DR. KIMBERLY LALLY (NPI# 1730530999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730530999 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY LALLY |
| Credential | M.D. |
| Practice Address |
One Gustave L. Levy Place New York NY 10029-0310 |
| Mailing Address |
Po Box 1024 New York NY 10029-0310 |
| Practice Telephone | 2122410398 |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2019-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZB0001X |
Pathology Specialization: Blood Banking & Transfusion Medicine |
299691-01 | NY | Allopathic & Osteopathic Physicians |
| N | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
145496 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 8700 Beverly Blvd, West Hollywood, CA 900481804 | 3104236623 |
| Street Address |
ONE GUSTAVE L. LEVY PLACE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-0310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578519385 | Douglas Jabs | Ophthalmology | One Gustave L. Levy Place, New York, NY 10029-6574 | 2006-05-25 |
| 1558981449 | Matthew Martin Hernandez | Student in an Organized Health Care Education/Training Program | One Gustave L. Levy Place, New York, NY 10029-6574 | 2020-04-21 |
| 1518428390 | Andrew Duarte | Student in an Organized Health Care Education/Training Program | One Gustave L. Levy Place, New York, NY 10029 | 2019-03-26 |
| 1104386325 | Meghana Eswarappa | Student in an Organized Health Care Education/Training Program | One Gustave L. Levy Place, Department of Medicine Box #1118, New York, NY 10029 | 2019-03-22 |
| 1265909329 | Laura Ford | Social Worker | One Gustave L. Levy Place, New York, NY 10463 | 2018-10-26 |
| 1841775285 | Danielle Seife | Social Worker | One Gustave L. Levy Place, Social Work Department, New York, NY 10029 | 2018-10-02 |
| 1316423247 | Kate Evans Shanahan | Social Worker | One Gustave L. Levy Place, Dept of Social Work, 1252, New York, NY 10029 | 2018-07-13 |
| 1851898290 | Alice Kyungsun Min | Student in an Organized Health Care Education/Training Program | One Gustave L. Levy Place, New York, NY 10029-6574 | 2018-04-11 |
| 1891290813 | Lauren Michelle Sartor | Student in an Organized Health Care Education/Training Program | One Gustave L. Levy Place, New York, NY 10029 | 2018-03-30 |
| 1104321074 | Jason Feinman | Student in an Organized Health Care Education/Training Program | One Gustave L. Levy Place, New York, NY 10029-6574 | 2018-03-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
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| Taxonomy Code | 207ZB0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Blood Banking & Transfusion Medicine |
| A physician who specializes in blood banking/transfusion medicine is responsible for the maintenance of an adequate blood supply, blood donor and patient-recipient safety and appropriate blood utilization. Pre-transfusion compatibility testing and antibody testing assure that blood transfusions, when indicated, are as safe as possible. This physician directs the preparation and safe use of specially prepared blood components, including red blood cells, white blood cells, platelets and plasma constituents, and marrow or stem cells for transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. American Osteopathic Board of Pathology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pathology. The Certification is NO longer provided. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962775338 | Gail Moskowitz | Pathology | 45 West 60th Street, Suite 16g, New York, NY 10023-7943 | 2012-02-16 |
| 1962605972 | Therese Martin Dimaio | Pathology | 325 East 57th Street, Apt 4b, New York, NY 10022 | 2007-06-07 |
| 1891903258 | New York Downtown Pathology | Pathology | 170 William St # 706, New York, NY 10038-2612 | 2007-05-18 |
| 1720295702 | Visalam Chandrasekaran | Pathology | The New York Blood Center, 310, E 67 Street, New York, NY 10021 | 2007-05-17 |
| 1710924824 | Beth H Shaz | Pathology | 310 E 67th St, New York, NY 10065-6275 | 2006-05-31 |
| 1083956460 | Robert Andrew Desimone | Pathology | 1300 York Ave, New York, NY 10065 | 2013-03-22 |
| 1326389826 | Fpa Hospital Based | Pathology | 1 Gustave L Levy Pl, Annenberg 15th Floor, New York, NY 10029-6500 | 2013-03-07 |
| 1962743575 | Fpa Hospital Based | Pathology | 1468 Madison Ave, Annenberg 15-60, New York, NY 10029-6508 | 2013-03-06 |
| 1386874923 | David William O'neill | Pathology | 400 E 34th St, Rusk Research Bldg Rm Rr-718, New York, NY 10016-4901 | 2009-07-16 |
| 1588828545 | Scott Terence Avecilla | Pathology | 1275 York Ave, Box #118, Rm H-815, New York, NY 10065-6007 | 2008-07-17 |
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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.