VICTORY MEDICAL ASSOCIATES PC (NPI# 1902460124) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902460124 |
Entity Type | Organization |
Organization Name | VICTORY MEDICAL ASSOCIATES PC |
Practice Address |
129 Central Park N New York NY 10026-4201 |
Practice Telephone | 9143310820 |
Practice Fax Number | 8884439088 |
Mailing Telephone | 9143310820 |
Mailing Fax Number | 8884439088 |
Enumeration Date | 2019-04-23 |
Last Update Date | 2020-02-04 |
Authorized Official Name | CHRISTOPHER VARUGHESE (OWNER) |
Authorized Official Telephone | 9175999655 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
Street Address |
129 CENTRAL PARK N |
City | NEW YORK |
State | NY |
Zip Code | 10026-4201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538704663 | Glenda Murdaugh | Social Worker | 130 Lenox Avenue, Apt. 613, New York, NY 10026 | 2019-11-13 |
1043702574 | Gwendolyn Miller | Counselor | Create Inc, 73-75 Lenox Ave, New York, NY 10026 | 2018-05-31 |
1013423391 | Herman L Jackson | Physical Therapy Assistant | Physical Therapy of Harlem 1400 5th Ave, New York City, NY 10026 | 2017-12-21 |
1497264915 | Yudith O. Mahon | Registered Nurse | 110 West 114th Street Apt. 1b, New York, NY 10026 | 2017-09-27 |
1124546254 | Carmen Raina Abagail Lalonde | Psychologist | 155 West 72nd Street, Suite 505, Manhattan, NY 10026 | 2017-09-09 |
1972053387 | Crate | Community/Behavioral Health | 73 Lenox Avenue, New York, NY 10026 | 2016-10-10 |
1770931875 | Wendy P Nick | Speech-Language Pathologist | 240 W 113th St, New York, NY 10026 | 2016-05-30 |
1720464209 | Barbara D. Leese | Social Worker | 305 W 118th St, New York, NY 10026 | 2015-08-06 |
1982091880 | Philip Miller I | Counselor | 121 West 111th Street, New York, NY 10026 | 2015-04-20 |
1154711612 | Create, Inc. | Substance Abuse Rehabilitation Facility | 121-123 West 111th Street, New York, NY 10026 | 2015-02-04 |
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Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
---|---|---|---|---|
1588206288 | Suzanne R Steinbaum Do PC | Internal Medicine | 800 5th Ave Ste 205, New York, NY 10065-7216 | 2019-10-14 |
1881176931 | Craig H. Warschauer, M.d., P.C. | Internal Medicine | 1440 York Ave Ofc P9, New York, NY 10075-2577 | 2018-09-05 |
1902257520 | Mithun Jacob Varghese | Internal Medicine | C/o Maria Directo, Mount Sinai Hospital, One Gustave Levy Place, Box 1030, New York, NY 10029 | 2016-06-24 |
1154778900 | Amir Ahmadi | Internal Medicine | 525 E 72nd St Apt 27a, New York, NY 10021-9609 | 2016-05-23 |
1922496603 | Margaret A Sullivan Md | Internal Medicine | 8 E 83rd St # 1b, New York, NY 10028-0418 | 2015-01-02 |
1851702971 | New Wave Diagnostic Radiology Pllc | Internal Medicine | 1438 3rd Ave Apt 27b, New York, NY 10028-1980 | 2014-05-12 |
1609286301 | Daniel Yang Lu | Internal Medicine | 520 East 70th Street, Starr Pavilion, 4th Floor, New York, NY 10021 | 2014-05-02 |
1902224587 | Samuel M Kim | Internal Medicine | Weill Cornell Medicine Division of Cardiology, 520 East 70th Street, Starr Pavilion 4th Floor, New York, NY 10021-0010 | 2014-04-01 |
1982026266 | Rudolf Zalter | Internal Medicine | 10 East End Ave., #1h, New York, NY 10075 | 2014-01-06 |
1760819783 | New York Cardiovascular Medical Imaging PC | Internal Medicine | 2109 Broadway Ste 15-104, New York, NY 10023-2138 | 2013-10-04 |
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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.