INTERBOROUGH ANESTHESIA (NPI# 1548593320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548593320 |
| Entity Type | Organization |
| Organization Name | INTERBOROUGH ANESTHESIA |
| Practice Address |
4626 White Plains Rd Bronx NY 10470-1610 |
| Mailing Address |
4626 White Plains Rd Bronx NY 10470-1327 |
| Practice Telephone | 9174500424 |
| Mailing Telephone | 9174500424 |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2010-11-08 |
| Authorized Official Name | DR. FENAR THEMISTOCLE (OWNER) |
| Authorized Official Telephone | 9174500424 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 217744 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 217744 | 01 |
| Street Address |
4626 WHITE PLAINS RD |
| City | BRONX |
| State | NY |
| Zip Code | 10470-1610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932287042 | Gregory Emili | Internal Medicine | 4626 White Plains Rd, 1st Flr, Bronx, NY 10470-1610 | 2006-11-02 |
| 1558987479 | Red Core Ptpta and Rehabilitation Pllc | Physical Therapist | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2020-06-17 |
| 1427604610 | Vivid Vision Optometry Pllc | Optometrist | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2019-08-13 |
| 1528536125 | Kelechi Precious Erondu | Nurse Practitioner | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2018-11-13 |
| 1740726181 | Boris Mosheyev | Nurse Practitioner | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2017-01-09 |
| 1851761233 | Balm of Gilead Medical Office, PC | Pain Medicine | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2015-09-29 |
| 1063791382 | Carmalita Ann Taylor Thomas | Clinic/Center | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2011-08-04 |
| 1104117373 | Balm of Gilead Certified Home Care Agency Inc | Home Health | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2011-04-22 |
| 1336476779 | Katherine Romero-rodriguez | Nurse Practitioner | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2009-11-05 |
| 1649324450 | Optima Physical Therapy Rehabilitation PC | Clinic/Center | 4626 White Plains Rd, Bronx, NY 10470-1610 | 2007-01-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174088850 | Veronica Lonati | Registered Nurse | 4250 Van Cortland Avenue Park East, Bronx, NY 10470 | 2019-02-06 |
| 1336625011 | Carefirst Pharmacy Services Inc | Pharmacy | 4649-4653 White Plains Road, Bronx, NY 10470 | 2018-07-16 |
| 1043740095 | Dana George | Registered Nurse | 4509 Carpenter Avenue, Bronx, NY 10470 | 2017-06-13 |
| 1356877799 | Kristoffer Leonard Castro | Physical Therapist | 552 East 240th St, Bronx, NY 10470 | 2017-05-04 |
| 1851748032 | Dorothy Avery Saunders-smith | Registered Nurse | 4401 Bronx Blvd., Bronx, NY 10470 | 2016-05-18 |
| 1811343981 | Nadine Brown-vassell | Licensed Practical Nurse | 4756 Richardson Avenue, Bronx, NY 10470 | 2016-05-09 |
| 1700230505 | Aminat Adetoun Akintola | Registered Nurse | 801 E 214st Street, Bronx, NY 10470 | 2016-04-18 |
| 1306200134 | Yanisse Toure | Licensed Practical Nurse | 801 East 241 Street, Bronx, NY 10470 | 2016-04-07 |
| 1083077804 | Christelle Bakayoko I | Licensed Practical Nurse | 801 E 241st Street, Bronx, NY 10470 | 2016-03-30 |
| 1174984991 | Sharon Siaw | Registered Nurse | 801-815 E 241st Street, Bronx, NY 10470 | 2016-03-08 |
| Find all providers in zip 10470 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881206027 | Mirna Aracelis Vasquez | Specialist | 1691 E 174th St Apt 3a, Bronx, NY 10472-1733 | 2020-08-19 |
| 1588273874 | Lorens Dominguez | Specialist | 1280 Commonwealth Ave Apt 2l, Bronx, NY 10472-2816 | 2020-07-23 |
| 1184242935 | Mayelin Y Rodriguez | Specialist | 2910 Valentine Ave Apt 26a, Bronx, NY 10458-2762 | 2020-07-08 |
| 1972120251 | Osaze Monica Igbineweka | Specialist | 590 Eagle Ave, Bronx, NY 10455-2915 | 2020-07-02 |
| 1285253948 | Omaira Alfonsina Tejada Amaro | Specialist | 234 E 149th St Ste 4-20, Bronx, NY 10451-5504 | 2020-04-13 |
| 1417586595 | Vascular Medicine of New York, Pllc | Specialist | 3250 Westchester Ave Ste 201, Bronx, NY 10461-4580 | 2020-04-02 |
| 1154954493 | Belmont Medical PC | Specialist | 2525 Belmont Ave, Bronx, NY 10458 | 2020-02-14 |
| 1043850423 | Katherine Hambel | Specialist | 283 E 234th St Apt 2e, Bronx, NY 10470-2212 | 2020-01-13 |
| 1801435953 | Delis S Ventura | Specialist | 74 Van Cortlandt Park S Apt Ee31, Bronx, NY 10463-3075 | 2020-01-06 |
| 1528606282 | Steffani M Russo | Specialist | 3058 Bailey Ave Apt 2s, Bronx, NY 10463-5820 | 2019-12-12 |
| Find all providers in BRONX | ||||
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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.