MR. JOHN W KWIATEK (NPI# 1699784611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699784611 |
| Entity Type | Individual |
| Full Name | MR. JOHN W KWIATEK |
| Credential | MD |
| Practice Address |
997 Glen Cove Ave Glen Head NY 11545 |
| Practice Telephone | 5166765617 |
| Practice Fax Number | 5166767543 |
| Mailing Telephone | 5166765617 |
| Mailing Fax Number | 5166767543 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2017-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 160399 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00998572 | 05 |
| Street Address |
997 GLEN COVE AVE |
| City | GLEN HEAD |
| State | NY |
| Zip Code | 11545 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699773010 | Michael I Gurevich | Psychiatry & Neurology | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2005-07-10 |
| 1598315087 | Sherry Xie | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2019-09-17 |
| 1497205173 | Larissa Gourdet | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2016-10-06 |
| 1487999017 | Nancy H Larson | Nurse Practitioner | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2012-12-08 |
| 1538442256 | Tia Trivisonno | Acupuncturist | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2011-09-20 |
| 1790928026 | Shreyas T Ravishankar | Internal Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2009-04-16 |
| 1619141645 | Ghazanfar W. Haidery Md PC | Family Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2008-04-22 |
| 1861683963 | Suhu Natural Health | Clinic/Center | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2007-08-05 |
| 1588726426 | T.ravishankar Md PC | Internal Medicine | 997 Glen Cove Ave, Glen Head, NY 11545-1593 | 2006-12-15 |
| 1972674067 | Nina Gurevich | Psychiatry & Neurology | 997 Glen Cove Ave, Glen Head, NY 11545 | 2006-11-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548896350 | Ian Persits | Student in an Organized Health Care Education/Training Program | Hannah and Charles Serota Academic Center, Glen Head, NY 11545 | 2020-03-13 |
| 1699279281 | Cvs Albany LLC | Durable Medical Equipment & Medical Supplies | 711 Glen Cove Rd, Glen Head, NY 11545 | 2018-03-20 |
| 1164944559 | Kevin Wong | Specialist | 14 Rini Road, Glen Head, NY 11545 | 2017-07-07 |
| 1992237994 | Humaira Ali | Student in an Organized Health Care Education/Training Program | 214 Brookville Road, Glen Head, NY 11545 | 2017-03-29 |
| 1659727006 | Ana Wegmann | Specialist | 17 Chapel Gate Lane, Glen Head, NY 11545 | 2016-05-04 |
| 1427452226 | Jane Zwilling | Psychologist | 11 Wenwood Drive, Brookville, NY 11545 | 2014-10-22 |
| 1619387354 | Gillian Meketansky | Speech-Language Pathologist | 101 Northern Blvd, Glen Hed, NY 11545 | 2014-05-03 |
| 1174861819 | Monique A. Vaccaro | Speech-Language Pathologist | 36 Cherry Street, Glen Head, NY 11545 | 2013-01-30 |
| 1467704676 | Lisette Perez | Licensed Practical Nurse | 189 Wheatley Rd., Brookville, NY 11545 | 2012-10-11 |
| 1952666323 | Catherine Forsander | Specialist | 14 Hillside Avenue, Glen Head, NY 11545 | 2012-07-11 |
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| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 |
|---|---|---|---|---|
| 1699135954 | Michael B Capobianco Md | Internal Medicine | 3 Park Plz Ste 1, Glen Head, NY 11545-1857 | 2016-02-29 |
| 1215202619 | Dorothy O'donnell | Internal Medicine | 9 Dogwood Hl, Glen Head, NY 11545-3204 | 2012-03-19 |
| 1700179538 | Raymond Zukerman | Internal Medicine | 7 Charles Way, Glen Head, NY 11545-2736 | 2011-05-26 |
| 1124036116 | Helen H Yu | Internal Medicine | 14a Quaker Ridge Rd, Glen Head, NY 11545-3326 | 2006-08-04 |
| 1134731151 | North Shore Np Adult Healthcare House Calls | Internal Medicine | 18 Glen Ln, Glen Head, NY 11545-1120 | 2020-08-20 |
| 1821591132 | Michael Barry Capobianco | Internal Medicine | 3 Park Plz Ste 1, Glen Head, NY 11545-1857 | 2018-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376491 | Unico Ipa LLC | Internal Medicine | 202 Canal St # 500, New York, NY 10013-4517 | 2020-11-06 |
| 1811598055 | Hudson Valley Clinica Medica | Internal Medicine | 110 Stage Rd, Monroe, NY 10950-3513 | 2020-11-04 |
| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1295341535 | Reside Health Medical Group, Pllc | Internal Medicine | 520 Broadway Fl 4, New York, NY 10012-4436 | 2020-09-22 |
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1578177929 | Ar Personal Medical Care P.C. | Internal Medicine | 4102 75th Street, Elmhurst, NY 11373-3745 | 2020-09-03 |
| 1295348019 | Vault Medical Group Pa | Internal Medicine | 133 E 58th St Ste 512, New York, NY 10022-1145 | 2020-08-31 |
| 1770196602 | Julia A Mason | Internal Medicine | 78 Crescent Dr, Albany, NY 12208-1230 | 2020-08-29 |
| 1205447745 | Princeton Longevity Medical of New York Pllc | Internal Medicine | 1 World Trade Ctr Ste 71d, New York, NY 10007-0089 | 2020-08-10 |
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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.