KEZIA SAM (NPI# 1508245721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508245721 |
| Entity Type | Individual |
| Full Name | KEZIA SAM |
| Credential | M.D |
| Practice Address |
1296 North Ave New Rochelle NY 10804-2603 |
| Practice Telephone | 9142358224 |
| Mailing Telephone | 9142358224 |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2018-09-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 1508245721 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1296 NORTH AVE |
| City | NEW ROCHELLE |
| State | NY |
| Zip Code | 10804-2603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841284890 | Annmarie Teresa Baldanti | Internal Medicine | 1296 North Ave, New Rochelle, NY 10804-2603 | 2005-09-06 |
| 1750803227 | Angeline M Walker | Pharmacist | 1296 North Ave, New Rochelle, NY 10804-2603 | 2017-07-16 |
| 1841425956 | Solly Kumar | Pharmacist | 1296 North Ave, New Rochelle, NY 10804-2603 | 2009-05-18 |
| 1902042310 | Tracy M Mathews | Pharmacist | 1296 North Ave, New Rochelle, NY 10804-2603 | 2009-01-06 |
| 1841357092 | Rebecca Michelle Fenichel | Internal Medicine | 1296 North Ave, 2nd Floor, New Rochelle, NY 10804-2603 | 2007-01-03 |
| 1265598015 | Lesa A Kelly | Specialist | 1296 North Ave, Suite 201, New Rochelle, NY 10804-2603 | 2006-12-28 |
| 1053415810 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 1296 North Ave, New Rochelle, NY 10804-2603 | 2006-09-12 |
| 1124031240 | Robert L Sparacio | Physician Assistant | 1296 North Ave, New Rochelle, NY 10804-2603 | 2006-08-14 |
| 1386603488 | Seth L Gendler | Internal Medicine | 1296 North Ave, 2nd Floor, New Rochelle, NY 10804-2603 | 2006-03-20 |
| 1023094323 | Richard Gottfried | Internal Medicine | 1296 North Ave, New Rochelle, NY 10804-2603 | 2005-12-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023536331 | Samori Pennant | Social Worker | 2 Pell Place, New Rochelle, NY 10804 | 2017-09-07 |
| 1386065050 | Benjamin Jacob Rafalowicz | Occupational Therapist | 86 Wykagyl Ter, New Rochelle, NY 10804 | 2013-12-26 |
| 1215376694 | Kamyar Nabegh | Family Medicine | Gohealth Urgent Care, 77 Quaker Ridge Road, Suite #4, Scarsdale, NY 10804 | 2013-06-19 |
| 1548500358 | Susan J. Gelb | Occupational Therapist | 4 Hayhurst Road, New Rochelle, NY 10804 | 2013-02-15 |
| 1689930935 | Ps/ms3 | Local Education Agency (LEA) | 11 Owen Road, New Rochelle, NY 10804 | 2012-04-11 |
| 1003186768 | Elliot Resnick | Counselor | 111 Bon Air Ave., New Rochelle, NY 10804 | 2012-01-11 |
| 1528355542 | Barbara Jean Wilson James | Registered Nurse | 176 Wilmot Rd, New Rochelle, NY 10804 | 2011-06-29 |
| 1821387762 | Stephen Pasqua | Dentist | 21 Sicard Ave, New Rochelle, NY 10804 | 2011-03-31 |
| 1063722668 | Ayala Helft | Speech-Language Pathologist | 86 Aberfoyle Rd., New Rochelle, NY 10804 | 2010-10-15 |
| 1659697498 | Judith M. Makman | Speech-Language Pathologist | 15 Crestwood Ln, New Rochelle, NY 10804 | 2010-04-19 |
| Find all providers in zip 10804 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive 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 |
|---|---|---|---|---|
| 1245665827 | Primary Care Medicine of New Rochelle, P.C. | Internal Medicine | 39 Grove Ave, New Rochelle, NY 10801-6254 | 2013-09-13 |
| 1942571138 | Jack Rosenbluth | Internal Medicine | 123 Wykagyl Ter, New Rochelle, NY 10804-3108 | 2012-01-19 |
| 1871863266 | Differences Practice Group LLC | Internal Medicine | 778 Pelhamdale Ave, New Rochelle, NY 10801-1416 | 2012-01-03 |
| 1962781278 | Carl Marc Lieberman | Internal Medicine | 8 Stony Gate Oval, New Rochelle, NY 10804-2539 | 2011-08-04 |
| 1235426420 | Alvin Htut | Internal Medicine | 140 Lockwood Ave Ste 104, New Rochelle, NY 10801-4907 | 2011-07-07 |
| 1225324312 | Miriam Lora | Internal Medicine | 268 Pinebrook Blvd, New Rochelle, NY 10804-3909 | 2011-06-27 |
| 1659601581 | Gary David Swergold | Internal Medicine | 75 Sheldrake Pl, New Rochelle, NY 10804-1116 | 2009-12-24 |
| 1053526657 | Gerald Edmund Thomson | Internal Medicine | 85 Premium Point, New Rochelle, NY 10801-5327 | 2007-05-14 |
| 1710106174 | William Krapin | Internal Medicine | 101 Barnard Rd, New Rochelle, NY 10801-1300 | 2007-04-24 |
| 1881812188 | Charles Anthony Rizzo | Internal Medicine | 50 Windsor Oval, New Rochelle, NY 10805 | 2007-04-23 |
| Find all providers in NEW ROCHELLE | ||||
| City | NEW ROCHELLE |
| Zip Code | 10804 |
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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.