ULRICH HERMANTO (NPI# 1992916241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992916241 |
| Entity Type | Individual |
| Full Name | ULRICH HERMANTO |
| Credential | M.D., PH.D. |
| Practice Address |
970 N Broadway Suite 101 Yonkers NY 10701-1309 |
| Mailing Address |
2234 Colonial Blvd Managed Care Department Fort Myers FL 33907-1412 |
| Practice Telephone | 9149691600 |
| Practice Fax Number | 9149691685 |
| Mailing Telephone | 2399317342 |
| Mailing Fax Number | 2399317385 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2010-04-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
244312 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | AMERIGROUP | 01317811 | 01 |
| NY | AETNA HMO | 1577058 | 01 |
| NY | OXFORD PROVIDER ID # | P3847380 | 01 |
| NY | AFFINITY PROVIDER # | 1000060372 | 01 |
| NY | NEIGHBORHOOD HEALTH PROVIDERS | UHERMANTO | 01 |
| NY | EMPIRE BCBS - RIVERHILL | 9037U1 | 01 |
| NY | 02902358 | 05 | |
| NY | AETNA | 7378969 | 01 |
| NY | HEALTH FIRST | 244312-A2B | 01 |
| NY | RAILROAD MEDICARE | P00715034 | 01 |
| Street Address |
970 N BROADWAY SUITE 101 |
| City | YONKERS |
| State | NY |
| Zip Code | 10701-1309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760470173 | Alfred Tinger | Radiology | 970 N Broadway, Suite 101-102, Yonkers, NY 10701-1309 | 2005-10-10 |
| 1568097285 | Abdelkrim Roumani | Nurse Practitioner | 970 N Broadway, Yonkers, NY 10701-1309 | 2020-03-03 |
| 1366924391 | Montefiore Medical Center | Clinic/Center | 970 N Broadway, Yonkers, NY 10701-1309 | 2018-09-06 |
| 1043604192 | Neurology and Epilepsy Associate of Ny PC | Psychiatry & Neurology | 970 N Broadway, Yonkers, NY 10701-1309 | 2015-03-26 |
| 1851797708 | Rajanish M Bobde Medical LLC | Internal Medicine | 970 N Broadway, Suite 201, Yonkers, NY 10701-1309 | 2014-11-04 |
| 1417379165 | John Castanaro | Dentist | 970 N Broadway, Yonkers, NY 10701-1309 | 2014-01-15 |
| 1912252610 | George T Schirripa M D P C | Ophthalmology | 970 N Broadway, Ste 109, Yonkers, NY 10701-1310 | 2012-07-18 |
| 1134486590 | Mital Khatri | Acupuncturist | 970 N Broadway, Suite 309, Yonkers, NY 10701-1309 | 2012-04-23 |
| 1518256510 | Richard Bing Wu | Internal Medicine | 970 N Broadway, Suite 209, Yonkers, NY 10701-1311 | 2011-03-31 |
| 1851616817 | Heera S Shetty Md PC | Internal Medicine | 970 N Broadway, Suite 206, Yonkers, NY 10701-1309 | 2010-04-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356978357 | Nisha Ann Jacob | Student in an Organized Health Care Education/Training Program | Saint Joseph's Medical Center, 127 South Broadway, Yonkers, NY 10701 | 2020-03-27 |
| 1306471412 | Mchealth Nemt LLC | Non-emergency Medical Transport (VAN) | 10 Locust Hill Avenue, Suite 2, Yonkers, NY 10701 | 2020-03-09 |
| 1073150314 | Daniel Owusu-ansah | Registered Nurse | 615 Warburton Ave, Apt 4e, Yonkers, NY 10701 | 2019-12-05 |
| 1447738067 | Britney Hudson | Counselor | 58 Hudson St, Yonkers, NY 10701 | 2018-08-06 |
| 1104320704 | Jonathan Alfred Manley | Specialist | 1 Odell Plaza - Fred S. Keller School, Suite #263, Yonkers, NY 10701 | 2018-03-20 |
| 1841718905 | Tanesha Lyttle | Licensed Practical Nurse | 50 Hewphorne Ave., Yonkers, NY 10701 | 2017-09-08 |
| 1598297715 | Lauren Ramm | Surgery | 967 North Broadway, Medical Education Department, Yonkers, NY 10701 | 2017-03-28 |
| 1063953115 | Gina Bianca Butrico | Early Intervention Provider Agency | 300 Corporate Blvd. South, Yonkers, NY 10701 | 2017-03-09 |
| 1225574551 | Syed Islam | Assistant Behavior Analyst | 6 B Greene Pl., Yonkers, NY 10701 | 2017-01-10 |
| 1306296470 | Rebecca Hill | Physician Assistant | 984 N Broadway Ste 509, Yonkers, NY 10701 | 2016-06-20 |
| Find all providers in zip 10701 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760470173 | Alfred Tinger | Radiology | 970 N Broadway, Suite 101-102, Yonkers, NY 10701-1309 | 2005-10-10 |
| 1457391914 | Philip J Silverman | Radiology | 970 N Broadway, Suite 101, Yonkers, NY 10701-1309 | 2006-06-06 |
| 1396715116 | John Del Rowe | Radiology | 970 N Broadway, Suite 101, Yonkers, NY 10701-1309 | 2006-01-24 |
| 1750361374 | Yonkers Radiation Medical Practice, PC | Radiology | 970 N Broadway, Suite 101-102, Yonkers, NY 10701-1309 | 2006-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053875229 | Msk Nassau | Radiology | 1101 Hempstead Turnpike, Uniondale, NY 11553 | 2019-01-22 |
| 1740733575 | Nr Physician Group, Pllc | Radiology | 3910 N Buffalo St, Orchard Park, NY 14127 | 2016-07-28 |
| 1639566516 | Fauzia Shaikh | Radiology | 525 E 68th St # 95, New York, NY 10065-4870 | 2015-04-18 |
| 1306231774 | Lucas Resende Salgado | Radiology | 370 Avenue U Apt 3, Brooklyn, NY 11223-4024 | 2015-04-02 |
| 1083008403 | Alan J. Katz, M.d., Pllc | Radiology | 1781 Hylan Blvd, Staten Island, NY 10305-1917 | 2015-03-24 |
| 1417368721 | Moses Min-chi Tam | Radiology | 550 1st Ave Fl 2, New York, NY 10016-6402 | 2014-05-09 |
| 1649690629 | Christine Chin | Radiology | 622 West 168th Street Chony North B-level, New York, NY 10032 | 2014-04-17 |
| 1336566272 | Stanislav Lazarev | Radiology | 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 | 2014-03-27 |
| 1548683022 | Metropolitan Radiation Oncology Consulting PC | Radiology | 686 Stoneleigh Ave., Carmel, NY 10512 | 2014-02-04 |
| 1295070845 | Ezzat T Youssef | Radiology | 5 Ridge Ave, Staten Island, NY 10304-1418 | 2012-12-09 |
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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.