PEDRO P. MARIA (NPI# 1740394618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740394618 |
| Entity Type | Individual |
| Full Name | PEDRO P. MARIA |
| Credential | D.O. |
| Practice Address |
3400 Bainbridge Ave 5th Floor Bronx NY 10467-2404 |
| Mailing Address |
22 Overlook Rd Ossining NY 10562-1311 |
| Practice Telephone | 7189204531 |
| Mailing Telephone | 7189204531 |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2012-06-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208800000X | Urology | OS012681 | PA | Allopathic & Osteopathic Physicians |
| Y | 208800000X | Urology | 249007 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1012337800001 | 05 | |
| PA | HIGHMARK BLUE SHIELD | 1724343 | 01 |
| PA | PERSONAL CHOICE | 1724343 | 01 |
| PA | KEYSTONE IBC | 2392878000 | 01 |
| PA | HEALTH PARTNERS | 34935 | 01 |
| Street Address |
3400 BAINBRIDGE AVE 5TH FLOOR |
| City | BRONX |
| State | NY |
| Zip Code | 10467-2404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831183656 | Peter Shamamian | Surgery | 3400 Bainbridge Ave, 4th Floor, Bronx, NY 10467-2404 | 2005-09-08 |
| 1538714449 | Jeff Philip | Physician Assistant | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2019-08-07 |
| 1366006660 | Virginia Hong | Nurse Practitioner | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2019-04-23 |
| 1376028514 | Brittani Lanae Turner | Nurse Practitioner | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-10-02 |
| 1881179802 | Olsjon Shperdheja | Physician Assistant | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-09-25 |
| 1881170595 | Ida Rampersad | Nurse Practitioner | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-07-16 |
| 1265937890 | Araceli Estrada-ortega | Dietitian, Registered | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2018-03-26 |
| 1265969133 | Kimberly Wallace | Registered Nurse | 3400 Bainbridge Ave, Bronx, NY 10467-2404 | 2017-05-22 |
| 1124570528 | Andrea Feghali | Nurse Practitioner | 3400 Bainbridge Ave, 3rd Floor, Bronx, NY 10467-2404 | 2016-11-01 |
| 1902356207 | Rachel Lindsay Miller | Physician Assistant | 3400 Bainbridge Ave, Floor 3, Bronx, NY 10467-2404 | 2016-10-11 |
| Find all providers in the same location | ||||
| 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 | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548376171 | Reza Ghavamian | Urology | Mmc - Dept of Urology, 3400 Bainbridge Avenue, 5th Fl, Bronx, NY 10467 | 2006-08-23 |
| 1407831324 | Eric R Kreutzer | Urology | 1695 Eastchester Rd, Suite 501, Bronx, NY 10461-2374 | 2005-12-13 |
| 1902889330 | Michael Young | Urology | 2015 Grand Concourse Ste 390, Bronx, NY 10453-4303 | 2005-11-21 |
| 1669462008 | Edward Geisler | Urology | 1749 Grand Concourse Ofc A, Bronx, NY 10453-8250 | 2005-10-26 |
| 1225699648 | 334 Grand Concourse Medical PC | Urology | 444 Willis Ave, Bronx, NY 10455-4013 | 2019-06-26 |
| 1033523212 | Azfar Uddin Shaikh | Urology | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2014-06-17 |
| 1912327594 | Evan Kovac | Urology | 1250 Waters Pl, Tower 2, 9th Floor, Bronx, NY 10461-2720 | 2014-04-22 |
| 1982949103 | Bronxcare Health System | Urology | 1650 Grand Concourse, Bronx, NY 10457 | 2012-11-28 |
| 1114275393 | Grace Thomas | Urology | 234 E 149th St, Bronx, NY 10451-5504 | 2012-08-21 |
| 1215222856 | Kara Watts | Urology | 111 E 210th St, 5th Floor, Dept. of Urology, Bronx, NY 10467-2401 | 2011-06-11 |
| Find all providers in BRONX | ||||
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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.