ISLAND MEN'S MEDICAL HEALTH PRACTICE, PC


Address: 1551 Richmond Rd, Staten Island, NY 10304-2313
Phone: 7189794350

ISLAND MEN'S MEDICAL HEALTH PRACTICE, PC (NPI# 1437496510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437496510
Entity Type Organization
Organization Name ISLAND MEN'S MEDICAL HEALTH PRACTICE, PC
Practice Address 1551 Richmond Rd
Staten Island
NY 10304-2313
Practice Telephone 7189794350
Practice Fax Number 7189794825
Mailing Telephone 7189794350
Mailing Fax Number 7189794825
Enumeration Date 2013-01-10
Last Update Date 2013-01-10
Authorized Official Name BARRY GORDON (PHYSICIAN)
Authorized Official Telephone 7189794350
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0000X Internal Medicine
Specialization: Hematology
097198 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 1551 RICHMOND RD
City STATEN ISLAND
State NY
Zip Code 10304-2313

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407819741 Mark F Sherman Orthopaedic Surgery 1551 Richmond Rd, Staten Island, NY 10304 2006-04-08
1518442417 Anjelica Sarina Tuozzo Physician Assistant 1551 Richmond Rd, Staten Island, NY 10304-2313 2018-09-27
1528597317 Kristen Mary Letendre Physician Assistant 1551 Richmond Rd, Staten Island, NY 10304-2313 2017-06-06
1861926966 Hrt Management Corporation Internal Medicine 1551 Richmond Rd, Staten Island, NY 10304-2313 2017-04-14
1942606074 Rhodora M Arcilla Family Medicine 1551 Richmond Rd, Staten Island, NY 10304-2313 2014-11-18
1659714582 Alexander Namhyun Kim Family Medicine 1551 Richmond Rd, 1a, Staten Island, NY 10304-2313 2013-04-10
1235413527 Bath Beach Medical PC Internal Medicine 1551 Richmond Rd, Staten Island, NY 10304-2313 2011-10-05
1851699615 Metropolitan Specialty Labs, Inc Clinical Medical Laboratory 1551 Richmond Rd, Suite#101, Staten Island, NY 10304 2011-03-03
1861620791 Lucretia S Mongal Family Medicine 1551 Richmond Rd, Unit 1a, Staten Island, NY 10304-2313 2009-06-30
1891937785 Sanjay Raisoni Internal Medicine 1551 Richmond Rd, Unit 1a, Staten Island, NY 10304-2313 2009-03-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215542923 Margaret Chifong Tam Nurse Practitioner 85 Venice Avenue, Staten Island, NY 10304 2020-09-10
1598397788 Alexandria & Akea's Playhouse, Inc. Day Training, Developmentally Disabled Services 1864 Clove Road, Staten Island, NY 10304 2020-02-06
1548746811 Bryant Edward Pearson Technician/Technologist 664 Bay Street, Staten Island, NY 10304 2018-07-19
1366941668 Safwat Attia Youssef Orthopaedic Surgery 25 Sunrise Terrace, Staten Island, New York, NY 10304 2018-02-02
1699294090 Kate Lynn Chimienti Specialist/Technologist 52 Smith Ter Fl1, Staten Island, NY 10304 2017-09-17
1881117315 Fun Speech Therapy, P.C. Early Intervention Provider Agency 367 St Pauls Ave., Staten Island, NY 10304 2017-07-17
1720517097 Senada Pelinkovic Speech-Language Pathologist 29 Remsen St, Staten Island, NY 10304 2017-06-08
1760927255 Kpannah Moore Licensed Practical Nurse 492 Vanderbilt Avenue, Staten Island, NY 10304 2016-12-20
1689116592 Rena Li Registered Nurse 30 Celebration Lane, Staten Island, NY 10304 2016-11-09
1407304835 Esther Mitnick Counselor 285 Vanderbilt Avenue, State Island, NY 10304 2016-09-14
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Taxonomy Information

Taxonomy Code 207RH0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology

Taxonomy Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740773936 Icahn School of Medicine At Mount Sinai Internal Medicine 1910 Richmond Rd, Staten Island, NY 10306-2552 2018-06-12

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1053920793 Kylee Maclachlan Internal Medicine 250 E 77th St Apt 5a, New York, NY 10075-2241 2020-07-29
1174998249 Cancer and Blood Medical Services of Ny, PC Internal Medicine 2 Longview Ave # 4, White Plains, NY 10601-5000 2015-12-01
1114283785 Marcia Noreen Paddock Internal Medicine 428 E. 72nd St, Suite 300, New York, NY 10021 2012-04-07
1801174909 Fred Rosner Internal Medicine 750 Elvira Avenue, Far Rockaway, NY 11691-5405 2011-07-25
1891086740 Lisa Dianne Cupit Internal Medicine 5 Deauville Ct, Northport, NY 11768-2105 2011-04-27
1184923898 Daniel Edward Sammartino Internal Medicine 2 Longview Ave Fl 2, White Plains, NY 10601-5000 2011-03-21
1669609343 Catherine Josephine Pelczar-wissner Internal Medicine 31 Wood Ave, Ardsley, NY 10502-1025 2009-06-19
1982856415 Marshall Albert Lichtman Internal Medicine 601 Elmwood Ave Box Med, Rochester, NY 14642-0001 2008-10-15
1174714927 Barry Wenz Internal Medicine 752 Titicus Rd, North Salem, NY 10560-2201 2007-08-07
1013134964 Hudson Valley Health Group Internal Medicine 3141 Us Route 9w, Suite 100, New Windsor, NY 12553-6709 2007-04-20
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Competitor

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City STATEN ISLAND
Zip Code 10304

Improve Information

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Dataset Information

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.

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