Omar U Farrukh (NPI# 1174817373, PAC ID# 2466675681) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1174817373 |
| PAC ID by PECOS | 2466675681 |
| Professional Enrollment ID | I20180319002101 |
| Full Name | Omar U Farrukh |
| Organization Legal Name | ATLANTIC PROFESSIONAL SERVICES OF RHODE ISLAND INCORPORATED |
| Address |
427 Guy Park Ave Amsterdam NY 12010-1054 |
| Phone Number | 5188421900 |
| Gender | M |
| Graduation Year | 2010 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6709855737 |
| Number of Group Practice Members | 20 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330047 | ST MARY'S HEALTHCARE |
| 450651 | MEDICAL CITY PLANO |
| 450771 | TEXAS HEALTH PRESBYTERIAN HOSPITAL PLANO |
| 670025 | THE HEART HOSPITAL BAYLOR PLANO |
| 450688 | DALLAS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 427 Guy Park Ave, Amsterdam, NY 12010-1054 | 5188421900 | ATLANTIC PROFESSIONAL SERVICES OF RHODE ISLAND INCORPORATED |
| 9900 N Central Expressway, Suite 215, Dallas, TX 75231-0929 | 2143964950 | STRAIGHTLINE MEDICAL CONSULTANTS |
| Organization Legal Name | ATLANTIC PROFESSIONAL SERVICES OF RHODE ISLAND INCORPORATED |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Hussein Assallum | Internal Medicine | Atlantic Professional Services of Rhode Island Incorporated | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Manan A Jhaveri | Internal Medicine | Atlantic Professional Services of Rhode Island Incorporated | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Bindi K Patel | Internal Medicine | Atlantic Professional Services of Rhode Island Incorporated | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Medgina P Forestal | Family Medicine | Atlantic Professional Services of Rhode Island Incorporated | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Olufemi Olusegun Ogunjana | Internal Medicine | Atlantic Professional Services of Rhode Island Incorporated | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Theressia Louise Washington | Family Practice | Atlantic Professional Services of Rhode Island Incorporated | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Street Address |
427 GUY PARK AVE |
| City | AMSTERDAM |
| State | NY |
| Zip | 12010-1054 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Chelsea Centurioni | Physician Assistant | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Albert A Fraser | Anesthesiology | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Christopher C Ashley | Gastroenterology | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| David A Robinson | Emergency Medicine | Emergency Physician Services of New York, P.C. | 427 Guy Park Ave, Amsterdam, NY 12010-1064 |
| Angelina M Miseno Callaghan | Physician Assistant | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Hussein Assallum | Internal Medicine | Atlantic Professional Services of Rhode Island Incorporated | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Jay S Zimmerman | Gastroenterology | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Jacob J Dutcher | Certified Registered Nurse Anesthetist (crna) | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Heather Fawn Haslun | Nurse Practitioner | St. Mary's Healthcare | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Damon J Deteso | Diagnostic Radiology | Millennium Medical Imaging PC | 427 Guy Park Ave, Amsterdam, NY 12010-1054 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Izzano | Obstetrics/gynecology | St. Mary's Healthcare | 446 A Guy Park Ave, Amsterdam, NY 12010-1005 |
| Joseph Zaborowski | Podiatry | 442 /2 Guy Park Ave, Amsterdam, NY 12010-1005 | |
| Carwyn Kruler | Certified Nurse Midwife (cnm) | St. Mary's Healthcare | 446 A Guy Park Ave, Amsterdam, NY 12010-1005 |
| Deborah A Basso | Obstetrics/gynecology | St. Mary's Healthcare | 446 A Guy Park Ave, Amsterdam, NY 12010-1005 |
| James M Charland | Obstetrics/gynecology | St. Mary's Healthcare | 446 A Guy Park Ave, Amsterdam, NY 12010-1005 |
| Mohammad-reza Ghazi-moghadam | Urology | St. Mary's Healthcare | 425 Guy Park Ave, Amsterdam, NY 12010-1043 |
| Michael J Finnegan | Gastroenterology | St. Mary's Healthcare | 425 Guy Park Ave, Amsterdam, NY 12010-1043 |
| Gary Sinensky | Gastroenterology | St. Mary's Healthcare | 425 Guy Park Ave, Amsterdam, NY 12010-1043 |
| Sandeep S Mangalmurti | Cardiovascular Disease (cardiology) | Cardiology Associates of Schenectady, P.C. | 425 Guy Park Ave, Suite 202, Amsterdam, NY 12010-1044 |
| Adam David Snider | Cardiovascular Disease (cardiology) | Cardiology Associates of Schenectady, P.C. | 425 Guy Park Ave, Suite 202, Amsterdam, NY 12010-1044 |
| Find all physicians in zip 12010 | |||
| City | AMSTERDAM |
| Zip Code | 12010 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | AMSTERDAM + INTERNAL MEDICINE |
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| 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.