DR. JEREMY MYLES SCHUBE (NPI# 1417359902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417359902 |
| Entity Type | Individual |
| Full Name | DR. JEREMY MYLES SCHUBE |
| Credential | M.D. |
| Practice Address |
1901 1st Avenue New York NY 10029 |
| Mailing Address |
715 Hunting View Pt Atlanta GA 30328-2784 |
| Practice Telephone | 2124237000 |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 077200 | GA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Medical Center Blvd, Lawrenceville, GA 300467694 | 6783121000 |
| Street Address |
1901 1ST AVENUE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730488271 | Helen Louise Flippin | Student in an Organized Health Care Education/Training Program | 1901 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2011-03-23 |
| 1699391599 | Gauhar Raina | Student in an Organized Health Care Education/Training Program | 1901 1st Avenue, Metropolitan Hospital Center, Dept. of Psychiatry, New York, NY 10029 | 2020-06-17 |
| 1689290520 | Elissa Owen | Student in an Organized Health Care Education/Training Program | 1901 1st Avenue, Department of Emergency Medicine, New York, NY 10029 | 2020-06-16 |
| 1356966543 | Niyati Mahesh Gupta | Student in an Organized Health Care Education/Training Program | 1901 1st Avenue, Department of Internal Medicine, New York, NY 10029 | 2020-06-12 |
| 1205451903 | Petra Abou Lhosn | Student in an Organized Health Care Education/Training Program | 1901 1st Avenue, Metropolitan Hospital Center Department of Internal Med, New York, NY 10029 | 2020-06-09 |
| 1174150155 | David Garcia Goncalves De Brito | Student in an Organized Health Care Education/Training Program | 1901 1st Avenue, New York, NY 10029-7491 | 2020-03-27 |
| 1013438837 | Baldeep Mann | Internal Medicine | 1901 1st Avenue, Suite#704, New York, NY 10029 | 2017-07-01 |
| 1659800332 | Juliana Evonne Muchinyi | Student in an Organized Health Care Education/Training Program | 1901 1st Avenue, Metropolitan Hospital Center Department of Surgery, New York, NY 10029 | 2017-06-07 |
| 1598293607 | Jennifer Brown | Student in an Organized Health Care Education/Training Program | 1901 1st Avenue, Metropolitan Hospital Center Dept of Obgyn, New York, NY 10029 | 2017-06-02 |
| 1619320025 | Patrick E Digenova | Psychiatry & Neurology | 1901 1st Avenue, Metropolitan Hospital Center, Dept. of Psychiatry, New York, NY 10029-1724 | 2016-07-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508488040 | Madhok Medical Corporation | Emergency Medicine | 555 Madison Ave Fl 20, New York, NY 10022-3301 | 2020-05-07 |
| 1346892155 | Jonathan Pezhmannia | Emergency Medicine | 2a Cortlandt St, New York, NY 10007-3104 | 2019-07-11 |
| 1588184113 | Elizabeth Boctor | Emergency Medicine | 1901, 1st Avenue, Metropolitan Hospital Center, Dept of Emergency Medicine, New York, NY 10029 | 2017-06-24 |
| 1598129389 | Allan So | Emergency Medicine | 622 W 168th St Ste Vc260, New York, NY 10032-3720 | 2016-04-08 |
| 1255718268 | Anjuli Cogman | Emergency Medicine | 176 Broadway Apt 3c, New York, NY 10038-2516 | 2015-04-28 |
| 1679967525 | Varun Katdare | Emergency Medicine | 1 Gustave L. Place, New York, NY 10029 | 2015-03-27 |
| 1750775979 | Gregory Fernandez | Emergency Medicine | 1 Gustave L. Place, Box 1149, New York, NY 10029 | 2015-03-25 |
| 1053713115 | Krishna Kanth Potluri | Emergency Medicine | 1901 1st Ave # 2a31, New York, NY 10029-7404 | 2014-09-20 |
| 1144635764 | David Attaway | Emergency Medicine | 27 Orchard St Apt 11, New York, NY 10002-6176 | 2014-06-23 |
| 1558781054 | Victoria Ron | Emergency Medicine | 313 W 47th St, Apt 1-w, New York, NY 10036-2407 | 2014-04-23 |
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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.