PETER DEPLAS (NPI# 1578644407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578644407 |
| Entity Type | Individual |
| Full Name | PETER DEPLAS |
| Credential | M.D. |
| Practice Address |
877 Stewart Ave Suite 25 Garden City NY 11530-4803 |
| Practice Telephone | 5162220404 |
| Practice Fax Number | 5162220615 |
| Mailing Telephone | 5162220404 |
| Mailing Fax Number | 5162220615 |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 201091-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
877 STEWART AVE SUITE 25 |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-4803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427056613 | Yosef Soleymani | Allergy & Immunology | 877 Stewart Ave, Suite 5, Garden City, NY 11530-4803 | 2005-07-12 |
| 1144646498 | Derek Lieberman | Physician Assistant | 877 Stewart Ave, Garden City, NY 11530-4803 | 2014-03-11 |
| 1629494349 | Maudeline Michel | Physician Assistant | 877 Stewart Ave, Garden City, NY 11530-4803 | 2014-03-06 |
| 1346663440 | D'aprile Audiology Pllc | Audiologist | 877 Stewart Ave, Suite 8, Garden City, NY 11530-4803 | 2014-01-24 |
| 1609206044 | Andrea Orbon | Nurse Practitioner | 877 Stewart Ave, Suite 33, Garden City, NY 11530 | 2013-11-21 |
| 1780022772 | North Shore Lij Ob Gyn At Garden City PC | Obstetrics & Gynecology | 877 Stewart Ave, Suite 7, Garden City, NY 11530-4803 | 2013-06-12 |
| 1235470535 | Chs Physician Partners, PC | Orthopaedic Surgery | 877 Stewart Ave, Suite 1, Garden City, NY 11530-4803 | 2013-03-12 |
| 1285971499 | Christopher R. Sellars, D.o., P.C. | Physical Medicine & Rehabilitation | 877 Stewart Ave, Suite 28, Garden City, NY 11530-4803 | 2013-01-08 |
| 1821344078 | Li Hearing Services Inc | Hearing Aid Equipment | 877 Stewart Ave, Suite 2, Garden City, NY 11530-4803 | 2012-07-25 |
| 1285933630 | Julie S.r. Gonzalez | Obstetrics & Gynecology | 877 Stewart Ave, Suite 7, Garden City, NY 11530-4803 | 2011-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1407474562 | Pravalika Rudraraju | Internal Medicine | 6245 Inkster Rd Dept Of, Garden City, MI 48135-4001 | 2020-07-06 |
| 1780200469 | Abed L Dabaja | Internal Medicine | 6245 Inkster Rd # Gme, Garden City, MI 48135-4001 | 2020-06-18 |
| 1124667316 | Independence Medical Pllc | Internal Medicine | 6255 Inkster Rd Ste 101, Garden City, MI 48135-2538 | 2020-01-05 |
| 1548802218 | Prime Garden City Medical Group | Internal Medicine | 6255 Inkster Rd Ste 302, Garden City, MI 48135-2538 | 2019-10-14 |
| 1033699830 | New York University | Internal Medicine | 601 Franklin Ave Ste 215, Garden City, NY 11530-5760 | 2018-08-21 |
| 1023538337 | Nishedh Nayan Dave | Internal Medicine | 6245 Inkster Rd., Garden City, MI 48135 | 2017-06-27 |
| 1073851226 | Vincent Prestyly | Internal Medicine | 75 Russell Rd, Garden City, NY 11530-1933 | 2013-01-23 |
| 1831461417 | Manuel Licitra Fajardo | Internal Medicine | 100 Somerset Ave, Garden City, Garden City, NY 11530-1231 | 2012-01-30 |
| 1831338417 | Ferrara and Mirro, Md's | Internal Medicine | 1103 Stewart Ave Ste 210, Garden City, NY 11530-4886 | 2009-02-05 |
| 1124237318 | Mark B Wishnuff | Internal Medicine | 700 Commercial Ave, Garden City, NY 11530-6410 | 2007-05-22 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
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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.