DR. BRUCE ALAN DORMAN (NPI# 1457353856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457353856 |
| Entity Type | Individual |
| Full Name | DR. BRUCE ALAN DORMAN |
| Credential | D.P.M. |
| Practice Address |
6134 188th St Suite 203 Fresh Meadows NY 11365-2726 |
| Mailing Address |
30 Hightop Ln Jericho NY 11753-1719 |
| Practice Telephone | 7184544333 |
| Practice Fax Number | 7184544823 |
| Mailing Telephone | 5169382055 |
| Mailing Fax Number | 7184544823 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2012-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | 1495 | FL | Podiatric Medicine & Surgery Service Providers |
| Y | 213E00000X | Podiatrist | NY003551 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | OXFORD INSURANCE | P559929 | 01 |
| NY | GHI | 0025415 | 01 |
| NY | 00818933 | 05 | |
| NY | BLUE CROSS | P38382 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265568109 | Bruce P Dorman | Otolaryngology | 311 Manatee Ave E, Bradenton, FL 34208-1933 | 2007-02-26 |
| 1447241708 | Bruce H Dorman | Anesthesiology | 1001 Sam Perry Blvd, Fredericksburg, VA 22401-4453 | 2005-11-04 |
| Street Address |
6134 188TH ST SUITE 203 |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11365-2726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922345271 | Acosta Physical Therapy PC | Clinic/Center | 6134 188th St, Suite 208, Fresh Meadows, NY 11365-2719 | 2013-01-07 |
| 1497004998 | Pmgt Medical and Surgical Associates LLP | Specialist | 6134 188th St, Ste 205, Fresh Meadows, NY 11365-2719 | 2012-08-30 |
| 1801026356 | Jason Fong | Obstetrics & Gynecology | 6134 188th St, Suite 214, Fresh Meadows, NY 11365-2719 | 2009-07-18 |
| 1538307020 | Deborah Helen Brant-deitch | Pediatrics | 6134 188th St, Suite 211, Fresh Meadows, NY 11365-2726 | 2009-01-22 |
| 1720261274 | Dr. Bruce Dorman, D.p.m. | Durable Medical Equipment & Medical Supplies | 6134 188th St, Suite 203, Fresh Meadows, NY 11365-2726 | 2007-12-06 |
| 1710184635 | Ibrahim Saraya | Internal Medicine | 6134 188th St, Suite 214, Fresh Meadows, NY 11365-2726 | 2007-07-03 |
| 1861605289 | Arnold M Dornberg | Dentist | 6134 188th St, Suite 212, Fresh Meadows, NY 11365-2726 | 2007-05-08 |
| 1932232907 | Alvaro Acosta | Physical Therapist | 6134 188th St, Suite 208, Fresh Meadows, NY 11365-2719 | 2007-03-13 |
| 1124167473 | Manor Dental PC | Dentist | 6134 188th St, Suite 204, Fresh Meadows, NY 11365-2726 | 2007-02-05 |
| 1083794531 | Sheryl Sue Cohen | Pediatrics | 6134 188th St, Suite 211, Fresh Meadows, NY 11365-2726 | 2006-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427660653 | Melanie Batista | Massage Therapist | 71-55 Parsons Blvd, Fresh Meadows, NY 11365 | 2020-08-19 |
| 1497396378 | Celestina Andino | Registered Nurse | 194-15b 64th Circle, 3c, Fresh Meadows, NY 11365 | 2019-10-02 |
| 1659939304 | Bracha Kosoff | Occupational Therapist | 71-64 168th St., Flushing, NY 11365 | 2019-05-29 |
| 1295290419 | Kate Okeke | Licensed Practical Nurse | 188 04 64th Avenue, Fresh Meadow, NY 11365 | 2019-02-01 |
| 1669951497 | Jihee Woo | Registered Nurse | 189-04 6f Fresh Meadows, Queeens, NY 11365 | 2018-08-13 |
| 1710465125 | In Hye Choi | Acupuncturist | 67-02a 188st., Apt 3b, Fresh Meadows, NY 11365 | 2018-07-30 |
| 1497231112 | Shamain C Persaud | Case Manager/Care Coordinator | 67-28 188th Street, Fresh Meadows, NY 11365 | 2018-07-16 |
| 1598280489 | Gabriella Pamela Koyenova | Physician Assistant | 69-24 181st Street, Fresh Meadows, NY 11365 | 2017-08-11 |
| 1750802781 | Nicola Coley | Behavioral Analyst | 6747 161st Street, 1k, Flushing, NY 11365 | 2017-06-29 |
| 1811427941 | Jong M Lee | Acupuncturist | 6020b 194th St Apt 3b, Fresh Meadows, NY 11365 | 2017-06-12 |
| Find all providers in zip 11365 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548355175 | Bradley Jay Marsh | Podiatrist | 182-19 Horace Harding Expressway, Fresh Meadows, NY 11365 | 2006-10-03 |
| 1235139106 | Michael H Loshigian | Podiatrist | 17926 Union Tpke, Fresh Meadows, NY 11366-1636 | 2005-07-21 |
| 1851390157 | Mark J Aronson | Podiatrist | 18507 64th Ave, Fresh Meadows, NY 11365-2707 | 2005-07-19 |
| 1245244904 | Nyhmcq-ambulatory Podiatry | Podiatrist | 18219 Horace Harding Expy, Fresh Meadows, NY 11365-2242 | 2006-07-28 |
| 1760448799 | Michael H. Loshigian, Dpm, PC | Podiatrist | 17926 Union Tpke, Fresh Meadows, NY 11366-1636 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497356299 | Health Quest Medical Practice, PC | Podiatrist | 66 Middlebush Rd Ste 302, Wappingers Falls, NY 12590-4076 | 2020-11-06 |
| 1952913329 | Gjd Podiatry Pllc | Podiatrist | 4240 157th St # 3, Flushing, NY 11355-1133 | 2020-08-18 |
| 1144839515 | Wright Podiatry Pllc | Podiatrist | 676 E 235th St, Bronx, NY 10466-2704 | 2020-07-30 |
| 1811523384 | Health Quest Medcial Practice, PC | Podiatrist | The Center for Wound Healing, 670 Stoneleigh Avenue, Carmel, NY 12401 | 2020-03-17 |
| 1336774512 | Philip Schatz Dpm Pllc | Podiatrist | 3903 Beechwood Pl, Seaford, NY 11783-2023 | 2020-03-07 |
| 1538791553 | Health Quest Medical Practice, PC | Podiatrist | 822 Route 82 Ste 110, Hopewell Junction, NY 12533-7374 | 2020-02-07 |
| 1568007144 | Kenneth March, Dpm Pllc | Podiatrist | 1201 Nott St Ste 101, Schenectady, NY 12308-2589 | 2019-11-07 |
| 1427609676 | Jacob Benjamin Mechlowitz | Podiatrist | 423 E 23rd St, New York, Manhattan, NY 10010-5566 | 2019-09-27 |
| 1942850250 | Pedirite Medical Nj LLC | Podiatrist | 267 Broadway Fl 2, Brooklyn, NY 11211-6216 | 2019-09-18 |
| 1154985737 | Podiatry Family Foot Care P.C. | Podiatrist | 8710 37th Ave Ste B, Jackson Heights, NY 11372-7748 | 2019-04-29 |
| Find all providers with the same taxonomy | ||||
| City | FRESH MEADOWS |
| Zip Code | 11365 |
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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.