RAUL LUIS VILCA (NPI# 1447419726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447419726 |
| Entity Type | Individual |
| Full Name | RAUL LUIS VILCA |
| Credential | MD |
| Practice Address |
12510 Queens Blvd Kew Gardens NY 11415-1519 |
| Mailing Address |
Po Box 9608 Uniondale NY 11555-9608 |
| Practice Telephone | 7182610444 |
| Practice Fax Number | 7182610940 |
| Mailing Telephone | 7182610444 |
| Mailing Fax Number | 7182610940 |
| Enumeration Date | 2008-06-03 |
| Last Update Date | 2012-11-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
41816 | KY | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
41816 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100055030 | 05 | |
| NY | LICENSE NUMBER | 265821 | 01 |
| KY | BCBS | 000000584955 | 01 |
| Street Address |
12510 QUEENS BLVD |
| City | KEW GARDENS |
| State | NY |
| Zip Code | 11415-1519 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721043 | Marian David, Md, PC | Specialist | 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 11415-1519 | 2005-06-24 |
| 1396262556 | Natalie Yael Abraham | Physician Assistant | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2017-08-28 |
| 1659897973 | Evangelia Pagiazitis | Physician Assistant | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2017-08-17 |
| 1184025785 | Achieved Occupational Therapy Assistant Care, Pllc | Early Intervention Provider Agency | 12510 Queens Blvd, Unit #9a, Kew Gardens, NY 11415-1519 | 2014-09-15 |
| 1366735763 | Peter R Niyazov | Pharmacist | 12510 Queens Blvd, Kew Gardens, NY 11415-1519 | 2011-05-18 |
| 1003049594 | Carrie A. Palmer, LLC | Ophthalmology | 12510 Queens Blvd, Ste. 911, Kew Gardens, NY 11415-1519 | 2009-08-31 |
| 1952549800 | Salim Baghdadi | Specialist | 12510 Queens Blvd, Suite 2701, Kew Gardens, NY 11415-1519 | 2009-01-30 |
| 1104072586 | Olga A Burzyantseva | Specialist | 12510 Queens Blvd, Ste 2701, Kew Gardens, NY 11415-1519 | 2008-08-17 |
| 1306016969 | Chaim Meir Moeller | Specialist | 12510 Queens Blvd, Ste 2701, Kew Gardens, NY 11415-1519 | 2008-03-10 |
| 1821279449 | Harold W. Najac, M.d., P.C. | Ophthalmology | 12510 Queens Blvd, Suite 305, Kew Gardens, NY 11415-1519 | 2007-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492519 | Si Physical Therapy | Clinic/Center | 119-60 Metropolitan Ave, Kew Gardens, NY 11415 | 2020-09-17 |
| 1760036073 | Alina Alayev | Nurse Practitioner | 123-60 83rd Ave 11d, Kew Gardens, NY 11415 | 2019-07-25 |
| 1659860435 | Karolina Pinkhasova | Developmental Therapist | 11917 83rd Ave, Kew Gardens, NY 11415 | 2018-05-07 |
| 1508395989 | Hiral Patel | Physician Assistant | 125-10 Queens Blvd, Suite 2701, Kew Gardens, NY 11415 | 2017-06-08 |
| 1912432147 | Jessica Stefanie Minsky | Speech-Language Pathologist | 82-34 Kew Gardens Rd, Kew Gardens, NY 11415 | 2017-04-25 |
| 1629426697 | Muhammad Usman | Physical Therapist | 8526 126th St Fl 2, Kew Gardens, NY 11415 | 2016-05-31 |
| 1598126260 | Chinonye Benjamin | Licensed Practical Nurse | 85-35 Leffert Blvd, Kew Gardens, Queens, NY 11415 | 2016-03-09 |
| 1730559105 | Mohamed Abaza | Physical Therapist | 119-05 80th Road, Kew Gardens, NY 11415 | 2015-09-29 |
| 1457737306 | Noelle Elizabeth Lenti-nightengale | Registered Nurse | 124-16 85 Avenue, Kew Gardens, NY 11415 | 2015-08-03 |
| 1871996983 | Zinovia Ioannou | Dental Hygienist | 121-56 Metropolitan Ave, Kew Gardens, NY 11415 | 2014-10-02 |
| Find all providers in zip 11415 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508491879 | Marjorie Stein, M.d., PC | Internal Medicine | 30 Coach Lane, Muttontown, NY 11791 | 2020-03-07 |
| 1487294971 | John A. Lanzone, M.d., P.c | Internal Medicine | 173 Mineola Blvd Ste 406, Mineola, NY 11501-2555 | 2020-01-13 |
| 1831651058 | Cny Care of Ny IIi, LLC | Internal Medicine | 1131 Route 55 Ste 1c, Lagrangeville, NY 12540-5054 | 2019-04-05 |
| 1548741283 | North Shore Long Island Jewish Healthcare Inc. | Internal Medicine | 501 Seaview Ave Ste 300, Staten Island, NY 10305-3400 | 2018-08-21 |
| 1316433345 | Dheeraj Khurana Cardiology PC | Internal Medicine | 8912 Woodhaven Blvd, Woodhaven, NY 11421-2614 | 2018-07-02 |
| 1447758719 | Coordinated Health of Ny II, LLC | Internal Medicine | 708 3rd Ave Fl 6, New York, NY 10017-4119 | 2018-01-31 |
| 1407364383 | Cardiac Cin of Buffalo LLC | Internal Medicine | 3725c Walden Ave, Lancaster, NY 14086-1405 | 2018-01-13 |
| 1235647116 | Coordinated Health of Ny, LLC | Internal Medicine | 1131 Route 55 # 1c, Lagrangeville, NY 12540-5054 | 2018-01-13 |
| 1356711949 | Tess Marie Becker | Internal Medicine | 1184 5th Ave # P6-320, New York, NY 10029 | 2015-09-25 |
| 1720464589 | New York Cardiovascular Care P.C. | Internal Medicine | 30 Gardner Avenue, Hicksville, NY 11801 | 2015-08-04 |
| Find all providers with the same taxonomy | ||||
| City | KEW GARDENS |
| Zip Code | 11415 |
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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.