Supoj Tanchajja (NPI# 1245225549, PAC ID# 5890776140) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1245225549 |
| PAC ID by PECOS | 5890776140 |
| Professional Enrollment ID | I20040525000333 |
| Full Name | Supoj Tanchajja |
| Organization Legal Name | MAIMONIDES MEDICAL CENTER GENERAL SURGERY FPP |
| Address |
4802 10th Ave Broklyn NY 11219-2916 |
| Phone Number | 7182836897 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1972 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 5193893899 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330194 | MAIMONIDES MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4802 10th Ave, Broklyn, NY 11219-2916 | 7182836897 | MAIMONIDES MEDICAL CENTER GENERAL SURGERY FPP |
| Organization Legal Name | MAIMONIDES MEDICAL CENTER GENERAL SURGERY FPP |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nicole Mayo | Psychologist, Clinical | Maimonides Medical Center General Surgery Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Anne Katherine Mongiu | General Surgery | Maimonides Medical Center General Surgery Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Danny A Sherwinter | General Surgery | Maimonides Medical Center General Surgery Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Mohammad Hamshow | General Surgery | Maimonides Medical Center General Surgery Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Harry L Adler | General Surgery | Maimonides Medical Center General Surgery Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Shahabuddin Ahmad | General Surgery | Maimonides Medical Center General Surgery Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Rebecca J Rhee | General Surgery | Maimonides Medical Center General Surgery Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Elana Gluzman | Physician Assistant | Maimonides Medical Center General Surgery Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Street Address |
4802 10TH AVE |
| City | BROKLYN |
| State | NY |
| Zip | 11219-2916 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Avreliya Shapiro | Psychiatry | Maimonides Department of Psychiatry Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Oded Greenberg | Diagnostic Radiology | Maimonides Medical Center - Mmc Radiology Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Neal Ringel | Internal Medicine | Maimonides Medical Center Maimonides Primary Care Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Benjamin A Youdelman | Thoracic Surgery | Maimonides Medical Center Maimonides Cardiothoracic Surgery | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Tanvira Islam | Psychiatry | Maimonides Department of Psychiatry Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Kevin D Becker | Hematology/oncology | Mmc Hematology Oncology Fpp | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Wanipa Muwowo-nwade | Physician Assistant | Maimonides Faculty Practice Plan | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Kalpana C Tyagaraj | Anesthesiology | Anesthesiology Associates of Boro Park, LLP | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Arnold J Friedman | Obstetrics/gynecology | Mmc Ob/gyn Faculty Practice Plan | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Wai Wai Lin | Endocrinology | Maimonides Faculty Practice Plan | 4802 10th Ave, Broklyn, NY 11219-2916 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Linda Duhl | Qualified Speech Language Pathologist | The Shield of David, Inc. | 1042 38th St, Brooklyn, NY 11219-1011 |
| Irwin Marc Lenefsky | Clinical Social Worker | 1049 38th St, Brooklyn, NY 11219-1012 | |
| Miriam Celia Greenberg | Internal Medicine | 4102 13th Ave, Brooklyn, NY 11219-1389 | |
| George Moskowitz | Family Medicine | 1318 42nd St, Brooklyn, NY 11219-1405 | |
| Herman I Rosenberg | Pediatric Medicine | Physicians Medical Group PC | 4303 14th Ave, Brooklyn, NY 11219-1429 |
| Pincus Orlander | Speech Language Pathologist | Speechlearn PC | 4201 15th Ave, Brooklyn, NY 11219-1513 |
| Steven Lazar | Internal Medicine | 1518 43rd St, Brooklyn, NY 11219-1605 | |
| Seth Lapin | Gastroenterology | 1523 45th St, Brooklyn, NY 11219-1629 | |
| Robert Goodman | Internal Medicine | 1523 45th St, Brooklyn, NY 11219-1629 | |
| Chava Kaplowitz | Nurse Practitioner | Seth Lapin Gastroenterology Pllc | 1523 45th St, Brooklyn, NY 11219-1629 |
| Find all physicians in zip 11219 | |||
| City | BROKLYN |
| Zip Code | 11219 |
| Specialty | GENERAL SURGERY |
| City + Specialty | BROKLYN + GENERAL SURGERY |
Please comment or provide details below to improve the information on Supoj Tanchajja.
| 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.