INTERFAITH PROFESSIONAL PHYSICIAN SERVICES, P.C. (NPI# 1457643991) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457643991 |
| Entity Type | Organization |
| Organization Name | INTERFAITH PROFESSIONAL PHYSICIAN SERVICES, P.C. |
| Practice Address |
1545 Atlantic Avenue Faculty Practice Brooklyn NY 11213-1122 |
| Practice Telephone | 7186134708 |
| Practice Fax Number | 7186134101 |
| Mailing Telephone | 7186136575 |
| Mailing Fax Number | 7186136422 |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2019-10-15 |
| Authorized Official Name | GARY STEPHENS (PRESIDENT) |
| Authorized Official Telephone | 7186136588 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207ZP0105X |
Pathology Specialization: Clinical Pathology/Laboratory Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | INTERFAITH PROFESSIONAL PHYSICIAN SERVICES, P.C. | 1545 Atlantic Avenue, Brooklyn, Ny 11213 |
| Street Address |
1545 ATLANTIC AVENUE FACULTY PRACTICE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11213-1122 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487724712 | Interfaith Medical Center | General Acute Care Hospital | 1545 Atlantic Avenue, Brooklyn, NY 11213 | 2006-11-08 |
| 1104368133 | Manley Morrison IIi | Social Worker | 1545 Atlantic Avenue, Brooklyn, NY 11213 | 2016-11-08 |
| 1194184929 | Frantzie Jean | Physician Assistant | 1545 Atlantic Avenue, Brooklyn, NY 11213 | 2016-02-22 |
| 1972989622 | Sheila Brooks | Psychologist | 1545 Atlantic Avenue, Brooklyn, NY 11213 | 2015-08-05 |
| 1750791323 | Moonyeen Carel | Nurse Practitioner | 1545 Atlantic Avenue, Pacu/recovery Room Interfaith Medical Center, Brooklyn, NY 11213 | 2014-05-05 |
| 1568713600 | Michael Legasion Tekle | Hospitalist | 1545 Atlantic Avenue, Interfaith Medical Center, Brooklyn, NY 11213 | 2012-09-28 |
| 1730438276 | Rebecca Anne Hochman | Social Worker | 1545 Atlantic Avenue, Cmh, Brooklyn, NY 11213 | 2012-08-30 |
| 1457643785 | Interfaith Emergency Medicine, P.C. | Emergency Medicine | 1545 Atlantic Avenue, Faculty Practice, Brooklyn, NY 11213-1122 | 2011-05-04 |
| 1790018059 | Vito La Puma | Podiatrist | 1545 Atlantic Avenue, Brooklyn, NY 11213 | 2009-09-17 |
| 1699822734 | Lisa Nichols | Psychiatric Hospital | 1545 Atlantic Avenue, Brooklyn, NY 11213 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548885262 | Zaire Hairston | Counselor | 1625 President Street Brooklyn, Ny 11213 Apt 3a, 1625 President Street Brooklyn, Ny 11213 Apt 3a, Brooklyn, NY 11213 | 2020-06-09 |
| 1447801394 | Rron Lleshi | Physician Assistant | 1635 Union Street, Apt 1a, Brooklyn, NY 11213 | 2019-09-23 |
| 1639723174 | Jamie Zena Morris | Licensed Vocational Nurse | 1372 Sterling Pl B2, Brooklyn, NY 11213 | 2019-08-01 |
| 1073097572 | Mariia Tonkonog | Specialist | 878 Easetern Pkwy, Brooklyn, NY 11213 | 2018-09-20 |
| 1114413234 | Rimma Salganik | Social Worker | Bright Futures for The Children, 119 Schenectady Ave, Brooklyn, NY 11213 | 2018-07-02 |
| 1861980138 | Ibrahim Elkattawy | Student in an Organized Health Care Education/Training Program | 1545 Atlantic Ave # 11213, Brooklyn, NY 11213 | 2018-04-23 |
| 1528571858 | Rivkah Shuchat | Physical Therapist | Homecare, Brooklyn, NY 11213 | 2017-11-08 |
| 1356854699 | Lisa Watler | Physical Therapy Assistant | 1470 Union Street, Brooklyn, NY 11213 | 2017-11-08 |
| 1962914713 | Rockaway Ave Pharmacy Inc | Pharmacist | 226 Schenectady Ave, Brooklyn, NY 11213 | 2017-11-02 |
| 1649796152 | Janet Agbaku | Registered Nurse | 893 Eastern Parkway, Fl 2, Brooklyn, NY 11213 | 2017-08-16 |
| Find all providers in zip 11213 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255640181 | Maria- Anna Vastardi | Allergy & Immunology | 9036 7th Ave, Brooklyn, NY 11228-3625 | 2010-09-27 |
| 1891917951 | Ujwala Kaza | Allergy & Immunology | 101 Broadway Apt 201, Brooklyn, NY 11249-6297 | 2007-05-02 |
| 1013012772 | Edward J Gindi | Allergy & Immunology | 1636 E 14th St Ste 108, Brooklyn, NY 11229-1100 | 2006-09-14 |
| 1831131952 | Howard M Friedman | Allergy & Immunology | 546 Eastern Parkway Empire Center, Brooklyn, NY 11225 | 2006-06-12 |
| 1043258726 | Cascya Charlot | Allergy & Immunology | 10 Plaza St E, 1e, Brooklyn, NY 11238-4954 | 2006-06-03 |
| 1447210323 | Rao A.k. Yalamanchili | Allergy & Immunology | 159 Clinton St, Brooklyn, NY 11201-4601 | 2006-03-24 |
| 1992780316 | Emerald M Thaw | Allergy & Immunology | 5908 5th Ave, Brooklyn, NY 11220-4071 | 2005-12-08 |
| 1255329462 | Richard Davis Snyder | Allergy & Immunology | 2632 E 21st St, Brooklyn, NY 11235-2941 | 2005-10-11 |
| 1952674442 | Dolly Manvar M.d P.c | Allergy & Immunology | 6414 Bay Pkwy, Brooklyn, NY 11204-3929 | 2012-02-15 |
| 1154566214 | Lev Barsky Medical P.C. | Allergy & Immunology | 728 Ocean View Ave, Brooklyn, NY 11235-6308 | 2008-12-03 |
| Find all providers in BROOKLYN | ||||
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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.