123 MEDICAL GROUP, P.C. (NPI# 1952745291) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952745291 |
| Entity Type | Organization |
| Organization Name | 123 MEDICAL GROUP, P.C. |
| Practice Address |
286 Fort Washington Ave Suite# 1g New York NY 10032-1315 |
| Practice Telephone | 2125431800 |
| Mailing Telephone | 2125431800 |
| Enumeration Date | 2013-04-17 |
| Last Update Date | 2013-04-17 |
| Authorized Official Name | DR. ALCIBIADES RODRIGUEZ (PRESIDENT) |
| Authorized Official Telephone | 2125431800 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | Other Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | 123 MEDICAL GROUP, P.C. | 286 Fort Washington Avenue, Suite 1g, New York, Ny 10032 |
| Street Address |
286 FORT WASHINGTON AVE SUITE# 1G |
| City | NEW YORK |
| State | NY |
| Zip Code | 10032-1315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962400879 | Robert J Valenzuela | Urology | 286 Fort Washington Ave, New York, NY 10032-1315 | 2005-07-13 |
| 1982049342 | Global Psychiatric Services, PC | Psychiatry & Neurology | 286 Fort Washington Ave, Suite 1i, New York, NY 10032-1315 | 2013-04-30 |
| 1003129818 | Nocturnal Sleep Diagnostics LLC | Clinic/Center | 286 Fort Washington Ave, Suite 1b, New York, NY 10032-1315 | 2010-07-21 |
| 1366772238 | Ann M Woo, M.d.,p.c. | Obstetrics & Gynecology | 286 Fort Washington Ave, Suite 1 A, New York, NY 10032-0000 | 2009-12-28 |
| 1548367949 | Washington Heights Urology | Urology | 286 Fort Washington Ave, New York, NY 10032-1315 | 2006-09-20 |
| 1760400402 | Jose Dejesus Contreras | Urology | 286 Fort Washington Ave, #1a, New York, NY 10032 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658301 | Julia Sophia White | Registered Nurse | 622 W 168th St, New York, Ny, New York, NY 10032 | 2020-10-29 |
| 1326653411 | Simbarashe S Mudiwa | Massage Therapist | 615 W 165th St, Apt 1b, New York, NY 10032 | 2020-09-15 |
| 1063021335 | Margaret E O'neil | Physical Therapist | 180 Fort Washington St, Harkness 1-164, New York, NY 10032 | 2020-07-23 |
| 1780207480 | Bing Mei Teh | Student in an Organized Health Care Education/Training Program | 180 Fort Washington Ave, Harkness Pavillion 7th Floor, Department of Otolaryngology, New York, NY 10032 | 2020-05-28 |
| 1295354116 | Kavin Fatehchand | Student in an Organized Health Care Education/Training Program | 630 West 168th Street, New York, Ny 10032, New York, NY 10032 | 2020-04-10 |
| 1417584020 | Laura Faye Willard | Student in an Organized Health Care Education/Training Program | 177 Ft. Washington Ave., 7gs-313, New York, NY 10032 | 2020-03-24 |
| 1356976641 | Thomas Joseph Cahill | Student in an Organized Health Care Education/Training Program | Columbia Heart & Valve Center, New York Presbyterian/co, 161 Fort Washington Avenue, Herbert Irving Pavilion 6 F, New York City, NY 10032 | 2020-03-06 |
| 1346874765 | Paulo Roberto De Paula Selber | Orthopaedic Surgery | Department of Orthopedic Surgery - Chony, 3959 Broadway, 8 North, Room 803, New York, NY 10032 | 2020-02-25 |
| 1720611312 | Rachel Dawn Vanderlaan | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Newyork-presbyterian Morgan Stanley Children's Hospital, 3959 Broadway Ave Suite: 274, New York, NY 10032 | 2020-02-21 |
| 1881225928 | Daniel Molina Garcia | Social Worker | 180 Fort Washingtion Avenue, 6th Fl, New York, NY 10032 | 2020-01-28 |
| Find all providers in zip 10032 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148652 | Gloria Li | Specialist | 959 1st Ave, New York, NY 10022-6649 | 2020-09-11 |
| 1700495041 | Ana Rosa Perez | Specialist | 318 E 116th St, New York, NY 10029-1506 | 2020-07-22 |
| 1659995801 | Theodore Nathan Raosen | Specialist | 128 Pinehurst Ave Apt B61, New York, NY 10033-1755 | 2020-06-03 |
| 1255954301 | Courtney Foster | Specialist | 222 E 34th St # 13, New York, NY 10016-4842 | 2020-05-23 |
| 1396371852 | Laquanique Louise Lake | Specialist | 116west 32nd Street, New York, NY 10001-3212 | 2020-03-17 |
| 1205460524 | Yasmin El-hifnawi Cooper | Specialist | 2572 Frederick Douglass Blvd Unit B, New York, NY 10030-2106 | 2020-02-25 |
| 1376175992 | Patricia Ann Ebert | Specialist | 310 E 102nd St Apt 9d, New York, NY 10029-5607 | 2020-02-11 |
| 1912547928 | Roberto Manuel Gonzalez | Specialist | 250 W 108th St, New York, NY 10025-2956 | 2020-01-08 |
| 1659918639 | Delores Cody Oppecker | Specialist | 455 Fort Washington Ave Apt 53, New York, NY 10033-4631 | 2019-12-09 |
| 1174160543 | Jazmin Bernal | Specialist | 765 Riverside Dr, 3n, New York, NY 10032 | 2019-12-04 |
| Find all providers in NEW YORK | ||||
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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.