DREW K GOLDBAUM-RATKEVICH


Address: 201 5th Ave, Apt 2, Brooklyn, NY 11217-4481
Phone: 7187953727

DREW K GOLDBAUM-RATKEVICH (NPI# 1679934517) 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) 1679934517
Entity Type Individual
Full Name DREW K GOLDBAUM-RATKEVICH
Other Name DREW K PHELAN
Credential RN
Practice Address 201 5th Ave
Apt 2
Brooklyn
NY 11217-4481
Practice Telephone 7187953727
Enumeration Date 2016-03-18
Last Update Date 2016-03-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0000X Registered Nurse
Specialization: General Practice
711470 NY Nursing Service Providers

Office Location

Street Address 201 5TH AVE
APT 2
City BROOKLYN
State NY
Zip Code 11217-4481

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Taxonomy Information

Taxonomy Code 163WG0000X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization General Practice

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1245878180 Danielle John Registered Nurse 901 E 95th St Apt 1f, Brooklyn, NY 11236-2050 2019-12-11
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1841769619 Elena Tum Registered Nurse 2321 83rd St Apt 2, Brooklyn, NY 11214-2715 2018-11-21
1417468166 Claire Allison Cummings Registered Nurse 823 Ashford St, Brooklyn, NY 11207-8101 2017-10-21
1669902383 Waveney Joseph Registered Nurse 892 E 94th St, Brooklyn, NY 11236-2004 2017-06-14
1881137834 Keisha Debrica Jones Registered Nurse 562 E 38th St, Brooklyn, NY 11203-5609 2016-11-23
1508234782 Igor Gurin Registered Nurse 3323 Nostrand Ave., Apt. 3j, Brooklyn, NY 11229-3726 2015-09-04
1780091777 Kathryn Everhart Registered Nurse 10100 Lawrence Rd, Brooklyn, MI 49230-9427 2014-07-22
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Competitor

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City BROOKLYN
Zip Code 11217

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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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