KINGS HIGHWAY DIV HOUSE PHYSICIANS (NPI# 1821287863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821287863 |
| Entity Type | Organization |
| Organization Name | KINGS HIGHWAY DIV HOUSE PHYSICIANS |
| Practice Address |
3201 Kings Hwy Brooklyn NY 11234-2625 |
| Mailing Address |
160 Water St 20th Floor New York NY 10038-4922 |
| Practice Telephone | 7189513000 |
| Mailing Telephone | 2122563539 |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-17 |
| Authorized Official Name | RHONA HETSRONY (EXEC ADMINISTRATOR) |
| Authorized Official Telephone | 7189513000 |
| Is Organization Subpart | Y |
| Parent Organization Name | BETH ISRAEL MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207LC0200X |
Anesthesiology Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
3201 KINGS HWY |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11234-2625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902806425 | Frimmit L Forman | Radiology | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2005-07-27 |
| 1245839406 | Vivian Zheng | Nurse Practitioner | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-10-20 |
| 1922617588 | Simran Kaur | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-07-29 |
| 1407496094 | Larissa Kuchynska | Registered Nurse | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2020-01-10 |
| 1104462274 | Olivia Horgan | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-11-22 |
| 1376191791 | Dana Tyler Medina | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-08-28 |
| 1548818974 | Katie Li | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-08-28 |
| 1396307054 | Luz Clotilde Lucero-calabro | Nurse Practitioner | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-07-02 |
| 1184198251 | Jessica Mazile | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2019-01-11 |
| 1639641913 | Anna Guo | Physician Assistant | 3201 Kings Hwy, Brooklyn, NY 11234-2625 | 2018-12-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
| 1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
| 1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
| 1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
| 1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
| 1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
| 1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
| 1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
| 1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
| 1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
| Find all providers in zip 11234 | ||||
| Taxonomy Code | 207LC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Critical Care Medicine |
| An anesthesiologist, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144563966 | Natalie Anne Ferrero | Anesthesiology | 4802 10th Ave, Department of Internal Medicine, Brooklyn, NY 11219-2916 | 2013-03-29 |
| 1780872937 | Gregory Kapinos | Anesthesiology | 451 Clarkson Ave, Brooklyn, NY 11203-2054 | 2007-10-11 |
| 1396713327 | Erick J Arbenz Canales | Anesthesiology | 450 Clarkson Ave, Msc # 80, Brooklyn, NY 11203-2012 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598001083 | Norman Albert Ernst Jr. | Anesthesiology | 210 Meadbrook Rd, Garden City, NY 11530-1211 | 2013-01-02 |
| 1245525252 | Emily Chanan | Anesthesiology | 525 East 68th St, New York, NY 10025 | 2011-06-17 |
| 1932335395 | Issa Kallie Toure | Anesthesiology | 981 Union Ave Apt 5d, Bronx, NY 10459 | 2009-05-29 |
| 1548496904 | Kunal Panda | Anesthesiology | 601 Elmwood Ave Dept Of, Rochester, NY 14642-2604 | 2009-05-29 |
| 1467578211 | Erfan Hussain | Anesthesiology | Nsuh-dept of Med & Cricical Care Med, 300 Community Drive, Manhasset, NY 11030 | 2007-03-22 |
| 1922012277 | Hesaraghatta Buddappa Keshava | Anesthesiology | 1185 County Highway 122, Gloversville, NY 12078-6131 | 2006-07-29 |
| 1255373205 | Arvin H Chin | Anesthesiology | 29 Harrison St, New York, NY 10013-2705 | 2006-06-12 |
| 1083677678 | Robert M Constantine | Anesthesiology | 301 Prospect Avenue, Syracuse, NY 13203 | 2006-04-06 |
| 1841829819 | Ccmma Tx Pllc | Anesthesiology | 224 W 18th St Apt 8a, New York, NY 10011-4558 | 2020-04-02 |
| 1760025738 | Jessica Victoria Miller | Anesthesiology | 100 High St, Buffalo, NY 14203-1154 | 2019-10-23 |
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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.