FASIKA M TEDLA (NPI# 1760482822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760482822 |
| Entity Type | Individual |
| Full Name | FASIKA M TEDLA |
| Credential | MD |
| Practice Address |
5 E 98th St Fl 12 New York NY 10029-6501 |
| Mailing Address |
1 Gustave L Levy Pl # 1104 New York NY 10029-6504 |
| Practice Telephone | 2126598086 |
| Practice Fax Number | 2127317220 |
| Mailing Telephone | 2126598086 |
| Mailing Fax Number | 2127317220 |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2019-11-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
222336 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02668537 | 05 |
| Street Address |
5 E 98TH ST FL 12 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477963882 | Arjun Mehul Bhansali | Internal Medicine | 5 E 98th St Fl 12, New York, NY 10029-6501 | 2014-05-07 |
| 1215203591 | Samira Sophia Farouk | Internal Medicine | 5 E 98th St Fl 12, New York, NY 10029-6501 | 2012-03-30 |
| 1689963332 | Ghideon Ezaz | Internal Medicine | 5 E 98th St Fl 12, New York, NY 10029 | 2011-04-04 |
| 1730497454 | Gene Young Im | Transplant Surgery | 5 E 98th St Fl 12, New York, NY 10029-6501 | 2010-09-15 |
| 1548573520 | Rebecca L Kent | Internal Medicine | 5 E 98th St Fl 12, New York, NY 10029-6501 | 2010-07-20 |
| 1265674998 | Jennifer Leong | Internal Medicine | 5 E 98th St Fl 12, New York, NY 10029-6501 | 2009-03-26 |
| 1083818876 | Ponni V Perumalswami | Internal Medicine | 5 E 98th St Fl 12, New York, NY 10029-6501 | 2007-06-13 |
| 1043210297 | Veronica Bridget Delaney | Internal Medicine | 5 E 98th St Fl 12, New York, NY 10029-6501 | 2005-07-29 |
| 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 |
| Find all providers in zip 10029 | ||||
| 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 |
|---|---|---|---|---|
| 1386190676 | Mubasshar Rehman | Internal Medicine | Division of Nephrology Mount Sinai St. Luke's Hospital, 1111 Amsterdam Avenue, New York, NY 10025 | 2016-08-28 |
| 1619339785 | Manhattan Nephrology and Critical Care Pllc | Internal Medicine | 116 E 124th St, New York, NY 10035-1933 | 2016-03-28 |
| 1679947162 | Valmond Medical Pllc | Internal Medicine | 206 E. 76th St. Suite M2, New York, NY 10021 | 2015-11-20 |
| 1821489600 | Alan D Lavine | Internal Medicine | 80 Riverside Blvd Apt 16b, New York, NY 10069-0315 | 2015-02-14 |
| 1245633825 | Celeste Sharon Chang | Internal Medicine | 139 Centre St Ste 703, New York, NY 10013-4557 | 2014-09-26 |
| 1316368061 | Lili Chan | Internal Medicine | 1249 5th Avene, New York, NY 10029 | 2013-12-25 |
| 1417204736 | Excella Medicine PC | Internal Medicine | 4915 Broadway Suite 1g, New York, NY 10034-3122 | 2012-08-06 |
| 1265716906 | Simone Sanna Cherchi | Internal Medicine | 622 W 168th St Ph 4-124, New York, NY 10032-3720 | 2011-09-29 |
| 1245559442 | Jennifer S Scherer | Internal Medicine | 462 1st Ave # Bcd676, Nyu Langone Medical Center, New York, NY 10016-9196 | 2010-05-27 |
| 1427218684 | Muthukumar Thangamani | Internal Medicine | 525 E 68 Street, Division of Nephrology Box 3, New York, NY 10021 | 2008-06-11 |
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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.