PREMIER PHYSICIANS OF NEW YORK PLLC (NPI# 1417201583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417201583 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICIANS OF NEW YORK PLLC |
| Practice Address |
3041 Avenue U 2nd Floor Brooklyn NY 11229-5126 |
| Mailing Address |
3599 University Blvd S Suite 805 Jacksonville FL 32216-4252 |
| Practice Telephone | 7186920020 |
| Practice Fax Number | 7186921739 |
| Mailing Telephone | 9043098680 |
| Mailing Fax Number | 9043455841 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2013-04-29 |
| Authorized Official Name | MITCHELL D TERK (DIRECTOR) |
| Authorized Official Telephone | 9043098680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801222955 | Premier Physicians of New York Pllc | Urology | 170 William St, 5th Fl, New York, NY 10038-2612 | 2013-09-20 |
| 1316384753 | Premier Physicians of New York Pllc | Radiology | 10614 70th Ave, Forest Hills, NY 11375-4253 | 2013-05-24 |
| 1811333107 | Premier Physicians of New York Pllc | Urology | 955 Park Ave, New York, NY 10028-0321 | 2013-05-14 |
| 1134564719 | Premier Physicians of New York Pllc | Urology | 24 E 12th St, Suite 2-1, New York, NY 10003-4513 | 2013-05-08 |
| 1083059877 | Premier Physicians of New York Pllc | Urology | 24 E 12th St, Suite 2-1, New York, NY 10003-4513 | 2013-05-07 |
| 1427302942 | Premier Physicians of New York Pllc | Urology | 229 E 79th St, Suite 1a, New York, NY 10075-0866 | 2012-11-06 |
| 1861746513 | Premier Physicians of New York Pllc | Urology | 205 E 78th St, New York, NY 10075-1243 | 2012-11-02 |
| 1699029769 | Premier Physicians of New York Pllc | Urology | 157 E 72nd St, New York, NY 10021-4331 | 2012-10-29 |
| 1235483306 | Premier Physicians of New York Pllc | Urology | 1120 Park Ave, New York, NY 10128-1242 | 2012-10-29 |
| 1316291487 | Premier Physicians of New York Pllc | Urology | 12 E 86th St, New York, NY 10028-0506 | 2012-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIER PHYSICIANS OF NEW YORK PLLC | 61 East 77th Street, New York, New York 10075 |
| Street Address |
3041 AVENUE U 2ND FLOOR |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-5126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871521278 | Mario Rottenberg | Urology | 3041 Avenue U, 2nd Fl, Brooklyn, NY 11229-5126 | 2006-06-28 |
| 1891204202 | Nrn Physical Therapy PC | Physical Therapist | 3041 Avenue U, Brooklyn, NY 11229-5126 | 2017-09-28 |
| 1962858548 | Suzanne Finestone | Occupational Therapist | 3041 Avenue U, Brooklyn, NY 11229-5126 | 2016-05-12 |
| 1720418825 | Viktoriya Lipovetskaya | Registered Nurse | 3041 Avenue U, Brooklyn, NY 11229-5126 | 2013-11-26 |
| 1346670841 | Nadine Charles | Registered Nurse | 3041 Avenue U, Brooklyn, NY 11229-5126 | 2013-11-19 |
| 1295165819 | Sadhana Shrivastava | Registered Nurse | 3041 Avenue U, Brooklyn, NY 11229-5126 | 2013-11-18 |
| 1134565054 | Erica La Verne Gumbs | Registered Nurse | 3041 Avenue U, Brooklyn, NY 11229-5126 | 2013-05-18 |
| 1548524259 | James Eliezer Shem | Registered Nurse | 3041 Avenue U, Nurse Works, Brooklyn, NY 11229-5126 | 2012-06-27 |
| 1780947242 | Kitty Yu | Registered Nurse | 3041 Avenue U, Brooklyn, NY 11229-5126 | 2012-06-20 |
| 1972876084 | Nport Reg Nursing Phys & Occ Therapy & Speech-lang Path Services | Local Education Agency (LEA) | 3041 Avenue U, Brooklyn, NY 11229-5126 | 2012-02-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588298053 | Lake Country Urology Pllc | Urology | 400 5th Avenue, Brooklyn, NY 11215-3337 | 2020-02-24 |
| 1063065787 | Edward Ezrick, M.d., P.C. | Urology | 7210 13th Ave Fl 3, Brooklyn, NY 11228-2009 | 2019-07-22 |
| 1174951602 | Alex Shteynshlyuger Md PC | Urology | 35 Seacoast Ter Apt 20p, Brooklyn, NY 11235-6005 | 2013-10-18 |
| 1396171542 | Igor Sergeyev, M.d., P.C. | Urology | 9101 4th Ave Ste 2f, Brooklyn, NY 11209-6369 | 2013-09-19 |
| 1255685582 | Hamilton Medical Surgicare Pllc | Urology | 4720 Fort Hamilton Pkwy, Brooklyn, NY 11219-2956 | 2012-11-08 |
| 1922379353 | Eric J. Moskowitz | Urology | 3131 Kings Hwy Ste Ll-789, Brooklyn, NY 11234 | 2012-01-17 |
| 1598064966 | Metropolitan Urological Specialists, PC | Urology | 2060 Utica Ave, Brooklyn, NY 11234-3216 | 2011-03-24 |
| 1407182389 | Jb Wynberg Md PC | Urology | 1853 61st St, Brooklyn, NY 11204-2353 | 2009-10-27 |
| 1518290188 | Marc Alan Lubin | Urology | 745 64th St, 4th Flr, Brooklyn, NY 11220-4753 | 2009-09-14 |
| 1750556403 | S. Swamy Surasi, Mdpc | Urology | 142 Joralemon St Ste 9b, Brooklyn, Brooklyn, NY 11201-4709 | 2008-04-24 |
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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.