DEBRA H PAN (NPI# 1679659510) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679659510 |
| Entity Type | Individual |
| Full Name | DEBRA H PAN |
| Credential | MD |
| Practice Address |
3415 Bainbridge Ave Bronx NY 10467 |
| Mailing Address |
3411 Wayne Ave Bronx NY 10467-2509 |
| Practice Telephone | 7187412450 |
| Mailing Telephone | 7187412332 |
| Mailing Fax Number | 7185155426 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2019-06-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0206X |
Pediatrics Specialization: Pediatric Gastroenterology |
230154 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02667292 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 7187412450 | |
| 125 Walker St, New York, NY 100134135 | 2122263888 | 2123346887 |
| Street Address |
3415 BAINBRIDGE AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992783500 | Hiren V. Muzumdar | Pediatrics | 3415 Bainbridge Ave, Pediatric Respiratory and Sleep Medicine, Bronx, NY 10467-2403 | 2006-01-04 |
| 1568076743 | Aleksandr Zavorotynskiy | Pharmacist | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-09-03 |
| 1295347581 | Porsha Paul | Social Worker | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-08-19 |
| 1659995074 | Birender P Singh | Pharmacist | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-06-01 |
| 1144841834 | Andrecia Spaulding | Social Worker | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-05-04 |
| 1700415312 | Pauline Elizabeth Clarke | Nurse Practitioner | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2020-04-06 |
| 1104485739 | Yuping Xie | Student in an Organized Health Care Education/Training Program | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2019-06-07 |
| 1942868898 | Tara Carolina Foisset | Pediatrics | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2019-06-04 |
| 1164985164 | Joseph Chapman | Student in an Organized Health Care Education/Training Program | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2019-04-08 |
| 1023589918 | Basirat Shoberu | Pharmacist | 3415 Bainbridge Ave, Bronx, NY 10467-2403 | 2018-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535505 | Maxwell Ennist | Massage Therapist | 210 Bedford Park Blvd, Bronx, NY 10467 | 2020-10-09 |
| 1144854431 | Ny Metro Dental, PC | Dentist | 55 Mosholu Parkway North, Bronx, NY 10467 | 2020-02-26 |
| 1386277960 | Rhonda Ellen Nayberg | Occupational Therapist | Montefiore Medical Center Occupational Therapy Dept, 111 E 210 Street Ground Floor Blue Zone, Bronx, NY 10467 | 2020-02-21 |
| 1013568153 | Jaime Luis Betancourt | Nurse Practitioner | Sickle Cell Clinic, 3400 Bainbridge Avenue, Bronx, NY 10467 | 2019-09-20 |
| 1023662616 | Bronx Jewish Community Council Home Attendant Services | Home Health | 2930 Wallace Ave., Bronx, NY 10467 | 2019-07-31 |
| 1831755321 | Felix Medrano | Taxi | 3106 Webster Ave, Bronx, NY 10467 | 2019-05-10 |
| 1700363108 | Danaies Guzman | Occupational Therapist | 2410 Barker Avenue Apt 11a, Bronx, New York, NY 10467 | 2018-07-27 |
| 1538672175 | Carolina Duque-toro | Speech-Language Pathologist | 4251, 341 E 207th St, Bronx, NY 10467 | 2017-11-06 |
| 1255853727 | Jessica Perkiss | Social Worker | 750 Tilden St., Astor Services for Children and Families, Bronx, NY 10467 | 2017-07-17 |
| 1386166221 | Erica Santos | Licensed Practical Nurse | 3273 Parkside Place, Apt 5g, Bronx, NY 10467 | 2017-07-12 |
| Find all providers in zip 10467 | ||||
| Taxonomy Code | 2080P0206X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Gastroenterology |
| A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306227525 | Karine Amirikian | Pediatrics | 3415 Bainbridge Ave Fl 7, Bronx, NY 10467 | 2015-06-12 |
| 1760568612 | Yolanda Rivas | Pediatrics | 3415 Bainbridge Avenue, Children's Hospital At Montefiore, Bronx, NY 10467 | 2006-10-31 |
| 1649675125 | Saurabh Talathi | Pediatrics | 234 E 149th St, Bronx, NY 10451-5504 | 2014-10-27 |
| 1659629095 | Johanna Ferreira | Pediatrics | 111 E 210th St, Bronx, NY 10467-2401 | 2012-08-15 |
| 1568721736 | Preeti Viswanathan | Pediatrics | 3415 Bainbridge Ave, Childrens Hospital At Montefiore, Bronx, NY 10467-2403 | 2012-05-09 |
| 1174841530 | Aileen Raizner | Pediatrics | 3415 Bainbridge Ave, The Children's Hospital At Montefiore, Bronx, NY 10467-2403 | 2010-05-11 |
| 1003971953 | Daniela Levanon | Pediatrics | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2006-12-22 |
| 1134205073 | Anthony M Loizides | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-31 |
| 1689750523 | Morri E Markowitz | Pediatrics | Cham, 3415 Bainbridge Avenue, Bronx, NY 10467 | 2006-10-31 |
| 1104845023 | John F Thompson | Pediatrics | 3415 Bainbridge Ave, Children's Hospital At Montefiore, Bronx, NY 10467-2403 | 2006-07-19 |
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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.