DEER PARK MEDICAL, P.C. (NPI# 1285264192) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285264192 |
| Entity Type | Organization |
| Organization Name | DEER PARK MEDICAL, P.C. |
| Practice Address |
2103 Deer Park Ave Deer Park NY 11729-1317 |
| Practice Telephone | 6313025700 |
| Mailing Telephone | 6313025700 |
| Mailing Fax Number | 6319185724 |
| Enumeration Date | 2020-01-20 |
| Last Update Date | 2020-01-20 |
| Authorized Official Name | WILLIAM ROBERTO LOPEZ (OFFICE MANAGER) |
| Authorized Official Telephone | 6313025700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085B0100X |
Radiology Specialization: Body Imaging |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518232115 | Deer Park Medical, P.C. | Physical Therapist | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2012-03-14 |
| Street Address |
2103 DEER PARK AVE |
| City | DEER PARK |
| State | NY |
| Zip Code | 11729-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013917301 | Ron Mark | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2005-07-28 |
| 1225666530 | Deer Park Pt, Family Health Np and Chiropractic Pllc | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2020-03-31 |
| 1235799883 | East Meadow Pt Family Health Np Acupuncture and Chiropractic | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2019-06-17 |
| 1174090146 | Jessica Morales | Massage Therapist | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2018-10-29 |
| 1942726294 | Ruben Hector Saavedra | Physician Assistant | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-08-18 |
| 1366977951 | Orthopaedics Spine and Sports Medicine, LLC | Durable Medical Equipment & Medical Supplies | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-04-21 |
| 1184161465 | Hector Moises Murillo | Physician Assistant | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | 2017-01-25 |
| 1508251612 | Dp Pt & Chiropractic, Pllc | Chiropractor | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2015-04-06 |
| 1184028201 | Pavilion Radiology PC | Radiology | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2014-10-17 |
| 1750782256 | Deer Park Physical Therapy & Chiropractic | Specialist | 2103 Deer Park Ave, Deer Park, NY 11729-1319 | 2014-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013561513 | Elyse Joy Wright | Specialist | 1014 Grand Boulevard Suite 5, Deer Park, NY 11729 | 2019-08-01 |
| 1568929131 | Corrine E. Hibbert | Case Manager/Care Coordinator | 140 Villa Avenue, Deer Park Ny, NY 11729 | 2019-03-01 |
| 1922525286 | Melissa Ramistella | Behavioral Analyst | 6 Angelica Street, Deer Park, NY 11729 | 2017-08-28 |
| 1609224153 | Corvitals, Inc. | Clinical Medical Laboratory | 590 Nichols Road, Suite 1, Deer Park, NY 11729 | 2016-05-25 |
| 1417375312 | Venel Maitre | Registered Nurse | 54 Duke St, Deer Park, NY 11729 | 2014-03-29 |
| 1578819157 | Koa K Robinson | Registered Nurse | 375 Carlls Place, 329, Deer Park, NY 11729 | 2012-08-01 |
| 1649532409 | Theresa L Lerro | Counselor | 1 Brandyine Drive, Deer Park, NY 11729 | 2012-06-07 |
| 1417218827 | Abilities Unlimited of N.y. | Durable Medical Equipment & Medical Supplies | 90 E. Jefryn Blvd., Deer Park, NY 11729 | 2012-06-01 |
| 1356600811 | Jennifer A. D'auria | Speech-Language Pathologist | 101 Lake Ave., Jfk Intermediate School, Deer Park, NY 11729 | 2012-05-03 |
| 1013280254 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 1900 The Arches Circle, Deer Park, NY 11729 | 2012-02-20 |
| Find all providers in zip 11729 | ||||
| Taxonomy Code | 2085B0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Body Imaging |
| A Radiology doctor of Osteopathy that specializes in Body Imaging. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: definiton added, source added] Additional Resources: The American Osteopathic Board of Radiology no longer offers a certificate in this specialty. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122709 | Rayane Issa | Radiology | 109 E 102nd St Apt 2g, New York, NY 10029-5896 | 2020-10-24 |
| 1992327134 | Dongmei Jiang | Radiology | 15041 26th Ave, Flushing, NY 11354-1513 | 2020-05-11 |
| 1871137828 | Vetri Sudar Jayaprakasam | Radiology | 1233 York Ave Apt 17i, New York, NY 10065-6342 | 2019-11-03 |
| 1447801808 | Elisabeth O'dwyer | Radiology | 525 E 68th St. Radiology, Cornell/new York Presbyterian, New York, NY 10021-4870 | 2019-09-26 |
| 1184038069 | Kimberly Owens | Radiology | 1783 Route 9 Ste 104, Halfmoon, NY 12065-2465 | 2014-06-18 |
| 1972876340 | Paul D Rodrigue | Radiology | 47 New Scotland Ave Ofc, Albany, NY 12208-3412 | 2012-02-16 |
| 1912289828 | Penny Saxon | Radiology | One Gustave L. Levy Place Box 1234, Department of Radiology The Mount Sinai Medical Center, New York, NY 10029-6574 | 2011-09-16 |
| 1518248657 | Kelly M Barna | Radiology | 150 E. Sunrise Highway, Lindenhurst, NY 11757 | 2011-09-02 |
| 1124319710 | Weill Medical College of Cornell University | Radiology | 516 E 72nd St, New York, NY 10021-4804 | 2011-04-29 |
| 1326345893 | Excel Imaging PC | Radiology | 7235 51st Ave, Suite B, Woodside, NY 11377-7610 | 2011-02-18 |
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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.