DR. ETHAN DAVID LOEB (NPI# 1275727711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275727711 |
| Entity Type | Individual |
| Full Name | DR. ETHAN DAVID LOEB |
| Credential | M.D. |
| Practice Address |
19 Sycamore Ln Roslyn Heights NY 11577-2521 |
| Practice Telephone | 5046067612 |
| Mailing Telephone | 5046067612 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 232033-1 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | A63945 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
19 SYCAMORE LN |
| City | ROSLYN HEIGHTS |
| State | NY |
| Zip Code | 11577-2521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275059669 | Roslyn Family Dental, P.C. | Dentist | 86 Mineola Ave, Roslyn Heights, NY 11577 | 2017-08-17 |
| 1740719822 | Kids R Us Services | Early Intervention Provider Agency | 68 Macgregor Ave, Roslyn Heights, NY 11577 | 2017-06-12 |
| 1598202665 | Jennifer Kaylin Puciloski | Physician Assistant | 125 Mineola Avenue, Suite 200, Roslyn Heights, NY 11577 | 2017-01-26 |
| 1821547746 | Jason David Rosenfeld | Dentist | 216 Willis Ave Ste 1, Roslyn Heights, NY 11577 | 2016-10-04 |
| 1255701892 | Child Services Inc Ny | Case Management | 59 Colony Lane, Roslyn Heights, NY 11577 | 2015-09-25 |
| 1669881405 | Niaz Nassiri | Specialist | 20 Jane St., Roslyn Hts, NY 11577 | 2014-08-06 |
| 1578812525 | Lori Karson | Specialist | 42 Midland Road, Roslyn Heights, NY 11577 | 2012-09-06 |
| 1558627604 | Rona T Weiss | Psychologist | 220 South Service Road, Suite 15, Roslyn Heights, NY 11577 | 2012-04-03 |
| 1679848196 | Kuo-chung Chang | Acupuncturist | 59 Mineola Ave, Roslyn Heights, NY 11577 | 2012-03-16 |
| 1285904359 | Barbara R Silverman | Speech-Language Pathologist | 475 Round Hll Rd, Roslyn Heights, NY 11577 | 2012-01-06 |
| Find all providers in zip 11577 | ||||
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760997779 | Albert Baravarian, Md PC | Internal Medicine | 22 Macgregor Ave, Roslyn Heights, NY 11577-1909 | 2017-12-13 |
| 1710286448 | Marisa Ip | Internal Medicine | 70 Glen Cove Rd Ste 301, Roslyn Heights, NY 11577-1731 | 2011-03-21 |
| 1073774261 | Helen Mary Marks | Internal Medicine | 6 Helen Dr, Roslyn Heights, NY 11577-2229 | 2008-06-19 |
| 1710145404 | Prachi S Dharia | Internal Medicine | 118 Stratford N, Roslyn Heights, NY 11577-2316 | 2008-05-29 |
| 1316123847 | Wayne Howard Wertheim | Internal Medicine | 118 Glen Cove Rd, Roslyn Heights, NY 11577-1718 | 2008-01-15 |
| 1831230168 | Roger Mazlen | Internal Medicine | 30 Middle Neck Road, 1f, Roslyn Heights, NY 11576 | 2007-02-09 |
| 1023160892 | Frank R Vezza | Internal Medicine | 4 Mineola Ave, Roslyn Heights, NY 11577-1032 | 2007-01-18 |
| 1093724221 | Jayesh R Patel | Internal Medicine | 8 Helen Dr, Roslyn Heights, NY 11577-2229 | 2006-08-05 |
| 1295051936 | Carl Ruoff | Internal Medicine | 70 Glen Cove Road, Suite 306, Roslyn Heights, NY 11577 | 2010-04-19 |
| 1366693012 | Jayesh Patel Medical P.C. | Internal Medicine | 8 Helen Dr, Roslyn Heights, NY 11577-2229 | 2008-09-30 |
| Find all providers in ROSLYN HEIGHTS | ||||
| City | ROSLYN HEIGHTS |
| Zip Code | 11577 |
Please comment or provide details below to improve the information on DR. ETHAN DAVID LOEB.
| 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.