KEVIN BOCK (NPI# 1518027655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518027655 |
| Entity Type | Individual |
| Full Name | KEVIN BOCK |
| Credential | MD |
| Practice Address |
Schneider Children's Hospital Ped Critical Care 269 01 76th Avenue New Hyde Park NY 11040 |
| Mailing Address |
Schneider Children's Hospital Ped Critical Care Schneider Children's Hospital Ped Critical Care New Hyde Park NY 11040 |
| Practice Telephone | 7184703330 |
| Mailing Telephone | 7184703330 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
206922 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
SCHNEIDER CHILDREN'S HOSPITAL PED CRITICAL CARE 269 01 76TH AVENUE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598366734 | Naurin Shaki | Case Management | 108 Bryant Ave, New Hyde Park, NY 11040 | 2020-11-04 |
| 1326645920 | Oksana Isakharov | Marriage & Family Therapist | Remote Telehealth Due To Pandemic, Remote Telehealth Due To Pandemic, NY 11040 | 2020-10-06 |
| 1639784036 | Michelle Edith Narain | Nurse Practitioner | 270-05 76th Aveune, New Hyde Park, NY 11040 | 2020-09-11 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1851929384 | Hollie Brown | Student in an Organized Health Care Education/Training Program | 45 Lakeville Rd Ste M41, New Hyde Park, NY 11040 | 2020-03-30 |
| 1780211797 | Miriam Tarrash | Student in an Organized Health Care Education/Training Program | Lijmc, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-03-27 |
| 1902438971 | Kristina Petrich | Student in an Organized Health Care Education/Training Program | Long Island Jewish Medical Center, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2020-02-07 |
| 1528622735 | David Olatunji Omole | Dentist | 270-05 76th Avenue Dept. of Dental Medicine / Oral And, Surgery New Hyde Park, Ny, Ny 11040, New Hyde Park, NY 11040 | 2019-04-24 |
| 1720642093 | Thanzina Chowdhury | Pharmacy | 271-11 76th Ave, Queens, NY 11040 | 2019-04-23 |
| 1427519834 | Connor William Crowley | Student in an Organized Health Care Education/Training Program | Office of Surgical Education Victoria M. Waithe, 270-05 76th Avenue. Research Bldg - C Level Room 039ab, New Hyde Park, NY 11040 | 2019-03-28 |
| Find all providers in zip 11040 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346367315 | James Brandon Schneider | Pediatrics | 269-01 76th Ave, New Hyde Park, NY 11040 | 2007-03-23 |
| 1396818639 | Mayer Sagy | Pediatrics | Lijmc Pediatric Critical Care, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-16 |
| 1821168279 | Maria Esperanza | Pediatrics | Sch - Division of Critical Care, 269-01 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1962816033 | Jessica May Asencio | Pediatrics | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2014-06-17 |
| 1033406400 | Moshe Cohn | Pediatrics | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2011-07-06 |
| 1952698755 | Christine Angela Capone | Pediatrics | 26901 76th Ave, New Hyde Park, NY 11040 | 2011-06-30 |
| 1306131347 | Matthew David Taylor | Pediatrics | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2011-06-17 |
| 1467507244 | Randi Trope | Pediatrics | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2007-01-24 |
| 1083683676 | Linda Beth Siegel | Pediatrics | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2006-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235631250 | Adi Avniel Aran | Pediatrics | 2600 Netherland Ave Apt 1720, Bronx, NY 10463-4838 | 2018-03-06 |
| 1518200203 | Kelly Haque | Pediatrics | 525 E 68th St # M-508, New York, NY 10065-4870 | 2013-04-01 |
| 1053654822 | Ami J Shah | Pediatrics | 424 E 34th St Fl Street9, New York, NY 10016-4901 | 2013-03-31 |
| 1841538295 | Binayak Sigdel | Pediatrics | 3242 Suson Ct, Apartment 2, St Louis, NY 10451-5504 | 2013-01-18 |
| 1063775955 | Marguerite Orsi Canter | Pediatrics | 1705 1st Ave, Apt 4fn, New York, NY 10128-4905 | 2012-06-17 |
| 1255629887 | Emily Wasserman | Pediatrics | 525 E 68th St # 6-south, New York, NY 10065-4870 | 2011-07-17 |
| 1295025310 | Grace Lee Ker | Pediatrics | 101 Nicolls Rd # Level11n, Stony Brook, NY 11794-0001 | 2011-04-11 |
| 1265741276 | Kalgi Mody | Pediatrics | 23 Richlee Ct, Apt 3s, Mineola, NY 11501-3647 | 2010-09-26 |
| 1093031478 | Erin Whitney Hulfish | Pediatrics | Hsc Level 11, Room 020, Stony Brook, NY 11794-0001 | 2010-04-11 |
| 1689996514 | Mary Kathleen Moynihan Hardart | Pediatrics | 4 Locust Ln, Bronxville, NY 10708-4916 | 2010-02-19 |
| Find all providers with the same taxonomy | ||||
| City | NEW HYDE PARK |
| Zip Code | 11040 |
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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.