PREMIER PHYSICIANS OF NEW YORK PLLC (NPI# 1447507827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447507827 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICIANS OF NEW YORK PLLC |
| Other Organization Name | EASTSIDE RADIATION ONCOLOGY |
| Practice Address |
61 E 77th St New York NY 10075-1817 |
| Mailing Address |
2865 E Coast Hwy Suite 200 Corona Del Mar CA 92625-2236 |
| Practice Telephone | 2127722130 |
| Practice Fax Number | 9043455841 |
| Mailing Telephone | 9492073111 |
| Mailing Fax Number | 9496128255 |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2014-06-02 |
| Authorized Official Name | ROBERTO LIPSZTEIN (DIRECTOR) |
| Authorized Official Telephone | 9043098680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 0354168 | 05 |
| Other Name | Type Code |
|---|---|
| Eastside Radiation Oncology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801222955 | Premier Physicians of New York Pllc | Urology | 170 William St, 5th Fl, New York, NY 10038-2612 | 2013-09-20 |
| 1316384753 | Premier Physicians of New York Pllc | Radiology | 10614 70th Ave, Forest Hills, NY 11375-4253 | 2013-05-24 |
| 1811333107 | Premier Physicians of New York Pllc | Urology | 955 Park Ave, New York, NY 10028-0321 | 2013-05-14 |
| 1134564719 | Premier Physicians of New York Pllc | Urology | 24 E 12th St, Suite 2-1, New York, NY 10003-4513 | 2013-05-08 |
| 1083059877 | Premier Physicians of New York Pllc | Urology | 24 E 12th St, Suite 2-1, New York, NY 10003-4513 | 2013-05-07 |
| 1427302942 | Premier Physicians of New York Pllc | Urology | 229 E 79th St, Suite 1a, New York, NY 10075-0866 | 2012-11-06 |
| 1861746513 | Premier Physicians of New York Pllc | Urology | 205 E 78th St, New York, NY 10075-1243 | 2012-11-02 |
| 1699029769 | Premier Physicians of New York Pllc | Urology | 157 E 72nd St, New York, NY 10021-4331 | 2012-10-29 |
| 1417201583 | Premier Physicians of New York Pllc | Urology | 3041 Avenue U, 2nd Floor, Brooklyn, NY 11229-5126 | 2012-10-29 |
| 1235483306 | Premier Physicians of New York Pllc | Urology | 1120 Park Ave, New York, NY 10128-1242 | 2012-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIER PHYSICIANS OF NEW YORK PLLC | 61 East 77th Street, New York, New York 10075 |
| Street Address |
61 E 77TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104827419 | John Rescigno | Radiology | 61 E 77th St, New York, NY 10075-1817 | 2005-08-09 |
| 1407148968 | Paul-michel Fontaine Dossous | Radiology | 61 E 77th St, New York, NY 10075-1817 | 2011-05-03 |
| 1356662316 | Anthony C Kim | Radiology | 61 E 77th St, New York, NY 10075-1817 | 2010-06-14 |
| 1356585061 | Sara Ali | Radiology | 61 E 77th St, New York, NY 10075-1817 | 2009-04-24 |
| 1023144177 | Gregory E Wilde | Radiology | 61 E 77th St, Lenox Hill Radiology, New York, NY 10075-1817 | 2007-02-25 |
| 1568566149 | Caren Jahre | Radiology | 61 E 77th St, New York, NY 10075-1817 | 2006-09-12 |
| 1356384911 | Karen Olga Fried | Radiology | 61 E 77th St, New York, NY 10075-1817 | 2006-06-13 |
| 1821036807 | Lenox Hill Radiology & Medical Imaging Associates, PC | Radiology | 61 E 77th St, New York, NY 10021-1817 | 2006-06-03 |
| 1861443350 | Jeffrey Craig Hellinger | Radiology | 61 E 77th St, Lenox Hill Radiology, New York, NY 10075-1817 | 2006-05-12 |
| 1659350734 | Peter Louis Glickman | Radiology | 61 E 77th St, New York, NY 10075-1817 | 2006-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639566516 | Fauzia Shaikh | Radiology | 525 E 68th St # 95, New York, NY 10065-4870 | 2015-04-18 |
| 1417368721 | Moses Min-chi Tam | Radiology | 550 1st Ave Fl 2, New York, NY 10016-6402 | 2014-05-09 |
| 1649690629 | Christine Chin | Radiology | 622 West 168th Street Chony North B-level, New York, NY 10032 | 2014-04-17 |
| 1336566272 | Stanislav Lazarev | Radiology | 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 | 2014-03-27 |
| 1043574494 | Sumeeta Varma | Radiology | 1250 Broadway Fl 2, New York, NY 10001 | 2012-06-30 |
| 1902164288 | Nisha Ohri | Radiology | 217 E 96th St, Apt 34f, New York, NY 10128-3950 | 2012-04-24 |
| 1770856254 | Icahn School of Medicine At Mount Sinai | Radiology | 1184 5th Ave # 1236, New York, NY 10029-6503 | 2012-02-15 |
| 1417237058 | Anna Lee | Radiology | 225 East 126th St, New York, NY 10087-2012 | 2011-08-26 |
| 1225334865 | Charles B Simone II | Radiology | 225 E 126th St, New York, NY 10035-1406 | 2011-01-30 |
| 1952619181 | Tribeca Radiation Pllc | Radiology | 408-410 Broadway, New York, NY 10013-4111 | 2010-09-22 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on PREMIER PHYSICIANS OF NEW YORK PLLC.
| 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.