ZLATIN S IVANOV (NPI# 1982883963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982883963 |
Entity Type | Individual |
Full Name | ZLATIN S IVANOV |
Practice Address |
760 Broadway Department of Psychiatry Woodhull Medical & Mental Health Center Brooklyn NY 11206 |
Mailing Address |
760 Broadway Department of Managed Care Room 2b230 Woodhull Medical & Mental Health Center Brooklyn NY 11206 |
Practice Telephone | 7189638000 |
Mailing Telephone | 7189638000 |
Mailing Fax Number | 7186303122 |
Enumeration Date | 2007-10-26 |
Last Update Date | 2020-06-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2084A0401X |
Psychiatry & Neurology Specialization: Addiction Medicine |
242883 | NY | Allopathic & Osteopathic Physicians |
Street Address |
760 BROADWAY DEPARTMENT OF PSYCHIATRY WOODHULL MEDICAL & MENTAL HEALTH CENTER |
City | BROOKLYN |
State | NY |
Zip Code | 11206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598748287 | Kina Cliette | Clinic/Center | 760 Broadway Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2005-11-28 |
1992907133 | Muhammad Zakirul Islam | Psychiatry & Neurology | 760 Broadway Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2007-06-01 |
1477762250 | Alla Soroka | Nurse Practitioner | 760 Broadway Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2007-05-21 |
1023236353 | Emmanuel Aguilar Nierva | Psychiatry & Neurology | 760 Broadway Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2007-04-23 |
1750437224 | Alina Segura-bustamante | Psychiatry & Neurology | 760 Broadway Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2007-01-26 |
1093872798 | William N. Roman | Psychiatry & Neurology | 760 Broadway Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2007-01-02 |
1841208451 | Michel D. Joseph | Psychiatry & Neurology | 760 Broadway Department of Psychiatry, Woodhill Medical & Mental Health Center, Brooklyn, NY 11206 | 2006-08-03 |
1528090693 | David Marsh | Psychiatry & Neurology | 760 Broadway Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2006-07-07 |
1205808482 | Efe E Edhomeriegue | Psychiatry & Neurology | 760 Broadway Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2006-02-02 |
1104802487 | Moise Leslie Plantin | Psychiatry & Neurology | 760 Broadway Department of Psychiatry, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2005-12-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1255957684 | Armyda Montoya Novoa | Student in an Organized Health Care Education/Training Program | Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 | 2020-06-22 |
1528684107 | Elizabeth Nana Ama Sarporma Osei-kuffuor | Student in an Organized Health Care Education/Training Program | 760 Broadway Woodhull Hospital, Pediatrics Administration 6b23, Brooklyn, NY 11206 | 2020-06-19 |
1356965057 | Ishan Poudel | Student in an Organized Health Care Education/Training Program | 760 Broadway, Woodhull Medical and Mental Health Center, Gme - Room 10a216, Brooklyn, NY 11206 | 2020-05-29 |
1538721303 | Osarodion Osa Igbinomwanhia | Student in an Organized Health Care Education/Training Program | Woodhull Address 760 Broadway, Department of Pediatrics Room 6b23, New York, NY 11206 | 2019-07-02 |
1043872955 | Olajide A Sowemimo | Student in an Organized Health Care Education/Training Program | Dept of Pediatrics, Woodhull Hospital, Room 6b23, 760 Broadway, New York, NY 11206 | 2019-07-01 |
1184284895 | Jacqueline So | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Brooklyn, NY 11206 | 2019-06-14 |
1326607722 | Nicole Chamak | Speech-Language Pathologist | Ps 141k@380, 370 Marcy Ave - Speech Dept, Brooklyn, NY 11206 | 2019-06-10 |
1831660356 | Sheena Erica Purcell | Registered Nurse | White Glove Community Care, Inc., 89 Barlett St, 2nd Floor, Brooklyn, NY 11206 | 2018-12-10 |
1922578145 | Robert A Rodriguez | Social Worker | 630 Fushing Ave, Brooklyn, NY 11206 | 2018-11-30 |
1346724085 | Evelyn Wreh Larbie | Licensed Practical Nurse | White Glove Community Care, 89 Bartlett Street, Brooklyn, NY 11206 | 2018-09-19 |
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Taxonomy Code | 2084A0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Psychiatry & Neurology |
Specialization | Addiction Medicine |
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine |
Notes: Source: American Osteopathic Board of Neurology and Psychiatry, 2007 [1/1/2008: definition added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083047658 | Stanley Samuel | Psychiatry & Neurology | 2925 West 19th Street, Brooklyn, NY 11224 | 2013-08-18 |
1417070442 | Alejo Parellada | Psychiatry & Neurology | 634 Bergen St, #1, Brooklyn, NY 11238-3450 | 2007-04-06 |
1831272947 | Lynda Smith Harris | Psychiatry & Neurology | 760 Broadway Dept Of, Woodhull Medical & Mental Health Center, Brooklyn, NY 11206-5317 | 2006-10-23 |
1013923812 | Dean Michael De Crisce | Psychiatry & Neurology | 760 Broadway Ave, Woodhull Medical and Mental Health Center-psychiatry, Brooklyn, NY 11206 | 2006-08-01 |
1982665907 | William James Gross | Psychiatry & Neurology | 591 Kingston Ave, Kings County Hosp., Brooklyn, NY 11203-1707 | 2006-03-29 |
1821090663 | Mark U Alvarado | Psychiatry & Neurology | 514 49th St, Sunset Terrace Family Health Center, Brooklyn, NY 11220-2010 | 2005-08-11 |
1477855757 | Brooklyn Anti Aging Center Inc. | Psychiatry & Neurology | 745 64th St, Brooklyn, NY 11220-4753 | 2010-11-19 |
1760624241 | Matthew Fiske Warren | Psychiatry & Neurology | 760 Broadway., Woodhull Medical & Mental Health Center, Brooklyn, NY 11206 | 2009-03-31 |
1831380989 | Luba Chanin | Psychiatry & Neurology | 132 Graham Ave, Brooklyn, NY 11206-2621 | 2007-08-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942434311 | Daniel Rollings Karlin | Psychiatry & Neurology | 2061 Narragansett Ave # 2, Bronx, NY 10461-1741 | 2009-05-13 |
1689820474 | Timothy Koehler Brennan | Psychiatry & Neurology | 1000 10th Ave Fl 8, New York, NY 10019 | 2008-08-12 |
1821295577 | Marianne Elizabeth Chai | Psychiatry & Neurology | 226 E 52nd St, Center for Living, New York, NY 10022-6201 | 2007-06-27 |
1538371331 | James Peter Wolberg | Psychiatry & Neurology | 1st Ave & 16th St, Bernstein Pavilion, New York, NY 10003 | 2007-05-04 |
1578786141 | Bryan James Mcgreal | Psychiatry & Neurology | 324 Lafayette St Fl 8, New York, NY 10012-2726 | 2007-04-11 |
1366563652 | Steven Joesph Lee | Psychiatry & Neurology | 130 W. 19th St., Suite Thfb, New York, NY 10011 | 2007-04-03 |
1154463511 | Ralph Joseph Carotenuto | Psychiatry & Neurology | 157 South Lake Ave, Albany, NY 12208 | 2007-02-13 |
1245383405 | John J Mariani | Psychiatry & Neurology | 51 E 25th St Ste 7e, New York, NY 10010-2945 | 2007-01-19 |
1518018662 | Arthur Pellowe | Psychiatry & Neurology | Olmmc, Department of Psychiatry, 4401 Bronx Boulevard, Bronx, NY 10470 | 2007-01-16 |
1821148453 | Michael Siegell | Psychiatry & Neurology | 750 Park Ave Ste C, New York, NY 10021-4252 | 2007-01-12 |
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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.