NORTH VALLEY MEDICAL, PC (NPI# 1972701530) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972701530 |
| Entity Type | Organization |
| Organization Name | NORTH VALLEY MEDICAL, PC |
| Practice Address |
234-32 Merrick Blvd Rosedale NY 11422 |
| Mailing Address |
25931 148th Dr Rosedale NY 11422-3001 |
| Practice Telephone | 7182764482 |
| Practice Fax Number | 7182765083 |
| Mailing Telephone | 5163514046 |
| Mailing Fax Number | 7182765083 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2009-06-17 |
| Authorized Official Name | MRS. DAWN COBURN (OFFICE MANAGER) |
| Authorized Official Telephone | 5163514046 |
| Authorized Official Credential | PA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 198832 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 01617674 | 05 |
| Street Address |
234-32 MERRICK BLVD |
| City | ROSEDALE |
| State | NY |
| Zip Code | 11422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457342073 | Dawn Coburn | Physician Assistant | 234-32 Merrick Blvd, Rosedale, NY 11422 | 2005-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447791116 | Home Companion Services,inc. | In Home Supportive Care | 25311 147th Dr, Rosedale, NY 11422 | 2017-03-15 |
| 1508302779 | Rayne Shomo | Licensed Practical Nurse | 249-22 144th Ave, Rosedale, NY 11422 | 2017-01-12 |
| 1194277491 | Kettely Francois | Nurse Practitioner | 149-86 253 Rd Street, Rosedale, NY 11422 | 2016-11-03 |
| 1578019410 | Maureen Mckenzie | Registered Nurse | 241-25 148th Drive, Rosedale, NY 11422 | 2016-08-31 |
| 1386097657 | A Touch That Cares Home Services | Home Health | 13891 Francis Lewis Blvd, Rosedale, NY 11422 | 2016-07-21 |
| 1093160293 | Regine St. Leger | Registered Nurse | 128-07 236th Street, Rosedale, NY 11422 | 2016-04-26 |
| 1942664115 | Raising In The Sun, Ltd | Early Intervention Provider Agency | 257-04 149th Avenue, Rosedale, NY 11422 | 2016-04-13 |
| 1740656958 | Jaelle Jeudy | Licensed Practical Nurse | 243-59 Mayda Rd, Rosedale, NY 11422 | 2015-08-12 |
| 1851785380 | Elizabeth Madison Nutrition, Pllc | Clinic/Center | 13333 Brookville Boulevard, Suite 229c, Rosedale, NY 11422 | 2015-03-23 |
| 1659763894 | Leonard Barrett | Nutritionist | 220 01 Jamaica Av., Queens, NY 11422 | 2015-02-25 |
| Find all providers in zip 11422 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1295386233 | Trinity Detox and Family Clinic,inc. | Internal Medicine | 1232 Race Rd Ste 302, Rosedale, MD 21237-2382 | 2019-09-20 |
| 1790251189 | Merrick Medical PC | Internal Medicine | 24351 Merrick Blvd, Rosedale, NY 11422-1459 | 2018-10-23 |
| 1124384086 | Jessica Sampias Craig | Internal Medicine | 5235 King Ave, Rosedale, MD 21237-4068 | 2012-04-05 |
| 1528145711 | April Lowery | Internal Medicine | 24108 140th Ave, Rosedale, NY 11422-2022 | 2006-11-01 |
| 1417052317 | Madhukar Wadhera | Internal Medicine | 24305 Newhall Ave, Rosedale, NY 11422-2437 | 2006-09-14 |
| 1881624179 | Yvan Mardy | Internal Medicine | 24318 Merrick Blvd, Rosedale, NY 11422-1460 | 2006-07-03 |
| 1003862293 | Emmanuel Opare Asare | Internal Medicine | One Cross Island Plz, Suite 201, Rosedale, NY 11422-1484 | 2006-05-26 |
| 1295780211 | Springfield Med Asso PC | Internal Medicine | One Cross Isl Plz 201, Rosedale, NY 11422-0000 | 2006-05-25 |
| 1063467546 | Kamal A Tadros | Internal Medicine | 235-20 147 Ave, Ste 1, Rosedale, NY 11422 | 2006-05-23 |
| 1891761219 | Ellimoottil Kuruvillai Kuriakose | Internal Medicine | 13176 Laurelton Pkwy, Rosedale, NY 11422-1315 | 2006-02-25 |
| Find all providers in ROSEDALE | ||||
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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.