TRI-STATE PREMIER MEDICAL MSO, LLC (NPI# 1346511482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346511482 |
| Entity Type | Organization |
| Organization Name | TRI-STATE PREMIER MEDICAL MSO, LLC |
| Practice Address |
233 Nostrand Ave Preferred Health Partners Brooklyn NY 11205-4924 |
| Mailing Address |
499 Washington Blvd Fl 14 C/- Manhattan's Physician Group Jersey City NJ 07310-2010 |
| Practice Telephone | 7185642074 |
| Enumeration Date | 2012-01-20 |
| Last Update Date | 2012-01-20 |
| Authorized Official Name | DENNIS PRICE (TREASURER) |
| Authorized Official Telephone | 7184228055 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
233 NOSTRAND AVE PREFERRED HEALTH PARTNERS |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11205-4924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760445456 | Jaleh Yeganeh-parast | Pediatrics | 233 Nostrand Ave, Bedford Williamsburg Ctr, Brooklyn, NY 11205 | 2006-04-11 |
| 1013456870 | Labinia Osei-bonsu | Clinic/Center | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2017-02-13 |
| 1134667405 | Joy Fevrier | Nurse Practitioner | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2017-02-07 |
| 1770021404 | Taiwo Babalola | Nurse Practitioner | 233 Nostrand Ave, Brooklyn, NY 11205 | 2017-02-01 |
| 1336697036 | Lucas H West | Audiologist | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2016-09-12 |
| 1447629811 | Brooklyn Hearing Associates | Hearing Aid Equipment | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2015-09-16 |
| 1871971549 | Nada Saymeh | Family Medicine | 233 Nostrand Ave, Brooklyn, NY 11205 | 2015-05-13 |
| 1477930477 | Evgeniy Leviev | Family Medicine | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2015-04-29 |
| 1619368040 | Colleen Wickham | Nurse Practitioner | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2015-02-06 |
| 1407262470 | Shakhira N. D. Evans | Registered Nurse | 233 Nostrand Ave, Brooklyn, NY 11205-4924 | 2014-07-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922517176 | Hind Ibrahim | Speech-Language Pathologist | 195 Sanford Street, Brooklyn, NY 11205 | 2017-09-20 |
| 1710402573 | Pierrette Augustin | Registered Nurse | 84 Carlton Ave, Apt. 5a, Brooklyn, NY 11205 | 2017-08-13 |
| 1104368422 | Damali Robinson | Speech-Language Pathologist | 195 Willoughby Avenue, Apartment 609, Brooklyn, NY 11205 | 2016-11-17 |
| 1316304413 | Kyung Han | Case Manager/Care Coordinator | 950 Kent Avenue, 3f, Brooklyn, NY 11205 | 2016-01-20 |
| 1285039081 | Shani Jordan-goldman | Dietitian, Registered | 80 Vanderbilt Ave, Brooklyn, NY 11205 | 2014-10-23 |
| 1205274719 | Kaitlyn M Rindos | Speech-Language Pathologist | 805 Kent Avenue, Suite 101, Brooklyn, NY 11205 | 2013-06-06 |
| 1386985323 | Rose Marie Demosthene | Registered Nurse | Cumberland D&tc, 100 North Portland Avenue, Brooklyn, NY 11205 | 2013-03-14 |
| 1780940627 | Michele Goldman | Registered Nurse | 195 Sandford Street, Brooklyn, NY 11205 | 2012-04-04 |
| 1629202312 | Safeway Medical Supplies | Durable Medical Equipment & Medical Supplies | 196 Clinton Ave, Suite C25, Brooklyn, NY 11205 | 2009-05-08 |
| 1811136286 | Susan Jarrell | Acupuncturist | 208 Washington Park Apt 1b, Brooklyn, NY 11205 | 2009-02-09 |
| Find all providers in zip 11205 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669099115 | East New York Medical Healthcare PC | Internal Medicine | 2673 Atlantic Ave, Brooklyn, NY 11207-2801 | 2020-07-01 |
| 1083242978 | Quratulain Nasir | Internal Medicine | 8301 Bay Pkwy Apt 603, Brooklyn, NY 11214-2692 | 2020-03-28 |
| 1831723725 | Pitkin Medical Office P.C. | Internal Medicine | 1746 Pitkin Ave Fl 1, Brooklyn, NY 11212-6707 | 2020-02-28 |
| 1083246920 | Dora Johnson | Internal Medicine | 374 Stockholm St # B, Brooklyn, NY 11237-4006 | 2020-02-09 |
| 1245876143 | Richard Casseus | Internal Medicine | 6525 Avenue N, Brooklyn, NY 11234-5622 | 2019-11-26 |
| 1598309569 | Md Care Now P.C. | Internal Medicine | 1849 Utica Ave, Brooklyn, NY 11234-2122 | 2019-11-03 |
| 1609410968 | Zaki Nakach, Md PC | Internal Medicine | 1309 Avenue P Ste 1, Brooklyn, NY 11229-1184 | 2019-10-30 |
| 1881158897 | Yuanli Xie Medical PC | Internal Medicine | 749 61st St Ste 403, Brooklyn, NY 11220-5163 | 2019-01-23 |
| 1689146417 | Frederik Peter Lindberg | Internal Medicine | 30 Garfield Pl Apt 2e, Brooklyn, NY 11215-1963 | 2018-12-18 |
| 1598233033 | Greenfield Medical | Internal Medicine | 1716 E 28th St, Brooklyn, NY 11229-2513 | 2018-11-02 |
| 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.