DR. NORMAN BRET MEDOW


Address: 3332 Rochambeau Ave, Room 306, Bronx, NY 10467-2836
Phone: 7189204609

DR. NORMAN BRET MEDOW (NPI# 1508864364) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508864364
Entity Type Individual
Full Name DR. NORMAN BRET MEDOW
Credential M.D.
Practice Address 3332 Rochambeau Ave
Room 306
Bronx
NY 10467-2836
Mailing Address 111 E 210th Street
Montefiore Medical Center Department of Ophthalmology
Bronx
NY 10467
Practice Telephone 7189204609
Practice Fax Number 7188815439
Mailing Telephone 7189202020
Enumeration Date 2005-07-14
Last Update Date 2012-04-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207W00000X Ophthalmology 099393 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY MULTIPLAN 132760994 01
NY R.R. MEDICARE 181922385 01
NY 00169791 05
NY OXFORD P2073780 01
NY NEW YORK HOTEL TRADE 132760994 01
NY AETNA USHEALTHCARE 2127300 01
NY HIP 05710P 01
NY GUARDIAN PHCS 132760994 01
NY STOREWORKERS 132760994 01
NY EMPIRE BLUE CR/BLUE SH 132760994 01

Office Location

Street Address 3332 ROCHAMBEAU AVE
ROOM 306
City BRONX
State NY
Zip Code 10467-2836

Providers in the same location

NPI Name Taxonomy Address Enumeration
1104389279 Sammy David Saka Student in an Organized Health Care Education/Training Program 3332 Rochambeau Ave, Bronx, NY 10467-2836 2019-04-07
1346709607 Inderbir Singh Student in an Organized Health Care Education/Training Program 3332 Rochambeau Ave, Bronx, NY 10467-2836 2019-03-17
1396248472 Talia Aboud Student in an Organized Health Care Education/Training Program 3332 Rochambeau Ave, Bronx, NY 10467-2836 2018-03-14
1811343767 Ann Wang Student in an Organized Health Care Education/Training Program 3332 Rochambeau Ave, Bronx, NY 10467-2836 2016-05-10
1548680929 Amanda Ulrich Obstetrics & Gynecology 3332 Rochambeau Ave, Bronx, NY 10467-2836 2014-04-23
1649617093 Nicholas Vertucci Riccio Dentist 3332 Rochambeau Ave, Bronx, NY 10467-2836 2013-05-24
1013274455 Robert Mckee Student in an Organized Health Care Education/Training Program 3332 Rochambeau Ave, Department of Dentistry, Bronx, NY 10467-2836 2012-04-23
1861771743 Tal Ethan Masserman Student in an Organized Health Care Education/Training Program 3332 Rochambeau Ave, Montefiore Medical Center, Bronx, NY 10467 2011-08-10
1346529443 Ann C Monahan Student in an Organized Health Care Education/Training Program 3332 Rochambeau Ave, Bronx, NY 10467-2836 2011-08-08
1528356318 Robert Daniel Pedersen Student in an Organized Health Care Education/Training Program 3332 Rochambeau Ave, 2nd Floor, Department of Orthodontics, Bronx, NY 10467-2836 2011-07-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215535505 Maxwell Ennist Massage Therapist 210 Bedford Park Blvd, Bronx, NY 10467 2020-10-09
1144854431 Ny Metro Dental, PC Dentist 55 Mosholu Parkway North, Bronx, NY 10467 2020-02-26
1386277960 Rhonda Ellen Nayberg Occupational Therapist Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 2020-02-21
1013568153 Jaime Luis Betancourt Nurse Practitioner Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 2019-09-20
1023662616 Bronx Jewish Community Council Home Attendant Services Home Health 2930 Wallace Ave., Bronx, NY 10467 2019-07-31
1831755321 Felix Medrano Taxi 3106 Webster Ave, Bronx, NY 10467 2019-05-10
1700363108 Danaies Guzman Occupational Therapist 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 2018-07-27
1538672175 Carolina Duque-toro Speech-Language Pathologist 4251, 341 E 207th St, Bronx, NY 10467 2017-11-06
1255853727 Jessica Perkiss Social Worker 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 2017-07-17
1386166221 Erica Santos Licensed Practical Nurse 3273 Parkside Place, Apt 5g, Bronx, NY 10467 2017-07-12
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1548886260 Bartow Ophthalmology Pllc Ophthalmology 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 2020-06-18
1083114375 Riverdale Ophthalmology Pllc Ophthalmology 3220 Fairfield Ave Ofc 1, Bronx, NY 10463 2018-02-13
1134582588 Matthew S Wieder Ophthalmology 3400 Bainbridge Ave Fl 1, Bronx, NY 10467-2404 2016-04-02
1669730974 David Alevi Ophthalmology 860 Grand Concourse Apt 1n, Bronx, NY 10451-2815 2012-04-25
1366734691 Robyn Helene Deutsch Sokol Ophthalmology 1764 Westchester Ave, Bronx, NY 10472-3022 2011-05-04
1184834459 Ifeoma Ernestina Ezekwo Ophthalmology 3013 Grand Concourse, Bronx, NY 10468-1428 2007-05-23
1306059456 Francis Anthony Manopoli Ophthalmology 2135 Colonial Ave, Bronx, NY 10461-3707 2007-05-07
1992922751 Fiona Pathay Ophthalmology 1526 Waring Ave, Bronx, NY 10469-5914 2007-04-20
1780710749 Patricia Ann Feller Ophthalmology 3671 Hudson Manor Ter, Bronx, NY 10463-1137 2007-02-26
1295888311 Andrew Naing Ophthalmology 2355 Demeyer St, Bronx, NY 10469-6008 2007-01-19
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Competitor

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City BRONX
Zip Code 10467

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Dataset Information

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.

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