Ebenezer P Thangavelu (NPI# 1780673228, PAC ID# 8921133596) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1780673228 |
| PAC ID by PECOS | 8921133596 |
| Professional Enrollment ID | I20100322000254 |
| Full Name | Ebenezer P Thangavelu |
| Organization Legal Name | LONG ISLAND MEDICAL SERVICES P.C. |
| Address |
200 Boundary Ave Suite 200 Massapequa NY 11758-1152 |
| Phone Number | 9175735667 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 3476619867 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 | 9175735667 | LONG ISLAND MEDICAL SERVICES P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_006_overall | Coronary Artery Disease (CAD): Antiplatelet Therapy | 99% | |
| MIPS_EC_047_overall | Care Plan | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 100% |
| Organization Legal Name | LONG ISLAND MEDICAL SERVICES P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Grigoriy Krichmar | Internal Medicine | Long Island Medical Services P.C. | 4295 Hempstead Tpke, Bethpage, NY 11714-5713 |
| Danielle R Mcloughlin | Nurse Practitioner | Long Island Medical Services P.C. | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 |
| Street Address |
200 BOUNDARY AVE SUITE 200 |
| City | MASSAPEQUA |
| State | NY |
| Zip | 11758-1152 |
| 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 | |
| Danielle R Mcloughlin | Nurse Practitioner | Long Island Medical Services P.C. | 200 Boundary Ave, Suite 200, Massapequa, NY 11758-1152 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| 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 | |
| Chelsea Papocchia | Physician Assistant | Essen Medical Associates,pc | 808 A Hicksville Rd, Massapequa, NY 11758-1262 |
| Maryann Mcgrath | Clinical Social Worker | 1130 N Broadway, Suite 140, N Massapequa, NY 11758-1303 | |
| Carolyn J Farella | Clinical Social Worker | 1130 N Broadway, Suite 210, Massapequa, NY 11758-1304 | |
| Kevin K Kulik | Chiropractic | 1121 N Broadway, Massapequa, NY 11758-1341 | |
| Find all physicians in zip 11758 | |||
| City | MASSAPEQUA |
| Zip Code | 11758 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | MASSAPEQUA + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Ebenezer P Thangavelu.
| 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.