CARLOS H. MONTOYA-IRAHETA (NPI# 1447292578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447292578 |
| Entity Type | Individual |
| Full Name | CARLOS H. MONTOYA-IRAHETA |
| Credential | M.D. |
| Practice Address |
120 Mineola Blvd Suite 210 Mineola NY 11501-4073 |
| Mailing Address |
222 Station Plz N Suite 611 Mineola NY 11501-3808 |
| Practice Telephone | 5166634600 |
| Practice Fax Number | 5166634473 |
| Mailing Telephone | 5166632532 |
| Mailing Fax Number | 5166632233 |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2013-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
188908 | NY | Allopathic & Osteopathic Physicians |
| N | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
188908 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01344747 | 05 |
| Street Address |
120 MINEOLA BLVD SUITE 210 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609869734 | Valerie Cucco | Obstetrics & Gynecology | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4073 | 2005-08-24 |
| 1447892153 | Cassandra Singh | Nurse Practitioner | 120 Mineola Blvd, Mineola, NY 11501-4064 | 2019-10-14 |
| 1750739876 | Jaime Michelle Tramontana | Genetic Counselor, MS | 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4064 | 2016-05-31 |
| 1770944688 | Jessica Hoey | Internal Medicine | 120 Mineola Blvd, Mineola, NY 11501 | 2016-03-19 |
| 1689039505 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Emergency Medicine | 120 Mineola Blvd, Suite 360, Mineola, NY 11501-4064 | 2015-12-18 |
| 1013372135 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Surgery | 120 Mineola Blvd, Suite 300, Mineola, NY 11501-4064 | 2015-12-16 |
| 1639555428 | Anne-marie Wise | Nurse Practitioner | 120 Mineola Blvd, Suite 100, Mineola, NY 11501-4064 | 2015-08-04 |
| 1518342021 | Sherin Philip | Nurse Practitioner | 120 Mineola Blvd, 100, Mineola, NY 11501-4064 | 2015-07-26 |
| 1093199564 | Winthrop Faculty Medical Affiliates University Faculty Practice Corp | Allergy & Immunology | 120 Mineola Blvd, Suite 410, Mineola, NY 11501-4064 | 2015-07-15 |
| 1154702850 | Abigail Weinberg | Genetic Counselor, MS | 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4064 | 2015-06-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942620141 | Emina Hodzic | Pediatrics | 120 Mineola Blvd Ste 210, Mineola, NY 11501-4077 | 2014-04-27 |
| 1376584193 | Donna J Better | Pediatrics | 120 Mineola Blvd, Suite 210, Mineola, NY 11501-4073 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770995771 | Susan Beker | Pediatrics | 157 Barlow Dr S, Brooklyn, NY 11234 | 2014-05-24 |
| 1750624995 | Maher Nazih Abadeer | Pediatrics | Ur Medicine Golisano Children's Hospital, 601 Elmwood Ave, Rochester, NY 14642 | 2013-04-05 |
| 1891037578 | Chalese Katche Richardson-olivier | Pediatrics | 1111 Marcus Ave Ste M15, New Hyde Park, NY 11042-1034 | 2013-03-20 |
| 1750637328 | Ankur Bharat Shah | Pediatrics | 14601 45th Ave Ste 302, Flushing, NY 11355-2280 | 2012-07-31 |
| 1669731055 | Ian Hovis | Pediatrics | 208 E 82nd St, Apt 22, New York, NY 10028-2725 | 2012-05-07 |
| 1730447525 | Jess T. Randall | Pediatrics | 319 S. Manning Blvd, Suite 203, Albany, NY 12208 | 2012-04-30 |
| 1780975029 | Jamie K. Harrington | Pediatrics | 3959 Broadway # Chn-2, New York, NY 10032-1559 | 2011-04-20 |
| 1922397421 | Erin Paul | Pediatrics | 3959 Broadway # Chn 2-253, New York, NY 10032-1559 | 2011-04-05 |
| 1386964419 | Amee Shah | Pediatrics | 545 W 110th St, Apt 6f, New York, NY 10025-2015 | 2010-06-11 |
| 1134442999 | Ivan G Dimich | Pediatrics | 201east79thstreetsuite, 20 E, New York, NY 10075-0836 | 2010-03-09 |
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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.