John E Shallat (NPI# 1538379599, PAC ID# 9931372182) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1538379599 |
| PAC ID by PECOS | 9931372182 |
| Professional Enrollment ID | I20111103000135 |
| Full Name | John E Shallat |
| Organization Legal Name | CITY MEDICAL OF UPPER EAST SIDE PLLC |
| Address |
1930 Deer Park Ave Deer Park NY 11729-3328 |
| Phone Number | 6312545900 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 0648465039 |
| Number of Group Practice Members | 493 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1930 Deer Park Ave, Deer Park, NY 11729-3328 | 6312545900 | CITY MEDICAL OF UPPER EAST SIDE PLLC |
| 47 Route 25a, Rocky Point, NY 11778-8846 | 6318215900 | CITY MEDICAL OF UPPER EAST SIDE PLLC |
| Organization Legal Name | CITY MEDICAL OF UPPER EAST SIDE PLLC |
| Physicians | 517 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kathryn E Bowman | Internal Medicine | City Medical of Upper East Side Pllc | 1150 3rd Ave, New York, NY 10065-5913 |
| Lynchy Lezeau | Internal Medicine | City Medical of Upper East Side Pllc | 2125 Nostrand Ave, Brooklyn, NY 11210-3001 |
| Ekaterina Ivanova Tzvetkova | Emergency Medicine | City Medical of Upper East Side Pllc | 138 Fulton St, New York, NY 10038-2521 |
| Camilo Ernesto Villalobos | Family Medicine | City Medical of Upper East Side Pllc | 3556 Broadway, New York, NY 10031-3202 |
| Anita Anita Qureshi | Physician Assistant | City Medical of Upper East Side Pllc | 356 W 125th St, New York, NY 10027-4820 |
| Aubrey Raimondi | Family Medicine | City Medical of Upper East Side Pllc | 944 2nd Ave, New York, NY 10022-7805 |
| Kavita Beharry-mohan | Family Medicine | City Medical of Upper East Side Pllc | 14 W 14th St, New York, NY 10011-7524 |
| Riaz A Ali | Physician Assistant | City Medical of Upper East Side Pllc | 2025 Broadway, New York, NY 10023-5016 |
| Vida Lee | Family Medicine | City Medical of Upper East Side Pllc | 135 Montague St, Brooklyn, NY 11201-3504 |
| Jessica Lee Attard | Nurse Practitioner | City Medical of Upper East Side Pllc | 3276 Hempstead Tpke, Levittown, NY 11756-1345 |
| Street Address |
1930 DEER PARK AVE |
| City | DEER PARK |
| State | NY |
| Zip | 11729-3328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen P Havasy | Emergency Medicine | City Medical of Upper East Side Pllc | 1930 Deer Park Ave, Deer Park, NY 11729-3328 |
| Hollie U Mandiberg | Physician Assistant | Stat Health Immediate Medical Care PC | 1930 Deer Park Ave, Deer Park, NY 11729-3328 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael S Rosenhouse | Physical Therapy | 2103 Deer Park Ave, Deer Park, NY 11729-1317 | |
| Charles Ruotolo | Orthopedic Surgery | Orthopaedics Spine and Sports Medicine LLC | 2103 Deer Park Ave, Deer Park, NY 11729-1319 |
| Diana M Salgado | Physician Assistant | Mark Medical Care, Pllc | 2103 Deer Park Ave, Deer Park, NY 11729-1319 |
| Rocio A Romero | Physician Assistant | Mark Medical Care, Pllc | 2103 Deer Park Ave, Deer Park, NY 11729-1319 |
| Salvatore R Principe | Chiropractic | 420 Old Country Rd, Deer Park, NY 11729-1322 | |
| Paul P Tchao | Internal Medicine | 2043 Deer Park Ave, Deer Park, NY 11729-2110 | |
| Jack Nass | Psychiatry | 2100 Deer Park Ave, Suite 8, Deer Park, NY 11729-2119 | |
| Marta Teresa Silva | Psychologist, Clinical | 2100 Deer Park Ave, Suite 7, Deer Park, NY 11729-2119 | |
| Francine Dimaria | Family Medicine | 2090 Deer Park Ave, Deer Park, NY 11729-2129 | |
| Jeanine H Goldsmith | Clinical Social Worker | 2070 Deer Park Ave, Suite D, Deer Park, NY 11729-2134 | |
| Find all physicians in zip 11729 | |||
| City | DEER PARK |
| Zip Code | 11729 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | DEER PARK + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on John E Shallat.
| 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.