WYCKOFF EMERGENCY MEDICINE SERVICES, PC (NPI# 1306230701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306230701 |
| Entity Type | Organization |
| Organization Name | WYCKOFF EMERGENCY MEDICINE SERVICES, PC |
| Practice Address |
374 Stockholm Street Wyckoff Emergency Medicine Services, PC Brooklyn NY 11237 |
| Practice Telephone | 7189637272 |
| Mailing Telephone | 7189637272 |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |
| Authorized Official Name | DR. LISANDO IRIZARRY (CHAIRMAN OF EMERGENCY DEPT) |
| Authorized Official Telephone | 7189637272 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WYCKOFF EMERGENCY MEDICINE SERVICES, PC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
374 STOCKHOLM STREET WYCKOFF EMERGENCY MEDICINE SERVICES, PC |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003800095 | Vijay Saaraswat | Internal Medicine | 374 Stockholm Street, Brooklyn, NY 11237-4006 | 2005-09-06 |
| 1013469196 | Sarah Yu | Psychologist | 374 Stockholm Street, Wyckoff Professional Medical Services PC, Brooklyn, NY 11237-4006 | 2016-10-25 |
| 1376993964 | Wyckoff Medical Associates, PC | Clinic/Center | 374 Stockholm Street, Wyckoff Medical Associates, PC, Brooklyn, NY 11237-4006 | 2016-06-15 |
| 1194173146 | Mohammad Gilani | Student in an Organized Health Care Education/Training Program | 374 Stockholm Street, Brooklyn, NY 11237 | 2016-06-01 |
| 1922480607 | Wyckoff Heights Medical Center | General Acute Care Hospital | 374 Stockholm Street, Brooklyn, NY 11237 | 2015-06-18 |
| 1770962391 | Wyckoff Pediatric Care Center | Clinic/Center | 374 Stockholm Street, Wyckoff Heights Medical Center - Faculty Practice, Brooklyn, NY 11237 | 2015-05-28 |
| 1598173486 | Cuishan Wu | Student in an Organized Health Care Education/Training Program | 374 Stockholm Street, Brooklyn, NY 11237 | 2014-07-24 |
| 1699060590 | Freddie C Verzosa | Internal Medicine | 374 Stockholm Street, Wyckoff Heights Medical Center, Brooklyn, NY 10011 | 2011-06-20 |
| 1851551352 | Nelli Fromer | Internal Medicine | 374 Stockholm Street, Wyckoff Heights Medical Center, Brooklyn, NY 11237 | 2008-06-10 |
| 1568632701 | Tma, LLC | Radiology | 374 Stockholm Street, Brooklyn, NY 11237 | 2008-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1013575554 | Miseon Kang | Counselor | Brooklyn Psychotherapy, 148 Wilson Ave, Brooklyn, NY 11237 | 2019-05-30 |
| 1023598943 | Kathryn Falk | Speech-Language Pathologist | Ps 376 C/o Kathryn Falk, 194 Harman Street, Brooklyn, NY 11237 | 2018-08-20 |
| 1437648870 | Dawn Tya Chapin | Student in an Organized Health Care Education/Training Program | Wyckoff Heights Medical Center, 374 Stockholm Street, Brooklyn, NY 11237 | 2018-05-01 |
| 1518410471 | Cameron Hetzler | Dentist | 374 Stockholm St., Brooklyn, NY 11237 | 2016-07-27 |
| 1215399043 | Rose R Capuz | Skilled Nursing Facility | 122 St Nicholas Avenue, Suite 2, Brooklyn, NY 11237 | 2016-03-22 |
| 1245695030 | Wyckoff Heights Dental Services, PC | Clinic/Center | Wyckoff Pediatric Care Center - 1411 Myrtle Avenue, Wyckoff Heights Dental Services, PC, Brooklyn, NY 11237 | 2015-12-21 |
| 1245615442 | Estefany Sanchez Mendez | Pediatrics | 374 Stockholm Street - Faculty Practice Dept, Wyckoff Professional and Medical Services, PC, Brooklyn, NY 11237 | 2015-07-29 |
| 1033507231 | Macarena Rufin | Counselor | 315 Wyckoff Ave., 6th Floor, Brooklyn, NY 11237 | 2014-12-23 |
| 1740691021 | Wyckoff Anesthesia and Medical Services, PC | Clinic/Center | 93-95 Wyckoff Ave, Wyckoff Anesthesia and Medical Services, PC, Brooklyn, NY 11237 | 2014-05-08 |
| Find all providers in zip 11237 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
| 1376142737 | Amanda Shinall | Physician Assistant | 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 | 2020-10-18 |
| 1497353825 | Tsz Yan Soo | Physician Assistant | 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 | 2020-10-16 |
| 1164038907 | Emily Mai | Physician Assistant | 1956 W 9th St, Brooklyn, NY 11223-2548 | 2020-09-17 |
| 1497369342 | Krystal Renee Alexander | Physician Assistant | 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 | 2020-09-08 |
| 1578177390 | Celia Chen | Physician Assistant | 2628 E 18th St, Brooklyn, NY 11235-3659 | 2020-08-31 |
| 1669084547 | Peter Forman | Physician Assistant | 86 Saint Felix St, Brooklyn, NY 11217-3032 | 2020-08-20 |
| 1699383646 | Fabienne Mondelus | Physician Assistant | 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 | 2020-07-15 |
| 1508492729 | Esther Weitzner | Physician Assistant | 1195 E 12th St, Brooklyn, NY 11230-4811 | 2020-03-19 |
| 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.