DR. CARTER FRANKLIN DILLMAN (NPI# 1417183286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1417183286 |
Entity Type | Individual |
Full Name | DR. CARTER FRANKLIN DILLMAN |
Credential | M.D. |
Practice Address |
30 Park Ave 15n New York NY 10016-3801 |
Mailing Address |
666 W 188th St Apt 2l New York NY 10040-4417 |
Practice Telephone | 9175535342 |
Mailing Telephone | 9175535342 |
Mailing Fax Number | 2126834520 |
Enumeration Date | 2009-06-06 |
Last Update Date | 2020-01-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
255133 | NY | Allopathic & Osteopathic Physicians |
Street Address |
30 PARK AVE 15N |
City | NEW YORK |
State | NY |
Zip Code | 10016-3801 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831665470 | Park Avenue Office Based Podiatric Surgery PC | Clinic/Center | 30 Park Ave, New York, NY 10016-3801 | 2018-10-22 |
1437692936 | Marissa Wolfson | Physical Therapy Assistant | 30 Park Ave, New York, NY 10016-3801 | 2016-12-01 |
1366994758 | Pt On Park Pllc | Clinic/Center | 30 Park Ave, New York, NY 10016-3801 | 2016-11-01 |
1790043164 | Elisabeth Gomori Mdpc | Internal Medicine | 30 Park Ave, Ste1&2, New York, NY 10016-3801 | 2012-04-24 |
1386912749 | Yaakov Golding | Physical Therapist | 30 Park Ave, New York, NY 10016-3801 | 2011-12-13 |
1487880936 | Jhm Medical Laboratory LLC | Clinical Medical Laboratory | 30 Park Ave, New York, NY 10016-3801 | 2009-06-10 |
1396948188 | Ernest L Isaacson Dpm PC | Podiatrist | 30 Park Ave, New York, NY 10016-3801 | 2007-06-07 |
1518035252 | Gary M Glickman, M.d. P. C. D/b/a Diabetic Eye Center | Ophthalmology | 30 Park Ave, New York, NY 10016-3801 | 2006-12-01 |
1679679963 | Ernest Louis Isaacson | Podiatrist | 30 Park Ave, New York, NY 10016-3801 | 2006-09-15 |
1740240126 | Gary M Glickman M.d. | Ophthalmology | 30 Park Ave, New York, NY 10016-3801 | 2006-03-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
1972118206 | Trisha Aloquina | Nurse Practitioner | 106 East 32nd St, 102, New York, NY 10016 | 2020-09-14 |
1912519950 | Lionel Thompson Jr. | Social Worker | Bellevue Hospital Center Child & Adolescent Psychiatry, 462 First Avenue Administration Bldg. 2nd Fl., New York, NY 10016 | 2020-08-20 |
1134755622 | Samantha Caldona | Behavior Technician | 205 East 35 Street, New York, NY 10016 | 2020-03-17 |
1104477504 | Jaclyn A. Silverman | Nurse Practitioner | 113 East 39th Street, New York, NY 10016 | 2019-09-26 |
1093376147 | Eskue Therapy, LLC | Massage Therapist | 130 East 40 Street, Ste. 1001, New York, NY 10016 | 2019-06-27 |
1952962227 | Richard Callado | Nurse Practitioner | 245 5th Ave Ste 336, New York, NY 10016 | 2019-06-26 |
1265096754 | Sharon Brenda Madanes | Student in an Organized Health Care Education/Training Program | Nyu Langone, 550 First Ave., New York, NY 10016 | 2019-04-30 |
1124589569 | Krupali Chokshi | Student in an Organized Health Care Education/Training Program | Nyu Langone Hospital, 550 First Ave., New York, NY 10016 | 2019-03-28 |
1982160909 | Sherell Miriam Harding | Behavioral Analyst | 204 35th St, New York, NY 10016 | 2019-02-14 |
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Taxonomy Code | 207QA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Addiction Medicine |
A family medicine physician who specializes in the diagnosis and treatment of addictions. |
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
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1205467842 | Tara Healthcare LLC | Family Medicine | 157 Bleecker St # 1, New York, NY 10012-1625 | 2020-02-03 |
1881120376 | Yonina Mar | Family Medicine | 10 Nathan D. Perlman Pl, Msbi Psychiatry, Bernstein Pavilion, Room 7b15, New York, NY 10003 | 2017-05-03 |
1215050273 | Bruno Recupero | Family Medicine | 26 Avenue A, New York, NY 10009-7601 | 2007-04-06 |
1730207119 | Greenwich House Inc | Family Medicine | 122 West 27th Street, 6th Floor, New York, NY 10001 | 2007-03-26 |
1023177920 | Sami Kaddouri | Family Medicine | 57 West 57th Streeet, 18th Floor, New York, NY 10019 | 2006-12-06 |
1255442513 | Guy J Pean | Family Medicine | 177 E 122nd St, New York, NY 10035-2906 | 2006-08-31 |
1235176355 | Jayant H Gandhi | Family Medicine | 80 E End Ave, Suite -14b, New York, NY 10028-8004 | 2006-05-31 |
1932532710 | Annie Levesque | Family Medicine | 1000 10th Ave, New York, NY 10019-1147 | 2013-08-15 |
1831304609 | Sharon L Stancliff | Family Medicine | 8 E 3rd St, New York, NY 10003-8908 | 2007-05-14 |
1992820930 | Valsa Madhava | Family Medicine | 1824 Madison Ave, New York, NY 10035-3832 | 2007-03-20 |
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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.