PETER KOTANKO (NPI# 1477961993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477961993 |
| Entity Type | Individual |
| Full Name | PETER KOTANKO |
| Credential | M.D. |
| Practice Address |
175 E 96th St Apt 21l New York NY 10128-6200 |
| Practice Telephone | 9174281957 |
| Mailing Telephone | 9174281957 |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
262949 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
175 E 96TH ST APT 21L |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265401004 | George Dolger | Psychologist | 175 E 96th St, 20k, New York, NY 10128-6210 | 2006-03-15 |
| 1932619608 | Nyc Medical Infusion PC | Pharmacy | 175 E 96th St, New York, NY 10128-6200 | 2017-10-06 |
| 1588194898 | 96th Street Rx Corp | Pharmacy | 175 E 96th St, New York, NY 10128-6200 | 2017-06-19 |
| 1952838617 | Nyc Infusion | Clinic/Center | 175 E 96th St, New York, NY 10128-6200 | 2017-05-12 |
| 1366985988 | Katharine Oliver Gilly | Registered Nurse | 175 E 96th St, New York, NY 10128-6200 | 2016-11-30 |
| 1831642008 | Ahmed A M A A Al Khamis | Student in an Organized Health Care Education/Training Program | 175 E 96th St, Apt 10b, New York, NY 10128-6200 | 2016-07-25 |
| 1649654914 | 96th Street Rx Corp | Pharmacy | 175 E 96th St, New York, NY 10128-6200 | 2015-07-16 |
| 1972840833 | Michael Gruber | Psychologist | 175 E 96th St, 22d, New York, NY 10128-6200 | 2013-01-12 |
| 1861737827 | Deborah Marie Carroll | Social Worker | 175 E 96th St, Apt 8t, New York, NY 10128-6200 | 2012-12-03 |
| 1871861807 | Linda C Wayne | Registered Nurse | 175 E 96th St, 21r, New York, NY 10128-6200 | 2011-12-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| 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 |
|---|---|---|---|---|
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
| 1619339785 | Manhattan Nephrology and Critical Care Pllc | Internal Medicine | 116 E 124th St, New York, NY 10035-1933 | 2016-03-28 |
| 1679947162 | Valmond Medical Pllc | Internal Medicine | 206 E. 76th St. Suite M2, New York, NY 10021 | 2015-11-20 |
| 1821489600 | Alan D Lavine | Internal Medicine | 80 Riverside Blvd Apt 16b, New York, NY 10069-0315 | 2015-02-14 |
| 1245633825 | Celeste Sharon Chang | Internal Medicine | 139 Centre St Ste 703, New York, NY 10013-4557 | 2014-09-26 |
| 1316368061 | Lili Chan | Internal Medicine | 1249 5th Avene, New York, NY 10029 | 2013-12-25 |
| 1417204736 | Excella Medicine PC | Internal Medicine | 4915 Broadway Suite 1g, New York, NY 10034-3122 | 2012-08-06 |
| 1265716906 | Simone Sanna Cherchi | Internal Medicine | 622 W 168th St Ph 4-124, New York, NY 10032-3720 | 2011-09-29 |
| 1245559442 | Jennifer S Scherer | Internal Medicine | 462 1st Ave # Bcd676, Nyu Langone Medical Center, New York, NY 10016-9196 | 2010-05-27 |
| 1427218684 | Muthukumar Thangamani | Internal Medicine | 525 E 68 Street, Division of Nephrology Box 3, New York, NY 10021 | 2008-06-11 |
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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.