DR. ERIC MAKOLO (NPI# 1558359935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558359935 |
| Entity Type | Individual |
| Full Name | DR. ERIC MAKOLO |
| Credential | MD |
| Practice Address |
105 Stevens Ave Suite 609 Mount Vernon NY 10550-2686 |
| Practice Telephone | 9146636663 |
| Mailing Telephone | 9146636663 |
| Enumeration Date | 2005-10-11 |
| Last Update Date | 2012-07-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 190317 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
190317 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
190317 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA US HEALTHCARE HMO ( | 2475623 | 01 | |
| NY | 01897070 | 05 | |
| OXFORD HEALTH PLAN | P2120827 | 01 | |
| HEALTHNET | 2C9321 | 01 | |
| CIGNA HEALTHCARE HMO | 524823030 | 01 | |
| UNITED HEALTHCARE | 0000201801001 | 01 | |
| AETNA US HEALTHCARE HMO ( | 2466949 | 01 | |
| CIGNA HEALTHCARE PPO | 5248234003 | 01 | |
| AETNA US HEALTHCARE PPO | 7521135 | 01 | |
| HIP | 190317 | 01 | |
| G.H.I. | 9640822 | 01 |
| Street Address |
105 STEVENS AVE SUITE 609 |
| City | MOUNT VERNON |
| State | NY |
| Zip Code | 10550-2686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639624810 | Domique Williams | Nurse Practitioner | 105 Stevens Ave, Suite 506, Mount Vernon, NY 10550-2686 | 2016-08-17 |
| 1174977722 | Pratik Shah | Pharmacist | 105 Stevens Ave, Mount Vernon, NY 10550-2686 | 2016-04-20 |
| 1750766762 | Westside New York Medical, PC | Obstetrics & Gynecology | 105 Stevens Ave, Suite 209, Mount Vernon, NY 10550-2686 | 2015-07-21 |
| 1013313758 | Westchester Women's Medical Healthcare P.l.l.c. | Obstetrics & Gynecology | 105 Stevens Ave, Suite 505, Mount Vernon, NY 10550-2686 | 2014-11-07 |
| 1699110569 | Nadeem Shahid | Family Medicine | 105 Stevens Ave, Ste 306, Mount Vernon, NY 10550-2680 | 2013-05-06 |
| 1760774848 | Ramesh S. Naik Physicians P.l.l.c. | Clinic/Center | 105 Stevens Ave, 508, Mount Vernon, NY 10550-2686 | 2011-05-09 |
| 1952605586 | Cardiology Consultants of Westchester, PC | Internal Medicine | 105 Stevens Ave, Suite 101, Mount Vernon, NY 10550-2686 | 2010-12-22 |
| 1912239591 | Westchester Pulmonary Services PC | Internal Medicine | 105 Stevens Ave, Suite 609, Mount Vernon, NY 10550-2686 | 2010-02-05 |
| 1942432893 | Southern Westchester Pediatrics | Pediatrics | 105 Stevens Ave, 106, Mount Vernon, NY 10550-2686 | 2009-08-11 |
| 1538306212 | Jay Mermelstein, Dpm.pc | Durable Medical Equipment & Medical Supplies | 105 Stevens Ave, Suite 301, Mount Vernon, NY 10550-2686 | 2009-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487240 | Jacqueline Marshall | Technician | 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 | 2020-05-05 |
| 1023529369 | B.t.m. Psychiatric Np Services, Pllc | Nurse Practitioner | 11 W Prospect Ave, 3rd Fl, Suite #5b, Mount Vernon, NY 10550 | 2017-10-13 |
| 1669994174 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 500 E Sanford Blvd, Mount Vernon, NY 10550 | 2017-07-17 |
| 1053869198 | Teresa Turriago I | Social Worker | 487 S. Broadway, Yonkers, New York, NY 10550 | 2016-09-19 |
| 1811340862 | Marcia Samuels Nembhard | Licensed Practical Nurse | 1 Gray Place Apt 4-d, Mount Vernon, NY 10550 | 2016-07-14 |
| 1043665318 | Marshalee Mullings | Registered Nurse | 70 E 4th Street, 2c, Mount Vernon, NY 10550 | 2016-04-25 |
| 1518333228 | Humanities Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 100 Stevens Avenue, Mount Vernon, NY 10550 | 2015-08-17 |
| 1851779458 | Maila Catolico | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-05-14 |
| 1003203266 | Priscilla A. Severe | Registered Nurse | 9 West Prospect Avenue, Suite 310, Mount Vernon, NY 10550 | 2015-04-24 |
| 1477963254 | Imani Ife Campbell | Licensed Practical Nurse | 323 South 10th Ave, Mt. Vernon, NY 10550 | 2014-05-02 |
| Find all providers in zip 10550 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| 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 |
|---|---|---|---|---|
| 1780807594 | Southern Illinois Acute Care Consultants,ltd | Internal Medicine | 4106 South Water Tower Place, Mount Vernon, IL 62864-6544 | 2007-04-10 |
| 1396026506 | Abdulmonam Ahmad Abulgasem Ali | Internal Medicine | 4106 S Water Tower Pl, Mount Vernon, IL 62864-6544 | 2011-08-31 |
| 1790725307 | Chirag Dave | Internal Medicine | 209 Crossroads Pl, Suite 110, Mount Vernon, IL 62864-6545 | 2006-06-08 |
| 1386623999 | Laurie A Mooney | Internal Medicine | 1330 Coshocton Ave, Mount Vernon, OH 43050-1440 | 2006-01-11 |
| 1497741482 | Robert L Coffey | Internal Medicine | 1400 E Kincaid St, Mount Vernon, WA 98274-4127 | 2005-09-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477197739 | Amna Omer Internal Medicine PC | Internal Medicine | 423 W 55th St Fl T4, New York, NY 10019-4460 | 2019-10-30 |
| 1467951947 | Edward Pineles, M.d., P.C. | Internal Medicine | 69-20 Main Street, Flushing, NY 11367 | 2018-02-09 |
| 1699284281 | Long Island Pulmonary Rehabilitation PC | Internal Medicine | 326 W Neck Rd, Huntington, NY 11743-1725 | 2017-09-26 |
| 1124478987 | Islandwide Medical Pllc | Internal Medicine | 275 Helm Ln, Bay Shore, NY 11706-8118 | 2016-06-13 |
| 1578968657 | Pulmonary and Sleep Medical PC | Internal Medicine | 2523 Avenue O, Brooklyn, NY 11210-5230 | 2014-10-30 |
| 1891101853 | Purav Chetan Shah | Internal Medicine | 515 W 59th St Apt 5p, New York, NY 10019-1264 | 2014-07-10 |
| 1982027744 | Osvaldo Fulco | Internal Medicine | 120 Turtle Cove Ln, Huntington, NY 11743-3858 | 2014-01-30 |
| 1174865315 | Harish Patel Pulmonary & Sleep, Pllc | Internal Medicine | 132 Saint Nicholas Ave, Brooklyn, NY 11237-4034 | 2013-03-26 |
| 1417299934 | Peter Stangel | Internal Medicine | 512 Devries Ct, Piermont, NY 10968-1068 | 2013-03-22 |
| 1083963458 | Nadia Pletukhina | Internal Medicine | 530 1st Ave Ste 5d, New York, NY 10016 | 2012-08-31 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT VERNON |
| Zip Code | 10550 |
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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.