DR. BORIS MEDVEDOVSKY (NPI# 1689833303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689833303 |
| Entity Type | Individual |
| Full Name | DR. BORIS MEDVEDOVSKY |
| Credential | D O |
| Practice Address |
1650 Grand Concourse 8g Bronx NY 10457-7606 |
| Practice Telephone | 7185901800 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2014-07-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
255628 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1650 GRAND CONCOURSE 8G |
| City | BRONX |
| State | NY |
| Zip Code | 10457-7606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859952 | Ruth Mankoff | Advanced Practice Midwife | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2005-05-28 |
| 1053918813 | Ujwol Karmacharya | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-10-05 |
| 1427664713 | Jasmine George | Pharmacist | 1650 Grand Concourse, Main Basement Pharmacy, Bronx, NY 10457 | 2020-09-22 |
| 1700491446 | Harpreet Kaur | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-10 |
| 1801401567 | Aditya Tiwari | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-10 |
| 1134733884 | Sushant Niroula | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-01 |
| 1124632864 | Sachin Bhandari | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-01 |
| 1720692585 | Dhruv Patel | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-08-31 |
| 1447864293 | Amit Mishra | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7697 | 2020-08-31 |
| 1912511775 | Yakoot Muhammad Khan | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
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| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417346321 | Maryanne Yacoub Sourial | Internal Medicine | 3411 Wayne Ave Apt 5h, Bronx, NY 10467-2539 | 2015-01-15 |
| 1437563137 | Bessy Suyin Flores Chang | Internal Medicine | 4422 3rd Ave Bldg 3, Bronx, NY 10457-2545 | 2014-06-20 |
| 1417225319 | Pablo Loarte Campos | Internal Medicine | 111 E 210th St Fl C2, Bronx, NY 10467-2401 | 2011-12-06 |
| 1437312758 | Bashar Ericsoossi | Internal Medicine | 1733 Eastchester Rd Ste 2, Bronx, NY 10461-2315 | 2008-07-07 |
| 1558532242 | Medical Diagnostic Nephrology, PC | Internal Medicine | 2409 Barker Ave, Bronx, NY 10467-7601 | 2008-03-20 |
| 1750460960 | Joseph Bonanno | Internal Medicine | 3481 E Tremont Ave, Bronx, NY 10465-2016 | 2006-11-06 |
| 1144310855 | Robert E Feingold | Internal Medicine | Mmc - Dept. of Nephrology, 111 East 210th Street, Bronx, NY 10467 | 2006-10-13 |
| 1659304756 | Ritesh Raichoudhury | Internal Medicine | 1874 Pelham Pkwy S Apt Lr, Bronx, NY 10461-3749 | 2006-07-09 |
| 1629000948 | Mario A Henriquez | Internal Medicine | 2452 Bronx Park E, Bronx, NY 10467-7503 | 2006-07-07 |
| 1295711950 | Robert Chiles Alvis | Internal Medicine | 3468 Park Avenue, Bronx, NY 10456 | 2005-12-15 |
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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.