Charles K Miceli (NPI# 1528057353, PAC ID# 2365475860) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1528057353 |
| PAC ID by PECOS | 2365475860 |
| Professional Enrollment ID | I20050915000192 |
| Full Name | Charles K Miceli |
| Organization Legal Name | BROADWAY INTERNAL MEDICINE ASSOCIATES P.C. |
| Address |
585 Broadway Massapequa NY 11758-5023 |
| Phone Number | 5167971234 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1974 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 0143315804 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 585 Broadway, Massapequa, NY 11758-5023 | 5167971234 | BROADWAY INTERNAL MEDICINE ASSOCIATES P.C. |
| Organization Legal Name | BROADWAY INTERNAL MEDICINE ASSOCIATES P.C. |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Marcus | Internal Medicine | Broadway Internal Medicine Associates P.C. | 585 Broadway, Massapequa, NY 11758-5023 |
| Stanley Fox | Internal Medicine | Broadway Internal Medicine Associates P.C. | 585 Broadway, Massapequa, NY 11758-5023 |
| Mathew T Chengot | Cardiovascular Disease (cardiology) | Broadway Internal Medicine Associates P.C. | 585 Broadway, Massapequa, NY 11758-5023 |
| Street Address |
585 BROADWAY |
| City | MASSAPEQUA |
| State | NY |
| Zip | 11758-5023 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert M Marcus | Internal Medicine | Broadway Internal Medicine Associates P.C. | 585 Broadway, Massapequa, NY 11758-5023 |
| Stanley Fox | Internal Medicine | Broadway Internal Medicine Associates P.C. | 585 Broadway, Massapequa, NY 11758-5023 |
| Todd J Cohen | Cardiac Electrophysiology | 585 Broadway, Massapequa, NY 11758-5023 | |
| Mathew T Chengot | Cardiovascular Disease (cardiology) | Broadway Internal Medicine Associates P.C. | 585 Broadway, Massapequa, NY 11758-5023 |
| Calvin C Ross | Internal Medicine | 585 Broadway, Boston, MA 02127-4404 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Olena O Guzhva | Rheumatology | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 | |
| Steven A Gazzo | Physical Therapy | 200 Boundary Ave, Suite 205, Massapequa, NY 11758-1152 | |
| Ebenezer P Thangavelu | Nurse Practitioner | Long Island Medical Services P.C. | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 |
| Danielle R Mcloughlin | Nurse Practitioner | Long Island Medical Services P.C. | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 |
| Nancy Nimmiti | Nurse Practitioner | St Francis Cardiovascular Physicians PC | 510 Hicksville Rd, Massapequa, NY 11758-1203 |
| Troy Fabregas | Family Medicine | Island Family Medical Practice, PC | 848 Hicksville Rd, North Massapequa, NY 11758-1210 |
| Linda Deleo | Nurse Practitioner | Island Family Medical Practice, PC | 848 Hicksville Rd, North Massapequa, NY 11758-1210 |
| Dion Andrew Visconti | Chiropractic | 888 Hicksville Rd, North Massapequa, NY 11758-1215 | |
| Urszula G Brozek | Physical Therapy | 1148 Hicksville Rd, Massapequa, NY 11758-1256 | |
| Andrew M Margulies | Chiropractic | 1148 Hicksville Rd, Massapequa, NY 11758-1256 | |
| Find all physicians in zip 11758 | |||
| City | MASSAPEQUA |
| Zip Code | 11758 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | MASSAPEQUA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Charles K Miceli.
| 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.