Lawrence C Wine (NPI# 1114925013, PAC ID# 3971514647) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1114925013 |
| PAC ID by PECOS | 3971514647 |
| Professional Enrollment ID | I20060509000525 |
| Full Name | Lawrence C Wine |
| Organization Legal Name | WINE ANESTHESIA, LLC |
| Address |
129 Slosson Ave Staten Island NY 10314-2522 |
| Phone Number | 7187205928 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER |
| Graduation Year | 1983 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 4688769094 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 129 Slosson Ave, Staten Island, NY 10314-2522 | 7187205928 | WINE ANESTHESIA, LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_426_overall | Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU) | 100% |
| Organization Legal Name | WINE ANESTHESIA, LLC |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack A Hajjar | Anesthesiology | Wine Anesthesia, LLC | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Doris Knowles | Certified Registered Nurse Anesthetist (crna) | Wine Anesthesia, LLC | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Ronald K Milan | Anesthesiology | Wine Anesthesia, LLC | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Robert G Cohen | Certified Registered Nurse Anesthetist (crna) | Wine Anesthesia, LLC | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Lester P Molbegott | Anesthesiology | Wine Anesthesia, LLC | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Street Address |
129 SLOSSON AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip | 10314-2522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jack A Hajjar | Anesthesiology | Wine Anesthesia, LLC | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Doris Knowles | Certified Registered Nurse Anesthetist (crna) | Wine Anesthesia, LLC | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Ronald K Milan | Anesthesiology | Wine Anesthesia, LLC | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Jeffery S Kalman | Gastroenterology | Icahn School of Medicine At Mount Sinai | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Robert G Cohen | Certified Registered Nurse Anesthetist (crna) | Wine Anesthesia, LLC | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Lester P Molbegott | Anesthesiology | Wine Anesthesia, LLC | 129 Slosson Ave, Staten Island, NY 10314-2522 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda L Rotondo | Physical Therapy | 1592 Richmond Ave, Staten Island, NY 10314-1529 | |
| Jane M Ponterio | Obstetrics/gynecology | Ponterio and Pessolano Md PC | 1583 Richmond Ave, Staten Island, NY 10314-1530 |
| Tatyana Uvatov | Podiatry | 1468 Richmond Ave, Staten Island, NY 10314-1550 | |
| Cristopher Santos | Physical Therapy | Fox Rehabilitation Physical Therapy Services LLC | 1415 Richmond Ave, Staten Island, NY 10314-1553 |
| Larry Bernard Hoffman | Physical Therapy | Fox Rehabilitation Physical Therapy Services LLC | 1415 Richmond Ave, Staten Island, NY 10314-1553 |
| Florine Smolenski | Occupational Therapy | Fox Rehabilitation Physical Therapy Services LLC | 1415 Richmond Ave, Staten Island, NY 10314-1553 |
| Giovanni Templo | Physical Therapy | Fox Rehabilitation Physical Therapy Services LLC | 1415 Richmond Ave, Staten Island, NY 10314-1553 |
| Ebony Imani Pollock | Occupational Therapy | Fox Rehabilitation Physical Therapy Services LLC | 1415 Richmond Ave, Staten Island, NY 10314-1553 |
| Chelsea Leroy | Qualified Speech Language Pathologist | Fox Rehabilitation Physical Therapy Services LLC | 1415 Richmond Ave, Staten Island, NY 10314-1553 |
| Francis Lloyd O Regis | Physical Therapy | Fox Rehabilitation Physical Therapy Services LLC | 1415 Richmond Ave, Staten Island, NY 10314-1553 |
| Find all physicians in zip 10314 | |||
| City | STATEN ISLAND |
| Zip Code | 10314 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | STATEN ISLAND + ANESTHESIOLOGY |
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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.