DR. PRADEEP BANSAL (NPI# 1457339053) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457339053 |
| Entity Type | Individual |
| Full Name | DR. PRADEEP BANSAL |
| Credential | MD |
| Practice Address |
2000 N Village Ave Ste 411 Rockville Centre NY 11570-1001 |
| Practice Telephone | 5165934451 |
| Practice Fax Number | 5165936202 |
| Mailing Telephone | 5165934451 |
| Mailing Fax Number | 5165936202 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2019-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 174400000X | Specialist | 192386 | NY | Other Service Providers |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
1923861 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01717284 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336399518 | Pradeep Bansal | Physical Therapist | 234 E 149th St, Bronx, NY 10451-5504 | 2008-09-24 |
| Street Address |
2000 N VILLAGE AVE STE 411 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-1001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528046133 | Harold L Lipsky | Specialist | 2000 N Village Ave Ste 411, Rockville Centre, NY 11570-1001 | 2006-01-04 |
| 1194874826 | All Island Gastroenterology and Liver Associates, P.C. | Specialist | 2000 N Village Ave Ste 411, Rockville Centre, NY 11570-1001 | 2007-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1285603571 | Charnjit Singh | Internal Medicine | 176 N Village Ave Ste 2d, Rockville Centre, NY 11570-3800 | 2006-03-17 |
| 1881688646 | Stephen M Krigsman | Internal Medicine | 143 N Long Beach Rd, Suite 4, Rockville Centre, NY 11570-4438 | 2005-09-08 |
| 1386786457 | Larry I. Good, M.d., P.C. | Internal Medicine | 176 N Village Ave, Rockville Centre, NY 11570-3800 | 2007-02-13 |
| 1851444681 | Daniel C Mausner Md and Mark J Kirchblum Md LLP | Internal Medicine | 2000 North Village Avenue, Suite 211, Rockville Centre, NY 11570-1001 | 2007-01-18 |
| 1376632505 | Leonard Ingber | Internal Medicine | 77 North Centre Ave, Suite 207, Rockville Centre, NY 11570 | 2006-10-12 |
| 1609899681 | All County Gastroenterology & Hepatology Pllc | Internal Medicine | 176 N Village Ave Ste 2d, Rockville Centre, NY 11570-3800 | 2006-07-25 |
| 1174567101 | Steven J Friedman | Internal Medicine | 30 Hempstead Ave, Suite 148, Rockville Centre, NY 11570-4033 | 2006-06-16 |
| 1912907882 | Daniel Charles Mausner | Internal Medicine | 2000 N Village Ave, Ste 211, Rockville Centre, NY 11570-1078 | 2005-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645870 | Gastro 2020 Pllc | Internal Medicine | 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2020-10-07 |
| 1457963241 | Medical Services of Uniondale, PC | Internal Medicine | 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 | 2020-08-21 |
| 1619586419 | Kazbay Medical Pllc | Internal Medicine | 83 Salierno Rd, Tuxedo Park, NY 10987-4712 | 2020-07-28 |
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1326673559 | Jack Husney Md P.C. | Internal Medicine | 2228 E 8th St, Brooklyn, NY 11223-4944 | 2020-03-09 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1891345666 | Jrr Medical PC | Internal Medicine | 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 | 2019-09-13 |
| 1497218762 | Rudoy Medical PC | Internal Medicine | 2644 E 19th St, Brooklyn, NY 11235-3303 | 2019-04-12 |
| 1194287235 | Ng Medical Brooklyn Pllc | Internal Medicine | 943 60th St # C1, Brooklyn, NY 11219-4871 | 2019-04-05 |
| 1144786682 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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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.