SLRHC FACULTY PRACTICE (NPI# 1487996583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487996583 |
| Entity Type | Organization |
| Organization Name | SLRHC FACULTY PRACTICE |
| Practice Address |
1111 Amsterdam Ave New York NY 10025-1716 |
| Practice Telephone | 2125237200 |
| Mailing Telephone | 2125237200 |
| Enumeration Date | 2013-03-27 |
| Last Update Date | 2013-03-27 |
| Authorized Official Name | DEBORAH HACKETT (VP) |
| Authorized Official Telephone | 2122563424 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians | ||
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942524178 | Slrhc Faculty Practice | Internal Medicine | 2771 Frederick Douglass Boulevard, New York, NY 10039 | 2010-03-17 |
| 1790116077 | Slrhc Faculty Practice | Physical Medicine & Rehabilitation | 1000 10th Ave, Suite 3b 20, New York, NY 10019-1147 | 2013-12-11 |
| 1508110123 | Slrhc Faculty Practice | Urology | 425 W 59th St, Suite 3a, New York, NY 10019-8022 | 2012-11-05 |
| 1710239025 | Slrhc Faculty Practice | Psychologist | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2012-10-10 |
| 1073805990 | Slrhc Faculty Practice | Psychiatry & Neurology | 1000 10th Ave, Suite 10g, New York, NY 10019-1147 | 2011-05-11 |
| 1447584008 | Slrhc Faculty Practice | Dermatology | 160 Water St, 20th Floor, New York, NY 10038-4922 | 2009-09-29 |
| 1457684235 | Slrhc Faculty Practice | Surgery | 1000 10th Ave, Suite 4h, New York, NY 10019-1147 | 2009-09-11 |
| 1942433891 | Slrhc Faculty Practice | Internal Medicine | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2009-08-26 |
| 1396986857 | Slrhc Faculty Practice | Specialist | 425 West 59th Street, Suite 7a, New York, NY 10019 | 2009-03-13 |
| 1295976751 | Slrhc Faculty Practice | Specialist | 425 W 59th St, Suite 7a, New York, NY 10019-8022 | 2009-03-13 |
| Street Address |
1111 AMSTERDAM AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10025-1716 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881690352 | Peter Rolf Holt | Internal Medicine | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2005-06-21 |
| 1396344867 | Joseph Jean Elias | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-25 |
| 1174122568 | Juliana G. Arantes I | Physical Therapist | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-18 |
| 1457958597 | Keerthana Haridas | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-10-01 |
| 1487268983 | Keivonna Nyarko | Nurse Practitioner | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-09-02 |
| 1457961161 | Gizelle Elena Perez | Nurse Practitioner | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-08-06 |
| 1609484641 | Minh Quan Vu | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-07-15 |
| 1497370936 | Ami Shah | Pharmacist | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-06-10 |
| 1598388464 | Conor W Buckley | Student in an Organized Health Care Education/Training Program | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-05-26 |
| 1639792799 | Javier Joseph Zulueta | Internal Medicine | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2020-05-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730795840 | Third Eye Acupuncture P.C. | Acupuncturist | 255 West 94th Street, Apt. 6k, New York, NY 10025 | 2020-09-23 |
| 1326653882 | Clare Elizabeth Dacey | Social Worker | 251 West 98th Street, Apartment 6-b, New York, NY 10025 | 2020-09-11 |
| 1528672870 | Alexandra E Lamm | Psychologist | 50 W 96th Street, Apt 5a-d, New York, NY 10025 | 2020-09-03 |
| 1700402310 | Jean Tully | Counselor | 240 W102nd St., #22a, New York, NY 10025 | 2020-06-19 |
| 1518591692 | Ethan Arthur Baker | Acupuncturist | 309 W. 99th St., Apt. 8b, New York City, NY 10025 | 2020-02-27 |
| 1083258321 | Lisanne Godnick | Social Worker | 210 W 101 St, Nyc, NY 10025 | 2019-10-30 |
| 1558910463 | Cherry Jones | Social Worker | 440 W 114th Street, Clark 6, New York, NY 10025 | 2019-09-04 |
| 1245894674 | Westside Nutrition Pllc | Dietitian, Registered | 240 West 102nd Street, Suite 15, New York, NY 10025 | 2019-05-01 |
| 1518429380 | Nathan Yehuda Ben Agi | Student in an Organized Health Care Education/Training Program | Mt. Sinai St. Lukes, 1111 Amsterdam Avenue, New York, NY 10025 | 2019-04-02 |
| 1366913196 | Mavis H Baird | Counselor | 243 W 99th St #3e, New York, NY 10025 | 2018-12-05 |
| Find all providers in zip 10025 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| 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 |
|---|---|---|---|---|
| 1538426242 | Robert Justin Knotts | Internal Medicine | 403 E 34th St Fl 4, New York, NY 10016-4907 | 2012-04-19 |
| 1679881577 | Mount Sinai School of Medicine of New York University | Internal Medicine | 210 E 86th St Rm 502, New York, NY 10028-7725 | 2010-09-14 |
| 1235174053 | Arti N Shah | Internal Medicine | 30 West 60th Street, Suite 1u, New York, NY 10023-7906 | 2006-06-17 |
| 1871598615 | Frederick Ehlert | Internal Medicine | 16 E 60th St, Suite 330, New York, NY 10022-1002 | 2005-06-17 |
| 1831796408 | United Harlem Services Inc | Internal Medicine | 116 E 125th St, New York, NY 10035-1612 | 2020-10-06 |
| 1528600509 | Devendra Singh Bisht | Internal Medicine | 1111 Amsterdam Ave, New York, NY 10025-1716 | 2019-10-11 |
| 1043798630 | Jason Pytlik | Internal Medicine | 462 1st Ave, New York, NY 10016-9196 | 2018-08-06 |
| 1902350671 | Lior Jankelson | Internal Medicine | 560 1st Ave, Cardiac Ep Lab, New York, NY 10016 | 2016-08-10 |
| 1417218488 | Alexander Kushnir | Internal Medicine | 550 1st Ave, New York, NY 10016-6402 | 2012-06-06 |
| 1558686733 | Mount Sinai - Manhattan Cardiac Arrhythmia | Internal Medicine | 210 E 86th St, Suite 502, New York, NY 10028-3003 | 2010-03-31 |
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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.