BORO PARK OPERATING CO LLC (NPI# 1427356930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427356930 |
| Entity Type | Organization |
| Organization Name | BORO PARK OPERATING CO LLC |
| Other Organization Name | BORO PARK PHYSICIAN GROUP |
| Practice Address |
4915 10th Ave Brooklyn NY 11219-3301 |
| Mailing Address |
4770 White Plains Rd Bronx NY 10470-1104 |
| Practice Telephone | 7188513700 |
| Mailing Telephone | 7189319700 |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2019-12-31 |
| Authorized Official Name | KENNETH ROZENBERG (MEMBER) |
| Authorized Official Telephone | 7189319700 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Boro Park Physician Group | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982913109 | Boro Park Operating Co LLC | Skilled Nursing Facility | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2010-10-05 |
| Street Address |
4915 10TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-3301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689602252 | Mjg Nursing Home Company Inc | Skilled Nursing Facility | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2006-06-30 |
| 1215559489 | Yuliya Plaxin | Registered Nurse | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2020-05-11 |
| 1154827616 | Marina Bukhrashvili | Nurse Practitioner | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2018-04-03 |
| 1699213629 | Annesia Cato | Licensed Practical Nurse | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2017-02-09 |
| 1487198198 | Ganna Severina | Occupational Therapy Assistant | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2016-12-14 |
| 1144679267 | Shawn L Forde | Social Worker | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2016-06-09 |
| 1700250222 | Olena Tychkov | Occupational Therapy Assistant | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2015-11-20 |
| 1487028965 | Jose Vivian Corre | Physical Therapist | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2015-11-19 |
| 1063846285 | Centers Adult Day Care LLC | Clinic/Center | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2013-08-23 |
| 1457604027 | Daniel Ganz | Internal Medicine | 4915 10th Ave, Brooklyn, NY 11219-3301 | 2012-10-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
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| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1487027496 | Shujing Lin | Internal Medicine | 6309 New Utrecht Ave, Brooklyn, NY 11219-5425 | 2015-11-12 |
| 1871922575 | Sherif El-salawy Medical. P.c | Internal Medicine | 1491 Broadway, 3rd Floor, Brooklyn, NY 11221-4237 | 2013-11-04 |
| 1740527985 | Kingsway Medical, PC | Internal Medicine | 2907 Kings Hwy, Brooklyn, NY 11229-1805 | 2013-01-08 |
| 1578708210 | Shavon Dillon | Internal Medicine | 450 Clarkson Ave, Msc 68, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2008-12-10 |
| 1073778916 | Eaw Medical Care Pllc | Internal Medicine | 612 Schenectady Ave, Brooklyn, NY 11203-1821 | 2008-07-21 |
| 1982889648 | Parkville Medical PC | Internal Medicine | 445 Park Avenue, Brooklyn, NY 11205-2735 | 2007-12-31 |
| 1972799161 | Bella Zimilevich | Internal Medicine | 6301 Mill Ln, Brooklyn, NY 11234-5512 | 2007-09-20 |
| 1861687592 | P.dhillon Md PC | Internal Medicine | 34 Plaza Street East, Suite 102, Brooklyn, NY 11238 | 2007-09-06 |
| 1831301332 | Charles Chanan Kanner | Internal Medicine | 3015- West 29th Street, Brooklyn, NY 11224 | 2007-05-04 |
| 1346468139 | Traditional and Alternative Medicine PC | Internal Medicine | 2 W End Ave, Brooklyn, NY 11235-4848 | 2007-04-24 |
| Find all providers in BROOKLYN | ||||
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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.