105 EAST 78 STREET MEDICAL (NPI# 1578852588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578852588 |
| Entity Type | Organization |
| Organization Name | 105 EAST 78 STREET MEDICAL |
| Practice Address |
885 Park Ave Suite 105 New York NY 10075-0325 |
| Practice Telephone | 2125353313 |
| Practice Fax Number | 2127343192 |
| Mailing Telephone | 2125353313 |
| Mailing Fax Number | 2127343192 |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |
| Authorized Official Name | DR. EVERETT LAUTIN (PRESIDENT) |
| Authorized Official Telephone | 2125353313 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 60112817 | NY | Other Service Providers |
| Street Address |
885 PARK AVE SUITE 105 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-0325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619962081 | Everett Marc Lautin | Radiology | 885 Park Ave, New York, NY 10021-0325 | 2005-09-13 |
| 1154874899 | Park Nyc Medical Office, P.C. | Contractor | 885 Park Ave, New York, NY 10075-0325 | 2016-07-29 |
| 1497130322 | East 78 Street Medical Services PC | Clinic/Center | 885 Park Ave, 1c, New York, NY 10075-0325 | 2015-07-21 |
| 1265838668 | Ryan Muchowski | Podiatrist | 885 Park Ave, New York, NY 10075-0325 | 2014-11-12 |
| 1013326545 | Allergy and Asthma Wellness Pllc | Allergy & Immunology | 885 Park Ave, Suite 1a, New York, NY 10075-0325 | 2014-08-08 |
| 1427472828 | Park Avenue Foot Care Pllc | Clinic/Center | 885 Park Ave, New York, NY 10075-0325 | 2014-02-06 |
| 1760817993 | Laurence C. Champagne Dpm, P.C. | Podiatrist | 885 Park Ave, New York, NY 10075-0325 | 2013-09-06 |
| 1366761579 | New York Cardiovascular Prevention LLC | Specialist | 885 Park Ave, New York, NY 10075-0325 | 2010-05-27 |
| 1396982807 | Park Avenue Manhattan Medical Services, P.C. | Clinic/Center | 885 Park Ave, Entrance On 78 Street, New York, NY 10075-0383 | 2009-01-21 |
| 1245494806 | David Phillip Erstein | Allergy & Immunology | 885 Park Ave, Suite 1a, New York, NY 10075-0325 | 2008-07-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| 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 |
|---|---|---|---|---|
| 1275148652 | Gloria Li | Specialist | 959 1st Ave, New York, NY 10022-6649 | 2020-09-11 |
| 1700495041 | Ana Rosa Perez | Specialist | 318 E 116th St, New York, NY 10029-1506 | 2020-07-22 |
| 1659995801 | Theodore Nathan Raosen | Specialist | 128 Pinehurst Ave Apt B61, New York, NY 10033-1755 | 2020-06-03 |
| 1255954301 | Courtney Foster | Specialist | 222 E 34th St # 13, New York, NY 10016-4842 | 2020-05-23 |
| 1396371852 | Laquanique Louise Lake | Specialist | 116west 32nd Street, New York, NY 10001-3212 | 2020-03-17 |
| 1205460524 | Yasmin El-hifnawi Cooper | Specialist | 2572 Frederick Douglass Blvd Unit B, New York, NY 10030-2106 | 2020-02-25 |
| 1376175992 | Patricia Ann Ebert | Specialist | 310 E 102nd St Apt 9d, New York, NY 10029-5607 | 2020-02-11 |
| 1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
| 1659918639 | Delores Cody Oppecker | Specialist | 455 Fort Washington Ave Apt 53, New York, NY 10033-4631 | 2019-12-09 |
| 1174160543 | Jazmin Bernal | Specialist | 765 Riverside Dr, 3n, New York, NY 10032 | 2019-12-04 |
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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.