Street Address |
5 EAST 98TH STREET FL 1, RM# F1-116 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386625994 | Lori Garjian | Physical Medicine & Rehabilitation | 5 East 98th Street, New York, NY 10029 | 2005-11-10 |
| 1316427248 | Alexander Spiessberger | Student in an Organized Health Care Education/Training Program | 5 East 98th Street, 4th Floor, New York, NY 10029 | 2018-08-20 |
| 1902318223 | Alexa Engelman | Nurse Practitioner | 5 East 98th Street, 10th Floor, New York, NY 10029-6574 | 2017-10-26 |
| 1669994349 | Elena A Katsanos | Physician Assistant | 5 East 98th Street, New York, NY 10029-6504 | 2017-07-13 |
| 1447634647 | Chiara Rocha | Transplant Surgery | 5 East 98th Street, New York, NY 10029-6574 | 2015-07-17 |
| 1639494685 | Gretchen K Mathewson | Nurse Practitioner | 5 East 98th Street, Box 1138, New York, NY 10029-6501 | 2010-04-01 |
| 1407093511 | Elizabeth Mathews Chacko | Pediatrics | 5 East 98th Street, New York, NY 10029 | 2009-01-12 |
| 1568624534 | Ganesh Gunasekaran | Surgery | 5 East 98th Street, New York, NY 10029-6574 | 2008-06-30 |
| 1134389240 | Orli Rosen | Internal Medicine | 5 East 98th Street, Mount Sinai Hospital - Endocrinology Associates, New York, NY 10029 | 2008-06-11 |
| 1316110281 | Gustavo Gabriel Fernandez-ranvier | Surgery | 5 East 98th Street, 3rd Fl, New York, NY 10029 | 2008-04-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 2084N0402X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology with Special Qualifications in Child Neurology |
| A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538665971 | Kristen Barbour | Psychiatry & Neurology | 505 E 70th St # 611, New York, NY 10021-4872 | 2018-04-04 |
| 1629452685 | Inge Anita Meijer | Psychiatry & Neurology | 10 Union Sq E Fl 5, Suite 5k, New York, NY 10003-3314 | 2015-07-18 |
| 1760809719 | Danielle Brigham | Psychiatry & Neurology | 710 W 168th St Fl 7, New York, NY 10032-3726 | 2014-03-27 |
| 1285808287 | Jason Brant Carmel | Psychiatry & Neurology | 180 Fort Washington Ave Rm 540, New York, NY 10032-3735 | 2008-04-22 |
| 1255514469 | Douglas Michael Sproule | Psychiatry & Neurology | 180 Fort Washington Ave Fl 5, Harkness Pavilion, Columbia-presbyterian Medical Center, New York, NY 10032-3735 | 2007-12-11 |
| 1073609327 | John Timothy Wells | Psychiatry & Neurology | 109 E 67th St, New York, NY 10021-5901 | 2006-10-05 |
| 1013939545 | Samuel Apeatu | Psychiatry & Neurology | 225 Broadway Ste 705, New York, NY 10007 | 2006-07-24 |
| 1215962055 | Syed Hosain | Psychiatry & Neurology | 1865 Amsterdam Ave, Lower Level, New York, NY 10031-1716 | 2006-07-11 |
| 1487600953 | Cigdem Inan Akman | Psychiatry & Neurology | 180 Ft Washingtn Ave, New York, NY 10032-3722 | 2006-05-26 |
| 1902469083 | Aishat Anuoluwapo Bakare | Psychiatry & Neurology | 525 E 68th St, New York, NY 10065-4870 | 2019-04-15 |
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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.