LONG ISLAND PRIMARY MEDICAL CARE/DBA VILLAGE PEDIATRICS (NPI# 1316992886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316992886 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND PRIMARY MEDICAL CARE/DBA VILLAGE PEDIATRICS |
| Practice Address |
975 Franklin Ave Suite 101 Garden City NY 11530-2911 |
| Mailing Address |
975 Franklin Avenue,suite 101 Suite 101 Garden City NY 11783 |
| Practice Telephone | 5162488334 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JEFFREY W. LIEBERMAN (PHYSICIAN) |
| Authorized Official Telephone | 5162488334 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
NY | Allopathic & Osteopathic Physicians |
| Street Address |
975 FRANKLIN AVE SUITE 101 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558673764 | Irina Ozersky | Audiologist | 975 Franklin Ave, Suite 203 B, Garden City, NY 11530-2921 | 2010-07-06 |
| 1497928451 | Meredith Ann Moore | Audiologist | 975 Franklin Ave, Suite 203b, Garden City, NY 11530-2921 | 2008-04-10 |
| 1285821363 | G S Gill Md PC | Internal Medicine | 975 Franklin Ave, 2nd Fl Suite 203a, Garden City, NY 11530-2921 | 2007-10-02 |
| 1285774992 | Warren H Zelman Md PC | Otolaryngology | 975 Franklin Ave, Suite 203b, Garden City, NY 11530-2921 | 2007-02-08 |
| 1578611893 | Alexandra Gerazounis | Acupuncturist | 975 Franklin Ave, Garden City, NY 11530-2921 | 2007-01-05 |
| 1740379296 | Jennifer Lynn Savickis | Audiologist | 975 Franklin Ave, Garden City, NY 11530-2921 | 2006-10-12 |
| 1164442570 | New York Physical and Occupational Therapy Pllc | Physical Therapist | 975 Franklin Ave, Garden City, NY 11530-2921 | 2006-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| 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 Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790856326 | Narasimharaju L Bhupathiraju | Pediatrics | 577 Inkster Rd, Garden City, MI 48135-4117 | 2006-11-13 |
| 1114998432 | Maha Dabbagh | Pediatrics | 28248 Ford Rd, Garden City, MI 48135-2927 | 2006-01-27 |
| 1811968902 | Izabella Ilyasov | Pediatrics | 29150 Ford Rd, Garden City, MI 48135-2848 | 2006-01-27 |
| 1780947507 | B.l. Narasimharaju Md PC | Pediatrics | 577 Inkster Rd, Garden City, MI 48135-4117 | 2012-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
| Find all providers with the same taxonomy | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
Please comment or provide details below to improve the information on LONG ISLAND PRIMARY MEDICAL CARE/DBA VILLAGE PEDIATRICS.
| 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.