Susana D Bundoc (NPI# 1578646477, PAC ID# 7517996234) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1578646477 |
| PAC ID by PECOS | 7517996234 |
| Professional Enrollment ID | I20050811000930 |
| Full Name | Susana D Bundoc |
| Organization Legal Name | ST JOHN'S MEDICAL SERVICES PC |
| Address |
431 Beach 20th St Far Rockaway NY 11691-3621 |
| Phone Number | 7188698822 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 1850314865 |
| Number of Group Practice Members | 68 |
| 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 | 7188697919 | ST JOHN'S MEDICAL SERVICES PC |
| 431 Beach 20th St, Far Rockaway, NY 11691-3621 | 7188698822 | ST JOHN'S MEDICAL SERVICES PC |
| 495 Beach 20th St, Far Rockaway, NY 11691-3621 | 3476195950 | ST JOHN'S MEDICAL SERVICES PC |
| Organization Legal Name | ST JOHN'S MEDICAL SERVICES PC |
| Physicians | 55 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Zahava Hersh | Family Medicine | St John's Medical Services PC | 495 Beach 20th St, Far Rockaway, NY 11691-3621 |
| Victoria M Filippi Backus | Nurse Practitioner | St John's Medical Services PC | 431 Beach 129th St, Belle Harbor, NY 11694-1516 |
| Yating Lee | Family Medicine | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Alexander Tsynman | Psychiatry | St John's Medical Services PC | 1908 Brookhaven Ave, Far Rockaway, NY 11691-3626 |
| Donald T Morrish | Obstetrics/gynecology | St John's Medical Services PC | 1919 Brookhaven Ave, Cp108, Far Rockaway, NY 1169136ND |
| Nnamdi Odiah | Psychiatry | St John's Medical Services PC | 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 |
| Narinder P Grewal | General Surgery | St John's Medical Services PC | 275 Rockaway Tpke, Lawrence, NY 11559-1272 |
| Heino R Anto | Nephrology | St John's Medical Services PC | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Street Address |
431 BEACH 20TH ST |
| City | FAR ROCKAWAY |
| State | NY |
| Zip | 11691-3621 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Irina Natalenko | Internal Medicine | Gramercy Medical Services PC | 431 Beach 20th St, Far Rockaway, NY 11691-3621 |
| Dmitriy Elkin | Internal Medicine | Gramercy Medical Services PC | 431 Beach 20th St, Far Rockaway, NY 11691-3621 |
| Isak Isakov | Psychiatry | St John's Medical Services PC | 431 Beach 20th St, Far Rockaway, NY 11691-3621 |
| 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 | INTERNAL MEDICINE |
| City + Specialty | FAR ROCKAWAY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Susana D Bundoc.
| 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.