STUART MORDUCHOWITZ (NPI# 1578593919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578593919 |
| Entity Type | Individual |
| Full Name | STUART MORDUCHOWITZ |
| Credential | MD |
| Practice Address |
200 Old Country Rd Suite 278 Mineola NY 11501-4235 |
| Practice Telephone | 5168770977 |
| Practice Fax Number | 5169863159 |
| Mailing Telephone | 5168770977 |
| Mailing Fax Number | 5169863159 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2014-07-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
198685 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01769566 | 05 |
| Street Address |
200 OLD COUNTRY RD SUITE 278 |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-4235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359341 | Joan Aiello | Nurse Practitioner | 200 Old Country Rd, Mineola, NY 11501-4235 | 2005-07-13 |
| 1598323230 | Nyu Langone Hospitals | Clinic/Center | 200 Old Country Rd, Mineola, NY 11501-4235 | 2019-05-29 |
| 1790282044 | David Elsharouny | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Mineola, NY 11501-4235 | 2018-04-11 |
| 1376078998 | Nadine Ninivaggi | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Mineola, NY 11501-4235 | 2017-04-21 |
| 1740712793 | Navinder Kaur Nat | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2017-03-29 |
| 1447792908 | Heather Gionesi | Nurse Practitioner | 200 Old Country Rd, Suite 278, Mineola, NY 11501-4235 | 2016-11-14 |
| 1609238781 | Benjamin Little | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2016-03-28 |
| 1487016507 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 200 Old Country Rd, Suite 278, Mineola, NY 11501-4235 | 2016-03-28 |
| 1134581465 | Amy Hassan | Student in an Organized Health Care Education/Training Program | 200 Old Country Rd, Suite 460, Mineola, NY 11501-4235 | 2016-03-25 |
| 1760842637 | Kellianne Tulley | Physician Assistant | 200 Old Country Rd, Mineola, NY 11501-4235 | 2016-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
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| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| 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 |
|---|---|---|---|---|
| 1144299777 | Lawrence Ezra Shapiro | Internal Medicine | 101 Mineola Blvd, 2nd Floor, Mineola, NY 11501-4007 | 2006-03-16 |
| 1750901229 | Grace Bernaudo | Internal Medicine | 101 Mineola Blvd, Mineola, NY 11501-4089 | 2020-04-24 |
| 1255713459 | Nushin Khan | Internal Medicine | 222 Station Plz N Ste 509, Mineola, NY 11501-3893 | 2015-06-24 |
| 1568879211 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Internal Medicine | 101 Mineola Blvd, 2nd Floor, Mineola, NY 11501-4007 | 2014-07-15 |
| 1497000145 | Stanislaw Piotr Klek | Internal Medicine | 101 Mineola Blvd, 2nd Floor, Mineola, NY 11501-4007 | 2012-07-18 |
| 1952665242 | Gary D Rothberger | Internal Medicine | 259 1st St, Mineola, NY 11501-3957 | 2012-07-02 |
| 1386924439 | Winthrop Faculty Medical Affiliates University Faculty Practice Corpor | Internal Medicine | 259 1st St, Mineola, NY 11501-3957 | 2011-08-22 |
| 1497724025 | Mageda Bishara Mikhail | Internal Medicine | 222 Station Plz N, Suite 350, Mineola, NY 11501-3808 | 2006-03-16 |
| 1043289960 | John Francis Aloia | Internal Medicine | 222 Station Plz N, Suite 350a, Mineola, NY 11501-3808 | 2006-03-14 |
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|---|---|---|---|---|
| 1689271629 | Cecelia Health, Inc. | Internal Medicine | 355 Lexington Ave # 12f, New York, NY 10017-6603 | 2020-10-02 |
| 1679199608 | Mount Sinai School of Medicine | Internal Medicine | 2209 Merrick Rd Ste 100, Merrick, NY 11566-4770 | 2020-06-25 |
| 1033677810 | Sarah Fishman Md, Phd PC | Internal Medicine | 121 E 60th St Apt 3b, New York, NY 10022-1164 | 2019-03-11 |
| 1861969404 | Mt Endocrinology PC | Internal Medicine | 984 N Broadway Ste 305, Yonkers, NY 10701-1308 | 2018-11-01 |
| 1306389523 | Dina Zaqqa | Internal Medicine | 76 Adams Rd, Saratoga Springs, NY 12866-9008 | 2016-11-19 |
| 1740731876 | Beth Anne Piper | Internal Medicine | 104 Union Ave Ste 801, Syracuse, NY 13203-1844 | 2016-10-24 |
| 1023487394 | Michael Berelowitz | Internal Medicine | 415 E 37th St Apt 36c, New York, NY 10016-3261 | 2015-09-17 |
| 1316326317 | Westchester Endrocrinology Pllc | Internal Medicine | 265 Hardscrabble Rd, Briarcliff Manor, NY 10510-1802 | 2015-05-22 |
| 1730577602 | Nicseb Medical PC | Internal Medicine | 103 W 117th St, Ph, New York, NY 10026-2963 | 2014-12-31 |
| 1962812529 | Maria Teresa Anton | Internal Medicine | 9965 64th Rd Apt 5f, Rego Park, NY 11374-2684 | 2014-05-05 |
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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.