Dustin T Cooperman (NPI# 1720344609, PAC ID# 0648559781) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1720344609 |
| PAC ID by PECOS | 0648559781 |
| Professional Enrollment ID | I20161114001739 |
| Full Name | Dustin T Cooperman |
| Organization Legal Name | QUEENS COUNTY MEDICAL SERVICES LLC |
| Address |
327 Beach 19th St Far Rockaway NY 11691-4423 |
| Phone Number | 7188697000 |
| Gender | M |
| Graduation Year | 2012 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 0143485706 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330395 | ST JOHN'S EPISCOPAL HOSPITAL AT SOUTH SHORE |
| Address | Phone | Organization |
|---|---|---|
| 327 Beach 19th St, Far Rockaway, NY 11691-4423 | 7188697000 | QUEENS COUNTY MEDICAL SERVICES LLC |
| Organization Legal Name | QUEENS COUNTY MEDICAL SERVICES LLC |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Yvonne M Williams | Certified Registered Nurse Anesthetist (crna) | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| France A Brun | Certified Registered Nurse Anesthetist (crna) | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Kongseh Lim | Anesthesiology | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Soja Song | Certified Registered Nurse Anesthetist (crna) | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Irina V Zenkova | Certified Registered Nurse Anesthetist (crna) | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Kareem Omofolayemi Bosede | Certified Registered Nurse Anesthetist (crna) | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Stacey A Tubridy | Certified Registered Nurse Anesthetist (crna) | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Dora Smith | Certified Registered Nurse Anesthetist (crna) | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Carmen M Novoa | Certified Registered Nurse Anesthetist (crna) | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Angelika M Kosse | Anesthesiology | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Street Address |
327 BEACH 19TH ST |
| City | FAR ROCKAWAY |
| State | NY |
| Zip | 11691-4423 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron S Gingrich | Emergency Medicine | Island Emergency Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Mahyar Ghanaat | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Matthew Charles Rutman | Emergency Medicine | Island Emergency Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Dong W Choe | Emergency Medicine | Island Emergency Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Joshua P Bozek | Emergency Medicine | Island Emergency Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| William Kainzbauer | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Nnamdi Odiah | Psychiatry | St John's Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Yvonne M Williams | Certified Registered Nurse Anesthetist (crna) | Queens County Medical Services LLC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Mastan R Lokireddy | Psychiatry | St John's Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Steven Rubel | Psychiatry | St John's Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Valeriy Kayrov | Osteopathic Manipulative Medicine | 5115 Beach Channel Dr, Far Rockaway, NY 11691-1042 | |
| Ganna Plotkina | Psychologist, Clinical | Psychological Health Services PC | 210 Beach 47th St, Seaview Manor Adult Hm, Far Rockaway, NY 11691-1110 |
| Vicki D Mayo | Clinical Psychologist | Psychological Health Services P.C. | 210 Beach 47th St, Far Rockaway, NY 11691-1110 |
| Linda E Ednalino | Internal Medicine | 353 Beach 48th St, Far Rockaway, NY 11691-1120 | |
| Shonette Miller Costen | Nurse Practitioner | Advantagecare Physicians PC | 2915 Far Rockaway Blvd, Far Rockaway, NY 11691-1941 |
| Ian D Prescott | Internal Medicine | Advantagecare Physicians PC | 2915 Far Rockaway Blvd, Far Rockaway, NY 11691-1941 |
| Mekala Ramgopal | Gastroenterology | 2124 Camp Rd, Far Rockaway, NY 11691-2721 | |
| Shane Williams | Occupational Therapy | Back To Health Physical Therapy, PC | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 |
| Vignesh Rao | Physical Therapy | Back To Health Physical Therapy, PC | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 |
| Victoria Vaysman | Occupational Therapy | Back To Health Physical Therapy, PC | 2004 Seagirt Blvd, Far Rockaway, NY 11691-2802 |
| Find all physicians in zip 11691 | |||
| City | FAR ROCKAWAY |
| Zip Code | 11691 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | FAR ROCKAWAY + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Dustin T Cooperman.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.