EXCELLA MEDICINE PC (NPI# 1417204736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417204736 |
| Entity Type | Organization |
| Organization Name | EXCELLA MEDICINE PC |
| Practice Address |
4915 Broadway Suite 1g New York NY 10034-3122 |
| Practice Telephone | 2125449513 |
| Practice Fax Number | 2125440402 |
| Mailing Telephone | 2125449513 |
| Mailing Fax Number | 2125440402 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2012-08-06 |
| Authorized Official Name | MICHAEL PEREZ (MEDICAL DOCTOR) |
| Authorized Official Telephone | 2125449513 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
170543 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174812812 | Excella Medicine PC | Internal Medicine | 4915 Broadway, Suite 1g, New York, NY 10034-3119 | 2011-04-04 |
| Street Address |
4915 BROADWAY SUITE 1G |
| City | NEW YORK |
| State | NY |
| Zip Code | 10034-3122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812512 | Vilma Lantigua | Physician Assistant | 90 Vermilyea Ave #139, New York, NY 10034 | 2019-10-11 |
| 1477037125 | Alexa Paige Ruffino | Physician Assistant | 5105 Broadway, New York, NY 10034 | 2018-09-19 |
| 1821514456 | Chinara M Tate | Dietitian, Registered | 520 W 218th Street, Apt 3a, New York, NY 10034 | 2017-08-15 |
| 1770006165 | Brittany Palmer | Speech-Language Pathologist | 10 Park Ter E Apt 4l, New York, NY 10034 | 2017-07-18 |
| 1457891947 | Easy Choice Agency | Home Health | 3863 10th Avenue, Ny, NY 10034 | 2017-03-02 |
| 1598114738 | Kent Haina Jr. | Nurse Anesthetist, Certified Registered | 133 Seaman Ave Apt 5a, New York, NY 10034 | 2016-06-08 |
| 1902274756 | Rosa Ma Caram | Early Intervention Provider Agency | 601 Kappock St., Apt. 4e, Bronx, NY 10034 | 2015-09-10 |
| 1104232040 | Michael Kwakye | General Practice | 5030 Broadway Ste 816, New York, NY 10034 | 2014-07-10 |
| 1619389624 | Jay Steven Reidler | Orthopaedic Surgery | Columbia Orthopedics, 5141 Broadway, 3 Field West, New York, NY 10034 | 2014-05-25 |
| 1467718247 | Sherman Medical Care, PC | Internal Medicine | 231 Sherman Ave, 1f, New York, NY 10034 | 2012-04-06 |
| Find all providers in zip 10034 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
| 1619339785 | Manhattan Nephrology and Critical Care Pllc | Internal Medicine | 116 E 124th St, New York, NY 10035-1933 | 2016-03-28 |
| 1679947162 | Valmond Medical Pllc | Internal Medicine | 206 E. 76th St. Suite M2, New York, NY 10021 | 2015-11-20 |
| 1821489600 | Alan D Lavine | Internal Medicine | 80 Riverside Blvd Apt 16b, New York, NY 10069-0315 | 2015-02-14 |
| 1245633825 | Celeste Sharon Chang | Internal Medicine | 139 Centre St Ste 703, New York, NY 10013-4557 | 2014-09-26 |
| 1316368061 | Lili Chan | Internal Medicine | 1249 5th Avene, New York, NY 10029 | 2013-12-25 |
| 1265716906 | Simone Sanna Cherchi | Internal Medicine | 622 W 168th St Ph 4-124, New York, NY 10032-3720 | 2011-09-29 |
| 1245559442 | Jennifer S Scherer | Internal Medicine | 462 1st Ave # Bcd676, Nyu Langone Medical Center, New York, NY 10016-9196 | 2010-05-27 |
| 1427218684 | Muthukumar Thangamani | Internal Medicine | 525 E 68 Street, Division of Nephrology Box 3, New York, NY 10021 | 2008-06-11 |
| 1154588572 | John Richard Lee | Internal Medicine | 424 E 70th St, New York, NY 10021-5326 | 2008-05-22 |
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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.