LORETO VERGARA TANAEL (NPI# 1770678005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770678005 |
| Entity Type | Individual |
| Full Name | LORETO VERGARA TANAEL |
| Credential | MD |
| Practice Address |
3245 Nostrand Ave Kings Hwy Center Brooklyn NY 11229 |
| Mailing Address |
233 Nostrand Ave Attention Celeste Jackson Brooklyn NY 11205 |
| Practice Telephone | 7186153777 |
| Practice Fax Number | 7186153481 |
| Mailing Telephone | 7188263911 |
| Mailing Fax Number | 7188263860 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 1138351 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3245 NOSTRAND AVE KINGS HWY CENTER |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023071701 | Nissim Bassoul | Pediatrics | 3245 Nostrand Ave, Brooklyn, NY 11229 | 2006-04-11 |
| 1659939064 | Alexandra Lewery | Audiologist | 3245 Nostrand Ave, Brooklyn, NY 11229-3716 | 2019-05-31 |
| 1942791686 | Karolina Kowalska | Optometrist | 3245 Nostrand Ave, Brooklyn, NY 11229-3716 | 2018-05-29 |
| 1134642598 | Luva M Reeves | Nurse Practitioner | 3245 Nostrand Ave, Brooklyn, NY 11229 | 2017-07-18 |
| 1245640309 | Cheryl Andrea Hart | Nurse Practitioner | 3245 Nostrand Ave, Brooklyn, NY 11229-3716 | 2014-04-29 |
| 1104265859 | Chika Nkiru Odili | Nurse Practitioner | 3245 Nostrand Ave, Brooklyn, NY 11229 | 2013-06-17 |
| 1558706093 | Alana Colleen Murphy | Physician Assistant | 3245 Nostrand Ave, Brooklyn, NY 11229-3716 | 2013-05-09 |
| 1215371992 | Irina Laptevsky | Internal Medicine | 3245 Nostrand Ave, Brooklyn, NY 11229 | 2013-04-24 |
| 1487911715 | Nadia Burnazi | Family Medicine | 3245 Nostrand Ave, Brooklyn, NY 11229 | 2012-04-11 |
| 1215238043 | Long Island Queens Hearing Asso Inc | Audiologist-Hearing Aid Fitter | 3245 Nostrand Ave, Brooklyn, NY 11229-3716 | 2010-11-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639694805 | Bay Ridge Surgi-center LLC | Surgery | 370 Bay Ridge Pkwy Ste 1, Brooklyn, NY 11209-3164 | 2017-08-09 |
| 1871977298 | Siarhei Melnikau | Surgery | 321 86th St Apt 2d, Brooklyn, NY 11209-5027 | 2015-07-15 |
| 1356757868 | Cristina Pate | Surgery | 5 Maspeth Ave, Brooklyn, NY 11211-2508 | 2014-07-03 |
| 1740601152 | Guy Yves Augustin | Surgery | 2603 Avenue D, Brooklyn, NY 11226-7811 | 2014-01-02 |
| 1720420763 | Mohammad Hamshow | Surgery | 948 48th St Fl 3, Brooklyn, NY 11219-2918 | 2013-07-18 |
| 1376984310 | Maryam Saeed | Surgery | 450 Clarkson Ave # 40, Brooklyn, NY 11203-2012 | 2013-07-06 |
| 1346680790 | Joseph A Sidaoui | Surgery | 27 Kingsland Ave Apt 2l, Brooklyn, NY 11211-1551 | 2013-06-30 |
| 1336584333 | Joseph Rothman | Surgery | 1316 E 24th St, Brooklyn, NY 11210-5143 | 2013-05-03 |
| 1083954648 | Jacques Duperval, Md, Fics, Facs, PC | Surgery | 60 Plaza Street East, Suite S-3, Brooklyn, NY 11238 | 2013-02-19 |
| 1700123189 | Liba Shaffer | Surgery | 9 E 91st St, Brooklyn, NY 11212-1501 | 2013-01-06 |
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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.