DR. MALCOLM GILBERT IDELSON (NPI# 1962740092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962740092 |
| Entity Type | Individual |
| Full Name | DR. MALCOLM GILBERT IDELSON |
| Credential | M.D. |
| Practice Address |
30 Pond Hills Court Pleasant Valley NY 12569 |
| Practice Telephone | 8456359132 |
| Practice Fax Number | 8456351381 |
| Mailing Telephone | 8456359132 |
| Mailing Fax Number | 8456351381 |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 080056-1 | NV | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
080056-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DEA | #AI3454319 | 01 | |
| NY | PHYSICIAN MEDICAL LICENSE | #080056-1 | 01 |
| Street Address |
30 POND HILLS COURT |
| City | PLEASANT VALLEY |
| State | NY |
| Zip Code | 12569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881106383 | Susan Tooker | Nurse Practitioner | 53 Wigsten Rd, Pleasant Valley, NY 12569 | 2017-10-25 |
| 1679949168 | Susan Deman | Registered Nurse | 5 Ridgeview Lane, Pleasant Valley, NY 12569 | 2015-08-19 |
| 1407271620 | Stephanie Gardner | Licensed Practical Nurse | 51522 Annie Ave, Pleasant Valley, NY 12569 | 2014-02-25 |
| 1740557966 | Marie Anne Berberich | Registered Nurse | 11 Walnut Road, Hickory Hill Estates, Pleasant Valley, NY 12569 | 2011-11-17 |
| 1841575719 | Dawn Stoll | Occupational Therapy Assistant | 13 Downing Road, Pleasant Valley, NY 12569 | 2011-10-11 |
| 1720256860 | Jamie Leigh Beringer Gates | Licensed Practical Nurse | 2161 Route 44, Pleasant Valley, NY 12569 | 2008-02-12 |
| 1619173978 | Anthony Charles Colarusso | Dentist | 1577 Main Street, Pleasant Valley, NY 12569 | 2007-06-25 |
| 1477616316 | Dipti Harish Patel | Dentist | 1363 Route 9g, Hyde Park, NY 12569 | 2006-12-19 |
| 1730240532 | Joseph Detullio | Chiropractor | Rt 44 and North Ave, Pleasant Valley, NY 12569 | 2006-12-13 |
| 1831259894 | The Great Atlantic and Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 13 North Ave, Pleasant Valley, NY 12569 | 2006-12-11 |
| Find all providers in zip 12569 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1285251108 | Khatri Medical Suites PC | Obstetrics & Gynecology | 466 Willis Avenue, Suite 366, Williston Park, NY 11596 | 2020-06-26 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1508406901 | Jing Qiao Ob/gyn P.C. | Obstetrics & Gynecology | 4265 Kissena Blvd Unit L3, Flushing, NY 11355-3273 | 2020-01-14 |
| 1811531270 | Comprehensive Perinatal Medicine Pllc | Obstetrics & Gynecology | 13336 41st Rd # 2a, Flushing, NY 11355-3666 | 2019-10-29 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANT VALLEY |
| Zip Code | 12569 |
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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.