PREMIER PHYSICIANS OF NEW YORK PLLC (NPI# 1316384753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316384753 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICIANS OF NEW YORK PLLC |
| Practice Address |
10614 70th Ave Forest Hills NY 11375-4253 |
| Mailing Address |
2865 E Coast Hwy Suite 20005 Corona Del Mar CA 92625-2236 |
| Practice Telephone | 7185206620 |
| Practice Fax Number | 7185206630 |
| Mailing Telephone | 9492073111 |
| Mailing Fax Number | 9496128255 |
| Enumeration Date | 2013-05-24 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | ROBERTO LIPSZTEIN (DIRECTOR) |
| Authorized Official Telephone | 7185206620 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801222955 | Premier Physicians of New York Pllc | Urology | 170 William St, 5th Fl, New York, NY 10038-2612 | 2013-09-20 |
| 1811333107 | Premier Physicians of New York Pllc | Urology | 955 Park Ave, New York, NY 10028-0321 | 2013-05-14 |
| 1134564719 | Premier Physicians of New York Pllc | Urology | 24 E 12th St, Suite 2-1, New York, NY 10003-4513 | 2013-05-08 |
| 1083059877 | Premier Physicians of New York Pllc | Urology | 24 E 12th St, Suite 2-1, New York, NY 10003-4513 | 2013-05-07 |
| 1427302942 | Premier Physicians of New York Pllc | Urology | 229 E 79th St, Suite 1a, New York, NY 10075-0866 | 2012-11-06 |
| 1861746513 | Premier Physicians of New York Pllc | Urology | 205 E 78th St, New York, NY 10075-1243 | 2012-11-02 |
| 1699029769 | Premier Physicians of New York Pllc | Urology | 157 E 72nd St, New York, NY 10021-4331 | 2012-10-29 |
| 1417201583 | Premier Physicians of New York Pllc | Urology | 3041 Avenue U, 2nd Floor, Brooklyn, NY 11229-5126 | 2012-10-29 |
| 1235483306 | Premier Physicians of New York Pllc | Urology | 1120 Park Ave, New York, NY 10128-1242 | 2012-10-29 |
| 1316291487 | Premier Physicians of New York Pllc | Urology | 12 E 86th St, New York, NY 10028-0506 | 2012-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIER PHYSICIANS OF NEW YORK PLLC | 61 East 77th Street, New York, New York 10075 |
| Street Address |
10614 70TH AVE |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-4253 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720217193 | Shan-chin Chen | Radiology | 10614 70th Ave, Forest Hills, NY 11375-4253 | 2009-07-07 |
| 1386051704 | Rstnrl Medical Associates | Radiology | 10614 70th Ave, Forest Hills, NY 11375-4253 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720217193 | Shan-chin Chen | Radiology | 10614 70th Ave, Forest Hills, NY 11375-4253 | 2009-07-07 |
| 1386051704 | Rstnrl Medical Associates | Radiology | 10614 70th Ave, Forest Hills, NY 11375-4253 | 2014-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875229 | Msk Nassau | Radiology | 1101 Hempstead Turnpike, Uniondale, NY 11553 | 2019-01-22 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1639566516 | Fauzia Shaikh | Radiology | 525 E 68th St # 95, New York, NY 10065-4870 | 2015-04-18 |
| 1306231774 | Lucas Resende Salgado | Radiology | 370 Avenue U Apt 3, Brooklyn, NY 11223-4024 | 2015-04-02 |
| 1083008403 | Alan J. Katz, M.d., Pllc | Radiology | 1781 Hylan Blvd, Staten Island, NY 10305-1917 | 2015-03-24 |
| 1417368721 | Moses Min-chi Tam | Radiology | 550 1st Ave Fl 2, New York, NY 10016-6402 | 2014-05-09 |
| 1649690629 | Christine Chin | Radiology | 622 West 168th Street Chony North B-level, New York, NY 10032 | 2014-04-17 |
| 1336566272 | Stanislav Lazarev | Radiology | 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 | 2014-03-27 |
| 1548683022 | Metropolitan Radiation Oncology Consulting PC | Radiology | 686 Stoneleigh Ave., Carmel, NY 10512 | 2014-02-04 |
| 1295070845 | Ezzat T Youssef | Radiology | 5 Ridge Ave, Staten Island, NY 10304-1418 | 2012-12-09 |
| Find all providers with the same taxonomy | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
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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.