DR. LUCILLE REGINA VAN HOOK SPIVACK


Address: 1120 Morris Park Ave, Suite 4a, Bronx, NY 10461-1400
Phone: 7188284227

DR. LUCILLE REGINA VAN HOOK SPIVACK (NPI# 1346233673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346233673
Entity Type Individual
Full Name DR. LUCILLE REGINA VAN HOOK SPIVACK
Other Name MRS. LUCILLE REGINA VAN HOOK
Credential MD
Practice Address 1120 Morris Park Ave
Suite 4a
Bronx
NY 10461-1400
Mailing Address Po Box 749
Bay Chester Post Office
Bronx
NY 10469-0701
Practice Telephone 7188284227
Practice Fax Number 7188284227
Mailing Telephone 7188284227
Mailing Fax Number 7188284227
Enumeration Date 2005-08-23
Last Update Date 2008-06-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 141418 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01095129 05

Office Location

Street Address 1120 MORRIS PARK AVE
SUITE 4A
City BRONX
State NY
Zip Code 10461-1400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215325899 Advocate Bronx Foot Care Podiatrist 1120 Morris Park Ave, Suite 3b, Bronx, NY 10461-1400 2015-01-05
1225446768 Joseph Lynn Case Manager/Care Coordinator 1120 Morris Park Ave, Ste. 2-b, Bronx, NY 10461-1400 2014-07-29
1164851580 Jacqueline Pereira Case Manager/Care Coordinator 1120 Morris Park Ave, Suite 2b, Bronx, NY 10461-1400 2013-11-06
1760720429 Keren Ferrer-quianes Case Manager/Care Coordinator 1120 Morris Park Ave, #2b, Bronx, NY 10461-1400 2013-01-30
1164776522 Annmarie Mcglashan Case Manager/Care Coordinator 1120 Morris Park Ave, Bronx, NY 10461-1400 2012-11-06
1770845414 Therapeutic Imprints Case Management 1120 Morris Park Ave, Suite 2b, Bronx, NY 10461-1400 2012-06-08
1225399389 Anabel Mendoza Case Manager/Care Coordinator 1120 Morris Park Ave, Suite 2b, Bronx, NY 10461-1400 2012-06-06
1790046944 Luz Gonzalez Case Manager/Care Coordinator 1120 Morris Park Ave, Bronx, NY 10461-1400 2012-06-05
1407117542 Deena Marie Mauro-incognoli Specialist 1120 Morris Park Ave, Bronx, NY 10461-1400 2012-06-05
1336400589 Johara Perdomo Case Manager/Care Coordinator 1120 Morris Park Ave, Bronx, NY 10461-1400 2012-06-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427665975 Zhanna Kleynerman Pharmacist R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 2020-09-29
1245867738 Dalia Duzdar Student in an Organized Health Care Education/Training Program 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 2020-03-24
1306486667 Alvin Antony Mathew Physical Therapist 1500 Blondell Ave., Bronx, NY 10461 2020-01-14
1295374007 Felicia Bowman Peer Specialist 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 2019-12-26
1477191161 Todd Benevento Jr. Physical Therapist 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 2019-12-13
1073173845 Harriet Sarpong-blankson Pharmacist Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 2019-06-14
1396300166 Victoria Sliva Psychologist 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 2019-05-07
1538723366 Shuai Wang Student in an Organized Health Care Education/Training Program 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 2019-04-26
1457810079 Morpheus Sleep Solutions Inc Durable Medical Equipment & Medical Supplies 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 2019-03-13
1922565118 Metro Care Management LLC Case Management 2481 Rowe St, Bronx, NY 10461 2019-02-25
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164020012 Rr Medical Office Pllc Internal Medicine 1447 Zerega Ave, Bronx, NY 10462-5411 2020-10-13
1619574126 Throggs Neck Medical Pllc Internal Medicine 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 2020-10-07
1144794314 Mohammed Shofiullah Shibli Internal Medicine 2500 Frisby Ave Apt 24d, Bronx, NY 10461-3247 2019-01-21
1740781905 Bk Medical Care P.c Internal Medicine 2000 Mcgraw Ave, Bronx, NY 10462-8070 2018-02-23
1043738586 Diabetes Relief Center of Bronx Mso LLC Internal Medicine 2825 3rd Ave Ste 200, Bronx, NY 10455-4066 2017-09-05
1790137388 Sabrina Brana Internal Medicine 4422 Third Ave Mills Bldg 3rd, Bronx, NY 10457 2016-07-07
1386096345 Christopher James Brana Internal Medicine 4422 Third Ave, Mills Bldg 3rd, Bronx, NY 10457 2016-07-01
1982068078 Silvio Goris Internal Medicine 3400 Tibbett Ave, Apt 2f, Bronx, NY 10463-3766 2016-04-05
1710349816 Rikhil S Kochhar Internal Medicine 3010 Grand Concourse Apt L3, Bronx, NY 10458-1534 2016-03-28
1841656857 Heracles Medical PC Internal Medicine 2825 Third Ave, Suite 7, Bronx, NY 10455 2016-01-06
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City BRONX
Zip Code 10461

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Dataset Information

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.

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