QLIMG WOODBURY MED OFFICE (NPI# 1639259385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639259385 |
Entity Type | Organization |
Organization Name | QLIMG WOODBURY MED OFFICE |
Practice Address |
225 Froehlich Farm Blvd Woodbury NY 11797-2922 |
Practice Telephone | 5163645400 |
Practice Fax Number | 5166773653 |
Mailing Telephone | 5163645400 |
Mailing Fax Number | 5166773653 |
Enumeration Date | 2006-10-17 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MARLENA SIMPSON (DIRECTOR, CREDENTIALING) |
Authorized Official Telephone | 5165426880 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
X | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
X | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
Allopathic & Osteopathic Physicians | ||
X | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
X | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
X | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
X | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
X | 2080P0201X |
Pediatrics Specialization: Pediatric Allergy/Immunology |
Allopathic & Osteopathic Physicians | ||
X | 2080P0205X |
Pediatrics Specialization: Pediatric Endocrinology |
Allopathic & Osteopathic Physicians | ||
X | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
X | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
X | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers |
Street Address |
225 FROEHLICH FARM BLVD |
City | WOODBURY |
State | NY |
Zip Code | 11797-2922 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568462042 | Srilata Sriram Naidu | Ophthalmology | 225 Froehlich Farm Blvd, Woodbury, NY 11797 | 2005-07-27 |
1669939484 | Ashley Asalle Baratian | Hearing Instrument Specialist | 225 Froehlich Farm Blvd, Woodbury, NY 11797-2922 | 2019-02-28 |
1164701231 | Busisiwe Merritt | Audiologist-Hearing Aid Fitter | 225 Froehlich Farm Blvd, Woodbury, NY 11797-2922 | 2011-08-08 |
1801128483 | Long Island Queens Hearing Assoc Inc | Hearing Aid Equipment | 225 Froehlich Farm Blvd, Woodbury, NY 11797-2922 | 2010-02-05 |
1720228562 | Carol J Lin | Ophthalmology | 225 Froehlich Farm Blvd, Woodbury, NY 11797-2922 | 2009-03-05 |
1235390493 | Leah Miriam Lieber | Internal Medicine | 225 Froehlich Farm Blvd, Woodbury, NY 11797-2922 | 2008-06-20 |
1154581999 | Habeeb Ahmad | Ophthalmology | 225 Froehlich Farm Blvd, Woodbury, NY 11797-2922 | 2008-06-16 |
1285828970 | Karla Annette Blakes | Ophthalmology | 225 Froehlich Farm Blvd, Woodbury, NY 11797-2922 | 2007-09-05 |
1205029253 | Corinne Leong-lee | Pharmacist | 225 Froehlich Farm Blvd, Woodbury, NY 11797-2922 | 2007-08-23 |
1306973920 | Raymond Joseph Catania | Audiologist-Hearing Aid Fitter | 225 Froehlich Farm Blvd, Woodbury, NY 11797-2922 | 2007-02-28 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508480757 | Melissa Beth Goldstein | Social Worker | 69 Aspen Drive West, Woodbury, NY 11797 | 2020-06-03 |
1023654985 | Stephanie Silberman | Social Worker | 136 Woodbury Rd Ste 103, Woodbury, NY 11797 | 2019-11-25 |
1225692304 | Patricia L Topper | Technician/Technologist | Optics Plus, 8285 Jericho Tpke, Woodbury, NY 11797 | 2019-04-24 |
1972040715 | Vicki Stogiannos | Counselor | 136 Woodbury Rd Ste L4, Woodbury, NY 11797 | 2017-01-31 |
1801225917 | Melissa Messer | Early Intervention Provider Agency | 108 Chestnut Lane, Woodbury, NY 11797 | 2013-11-08 |
1205174497 | Town Total Health, LLC | Pharmacy | 415 Crossways Park Drive, Suite A, Woodbury, NY 11797 | 2013-01-22 |
1750644878 | Shahrzad Bagheri | Specialist | 322 Anchorage Drive, Woodbury, Woodbury, New York, NY 11797 | 2012-06-22 |
1700171865 | Town Total Compounding Centers, LLC | Pharmacy | 415 Crossways Park Dr, Suite B, Woodbury, NY 11797 | 2011-06-16 |
1023316247 | Marnie Marissa Morabito | Speech-Language Pathologist | 72 Southwoods Road, Woodbury, NY 11797 | 2011-03-11 |
1114229838 | Malcolm Berger | Physical Therapy Assistant | 122 Southwoods Rd, Woodbury, NY 11797 | 2010-12-01 |
Find all providers in zip 11797 |
Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861880957 | The Institute of Allergy,immunology & Asthma for Adults and Children P | Allergy & Immunology | 630 Salem Avenue, Westbury Professional Building, Woodbury, NJ 08096 | 2014-12-26 |
1477635357 | Bruce L Edwards | Allergy & Immunology | 321 Crossways Park Dr Ste 1a, Woodbury, NY 11797-2066 | 2006-10-19 |
1679564959 | Robert Jean Perin | Allergy & Immunology | 630 Salem Ave, Woodbury, NJ 08096-3118 | 2005-11-04 |
1316941057 | Steven J Weiss | Allergy & Immunology | 69 Froehlich Farm Blvd, Woodbury, NY 11797-2903 | 2005-06-10 |
1093020281 | Marvin Boris, M.d. Pllc | Allergy & Immunology | 77 Froehlich Farm Blvd, Woodbury, NY 11797-2903 | 2010-08-11 |
1720151608 | Cherie Yvonne Zachary | Allergy & Immunology | 2080 Woodwinds Drive, Suite #240, Woodbury, MN 55125 | 2006-11-16 |
1578666707 | Faina M Gutin | Allergy & Immunology | 630 Salem Ave, Woodbury, NJ 08096-3118 | 2006-09-06 |
1841236049 | Majid Shafiei | Allergy & Immunology | 8675 Valley Creek Rd, Woodbury, MN 55125-2337 | 2006-06-22 |
1124000930 | Robert J Perin Md Pa | Allergy & Immunology | 630 Salem Ave, Woodbury, NJ 08096-3118 | 2005-11-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841803293 | Medical Care of Queens Borough PC | Allergy & Immunology | 970 Bard Ave Fl 1, Staten Island, NY 10301-3322 | 2020-08-26 |
1396361192 | Integrative Medicine of New York, Pllc | Allergy & Immunology | 520 Franklin Ave Ste 230, Garden City, NY 11530-5878 | 2020-06-18 |
1225669559 | Reenal Patel Md PC | Allergy & Immunology | 10-17 Jackson Avenue, Long Island City, NY 11101-5986 | 2020-01-27 |
1801447388 | Akl Medical PC | Allergy & Immunology | 2626 W State St Ste 205, Olean, NY 14760-1858 | 2019-09-25 |
1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
1932618923 | Sheila W Hankin | Allergy & Immunology | 200 S Broadway Ste 104, Tarrytown, NY 10591-4504 | 2017-09-22 |
1235653007 | Marc Braunstein Md Pllc | Allergy & Immunology | 540 Green Pl, Woodmere, NY 11598-1923 | 2017-08-02 |
1194119305 | Roshini Mullakary | Allergy & Immunology | 1600 Harrison Ave Ste 304, Mamaroneck, NY 10543-3151 | 2015-03-25 |
1568868834 | Icahn School of Medicine At Mount Sinai | Allergy & Immunology | 55 West 34th Street, 1st Floor, New York, NY 10016 | 2014-11-13 |
1659786440 | Robert Tamayev | Allergy & Immunology | 7949 Myrtle Ave, Glendale, NY 11385-7451 | 2014-06-30 |
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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.