IRENE PAEK (NPI# 1396966578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396966578 |
| Entity Type | Individual |
| Full Name | IRENE PAEK |
| Credential | M.D. |
| Practice Address |
30 Newbridge Rd Suite 101 East Meadow NY 11554-2150 |
| Mailing Address |
1548 Waters Edge Dr Bayside NY 11360-1232 |
| Practice Telephone | 5167315740 |
| Practice Fax Number | 5167311140 |
| Mailing Telephone | 9175830318 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2012-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 243404 | NY | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 243404 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
30 NEWBRIDGE RD SUITE 101 |
| City | EAST MEADOW |
| State | NY |
| Zip Code | 11554-2150 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609817279 | Patricia Dellatto | Nurse Practitioner | 30 Newbridge Rd, Suite Ll1, East Meadow, NY 11554-2150 | 2006-06-08 |
| 1467862029 | Jaime Simon | Clinic/Center | 30 Newbridge Rd, Suite 200, East Meadow, NY 11554-2150 | 2014-05-05 |
| 1144563719 | Masood Medical P.C. | Internal Medicine | 30 Newbridge Rd, Suite Ll1, East Meadow, NY 11554-2150 | 2013-04-02 |
| 1326307026 | Jaime B Simon | Internal Medicine | 30 Newbridge Rd, 200, East Meadow, NY 11554-2150 | 2012-05-15 |
| 1144505694 | Your Np In Family Health, P.C. | Nurse Practitioner | 30 Newbridge Rd, East Meadow, NY 11554-2150 | 2011-10-17 |
| 1568618742 | Alexander Frangas | Internal Medicine | 30 Newbridge Rd, Suite 200, East Meadow, NY 11554-2150 | 2008-08-07 |
| 1265554265 | Marina Michaels | Speech-Language Pathologist | 30 Newbridge Rd, Suite 104, East Meadow, NY 11554-2150 | 2007-04-03 |
| 1003941584 | Island Wide Physical Therapy P C | Specialist | 30 Newbridge Rd, East Meadow, NY 11554-2150 | 2007-02-23 |
| 1710029970 | Kristin Ann Beadle | Speech-Language Pathologist | 30 Newbridge Rd, Suite 104, East Meadow, NY 11554-2150 | 2007-02-13 |
| 1407995970 | Renee Vardouniotis | Speech-Language Pathologist | 30 Newbridge Rd, Suite 104, East Meadow, NY 11554-2150 | 2007-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164033254 | Ellen B. Gordon | Counselor | 533 Wagstaff Drive, East Meadow, NY 11554 | 2020-08-12 |
| 1770140717 | Saad Wasiq | Student in an Organized Health Care Education/Training Program | Psychiatry Department, Nassau University Medicial Centre, East Meadow, NY 11554 | 2019-05-24 |
| 1407410202 | Shiana Sekhri | Student in an Organized Health Care Education/Training Program | Nassau Univ Medical Center, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2019-04-26 |
| 1427612738 | Shanli Parnia | Student in an Organized Health Care Education/Training Program | Nuhealth/nassau University Medical Center - 2201 Hempst, East Meadow, NY 11554 | 2019-04-23 |
| 1003308842 | Sindhu Barola | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Turnpike Nassau University Medical Cente, Department of Pediatrics, East Meadow, NY 11554 | 2018-06-06 |
| 1831681121 | Sehajvir Singh Madhok | Student in an Organized Health Care Education/Training Program | 2201 Hempstead Turnpike Nassau University Medical Centr, Department of Pediatrics, East Meadow, NY 11554 | 2018-06-01 |
| 1184115917 | Neeti Prerana Luke | Student in an Organized Health Care Education/Training Program | Nassau University Medical Centre, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2018-05-29 |
| 1992292155 | Syed Mudassir Hussaini | Student in an Organized Health Care Education/Training Program | Nassau University Medical Center Deparetment of Medicin, 2201 Hempstead Turnpike, East Meadow, NY 11554 | 2018-04-13 |
| 1942726724 | Renju Thomas | Nurse Practitioner | 1901 North Jerusalem Rd, Eastmeadow, NY 11554 | 2017-08-14 |
| 1871013185 | Michelle Kates | Specialist | 1491 Rose Lane, East Meadow, NY 11554 | 2017-06-27 |
| Find all providers in zip 11554 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760429500 | Myron Zitt | Allergy & Immunology | 2201 Hempstead Tpke, East Meadow, NY 11554-1859 | 2006-06-01 |
| 1043279698 | Marianne Frieri | Allergy & Immunology | 2201 Hempstead Tpke, East Meadow, NY 11554-1859 | 2006-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803293 | Medical Care of Queens Borough PC | Allergy & Immunology | 970 Bard Ave Fl 1, Staten Island, NY 10301-3322 | 2020-08-26 |
| 1396361192 | Integrative Medicine of New York, Pllc | Allergy & Immunology | 520 Franklin Ave Ste 230, Garden City, NY 11530-5878 | 2020-06-18 |
| 1225669559 | Reenal Patel Md PC | Allergy & Immunology | 10-17 Jackson Avenue, Long Island City, NY 11101-5986 | 2020-01-27 |
| 1801447388 | Akl Medical PC | Allergy & Immunology | 2626 W State St Ste 205, Olean, NY 14760-1858 | 2019-09-25 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1932618923 | Sheila W Hankin | Allergy & Immunology | 200 S Broadway Ste 104, Tarrytown, NY 10591-4504 | 2017-09-22 |
| 1235653007 | Marc Braunstein Md Pllc | Allergy & Immunology | 540 Green Pl, Woodmere, NY 11598-1923 | 2017-08-02 |
| 1194119305 | Roshini Mullakary | Allergy & Immunology | 1600 Harrison Ave Ste 304, Mamaroneck, NY 10543-3151 | 2015-03-25 |
| 1568868834 | Icahn School of Medicine At Mount Sinai | Allergy & Immunology | 55 West 34th Street, 1st Floor, New York, NY 10016 | 2014-11-13 |
| 1659786440 | Robert Tamayev | Allergy & Immunology | 7949 Myrtle Ave, Glendale, NY 11385-7451 | 2014-06-30 |
| Find all providers with the same taxonomy | ||||
| City | EAST MEADOW |
| Zip Code | 11554 |
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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.