DR. KENNETH S LERRICK


Address: 13916 91st Ave, Jamaica, NY 11435-4219
Phone: 7189895550

DR. KENNETH S LERRICK (NPI# 1588621395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588621395
Entity Type Individual
Full Name DR. KENNETH S LERRICK
Credential M.D.
Practice Address 13916 91st Ave
Jamaica
NY 11435-4219
Practice Telephone 7189895550
Practice Fax Number 7184548906
Mailing Telephone 7189895550
Mailing Fax Number 7184548906
Enumeration Date 2006-04-26
Last Update Date 2014-02-18
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0000X Internal Medicine
Specialization: Cardiovascular Disease
159865 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01049105 05

Office Location

Street Address 13916 91ST AVE
City JAMAICA
State NY
Zip Code 11435-4219

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962992719 Gramercy Medical Imaging P.C. Radiology 13916 91st Ave, Jamaica, NY 11435-4219 2018-05-17
1639678428 Gramercy Medical Services P.C. Internal Medicine 13916 91st Ave, Jamaica, NY 11435-4219 2018-02-07
1801058698 Multi-diagnostic Services Inc Clinic/Center 13916 91st Ave, Jamaica, NY 11435-4219 2008-07-02
1265483093 Multi-diagnostic Services Inc. Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 13916 91st Ave, Jamaica, NY 11435-4219 2006-05-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1780284273 Angela Abramov Nurse Practitioner 141-30 Pershing Creacsent Apt 3c, Jamaica, NY 11435 2020-10-26
1871114892 Alternative Care Occupational Therapy, PC Occupational Therapist 149-16 Jamaica Ave, Jamaica, NY 11435 2020-04-30
1831737311 Aminat Adams Registered Nurse 10753 Remitown Street, Jamaica, NY 11435 2019-12-16
1376180349 Isabella Herold Dietitian, Registered 97-04 Sutphin Boulevard, Jamaica, NY 11435 2019-12-09
1235774654 Angela Rose Torriero Occupational Therapist 90-36 150th Street, Jamaica, Queens, NY 11435 2019-11-08
1396386009 Alexandra Mikyung Kim Registered Nurse 90-27 Sutphin Boulevard, Jamaica, NY 11435 2019-10-03
1043782097 Louis E Krigger Counselor Restfull Nights Corporation, 106-38 150th St, Jamaica, NY 11435 2018-12-31
1407326093 Syretta Henry Social Worker 90-27 Sutphin Blvd 5th Floor, Jamaica, NY 11435 2018-11-27
1972083277 Debra Witherspoon-benders Licensed Vocational Nurse Samaritan Daytop Village 138-02 Queens Boulevard, Briarwood, NY 11435 2018-08-16
1982182895 Emmanuel Oszwa Odigie Respite Care 148-13 Hillside Ave, 2nd Fl Briarwood, Briarwood, NY 11435 2018-08-02
Find all providers in zip 11435

Taxonomy Information

Taxonomy Code 207RC0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Cardiovascular Disease

Taxonomy Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740693662 Robbin Bura Moisa Internal Medicine 18465 Midland Pkwy, Jamaica, NY 11432-1527 2014-06-09
1174802516 Vascular Imaging, PC Internal Medicine 162-15 Highland Ave, Apt 1a, Jamaica, NY 11432 2011-08-16
1730478264 Vascular Imaging, Inc Internal Medicine 16215 Highland Ave Ste 1a, Jamaica, NY 11432-3459 2011-04-05
1730315177 Mount Sinai School of Medicine Internal Medicine 143 - 05 Hillside Avenue, Jamaica, NY 11435 2009-05-29
1326207705 Mount Sinai School of Medicine Internal Medicine 143 05 Hillside Avenue, Jamaica, NY 11435 2008-06-02
1548346406 Joseph Colasacco Internal Medicine 134-20 Jamaica Avenue, Jamaica, NY 11418 2006-10-31
1467545509 Citicardiaccare P.C. Internal Medicine 8002 165th St, Jamaica, NY 11432-1208 2006-10-02
1366542284 Jose Wiley Internal Medicine 143-05 Hillside Avenue, Jamaica, NY 11435 2006-09-22
1609984913 Advanced Cardiac Medicine PC Internal Medicine 16215 Highland Avenue, Suite 1a, Jamaica, NY 11432 2006-08-27
1891758470 Hobart C. Price Internal Medicine 11906 Guy R Brewer Blvd, Jamaica, NY 11434-2104 2006-04-06
Find all providers in JAMAICA

Competitor

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City JAMAICA
Zip Code 11435

Improve Information

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Dataset Information

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.

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