DR. JACK RESNICK (NPI# 1003894429) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003894429 |
| Entity Type | Individual |
| Full Name | DR. JACK RESNICK |
| Credential | M.D. |
| Practice Address |
520 Main St Roosevelt Island NY 10044-0032 |
| Practice Telephone | 2128322310 |
| Practice Fax Number | 2127535507 |
| Mailing Telephone | 2128322310 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2020-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 12375 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01771131 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568475465 | Jack S Resnick | Radiology | 300 Fir St, San Diego, CA 92101-2327 | 2006-08-14 |
| Street Address |
520 MAIN ST |
| City | ROOSEVELT ISLAND |
| State | NY |
| Zip Code | 10044-0032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437382298 | Empire State Medical Associates, P.C. | Internal Medicine | 520 Main St, Roosevelt Island, NY 10044-0032 | 2009-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306302989 | Joanne K Zayat | Speech-Language Pathologist | 537 Main Street, Roosevelt Island, Ny, NY 10044 | 2019-02-19 |
| 1407207277 | Beauty Freemantle | Acupuncturist | 501 Main St Ofc 501c, New York, NY 10044 | 2016-06-23 |
| 1144543729 | Fady Heikal | Pharmacist | 686 North Main Street, New York, NY 10044 | 2010-03-10 |
| 1508047622 | Elizabeth Yew | Physical Medicine & Rehabilitation | Coler Goldwater Specialty Hospital, 1 Main Street, Roosevelt Island, E-3 Nf Office, New York, NY 10044 | 2007-11-16 |
| 1093887002 | Ali Navab | General Practice | 531 Main Street #521, New York, NY 10044 | 2006-11-14 |
| 1598849804 | Augusta Alba | Physical Medicine & Rehabilitation | Augusta Alba C/o Coler-goldwater, One Main Street, Roosevelt Island, NY 10044 | 2006-10-24 |
| 1205910536 | Salima Alwani | Internal Medicine | Salima Alwani C/o Coler-goldwater, One Main Street, Roosevelt Island, NY 10044 | 2006-10-24 |
| 1538243860 | Pappathi Anbalagan | Internal Medicine | Pappathi Anbalagan C/o Coler-goldwater, One Main Street, Roosevelt Island, NY 10044 | 2006-10-24 |
| 1578647814 | Varinder Chawla | Internal Medicine | Varinder Chawla, Md C/o Coler-goldwater, One Main Street, Roosevelt Island, NY 10044 | 2006-10-24 |
| 1508350380 | Kyubo Yoon | Student in an Organized Health Care Education/Training Program | 425 Main Street, Suite Ph1c, New York, NY 10044 | 2018-06-15 |
| Find all providers in zip 10044 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578716486 | Nasrin Khan | Internal Medicine | 1 Main St Bldg Levelb, Roosevelt Island, NY 10044-0052 | 2008-10-23 |
| 1427258219 | John Tuckman | Internal Medicine | 20 River Rd, Apartment 14b, Roosevelt Island, NY 10044-1100 | 2007-07-20 |
| 1205910536 | Salima Alwani | Internal Medicine | Salima Alwani C/o Coler-goldwater, One Main Street, Roosevelt Island, NY 10044 | 2006-10-24 |
| 1538243860 | Pappathi Anbalagan | Internal Medicine | Pappathi Anbalagan C/o Coler-goldwater, One Main Street, Roosevelt Island, NY 10044 | 2006-10-24 |
| 1578647814 | Varinder Chawla | Internal Medicine | Varinder Chawla, Md C/o Coler-goldwater, One Main Street, Roosevelt Island, NY 10044 | 2006-10-24 |
| 1508163346 | Jjames Dermot Frengley | Internal Medicine | 1 Main St, Room, 3-45, Coler-goldwater Specialty Hospital, Roosevelt Island, NY 10044-0052 | 2011-02-14 |
| 1740506864 | Keerthipotti L Vasudeva Raju | Internal Medicine | 1 Main St, Roosevelt Island, NY 10044-0052 | 2010-04-14 |
| 1922337963 | Howard J Finger | Internal Medicine | 900 Main St, Roosevelt Island, NY 10044-0066 | 2009-12-22 |
| 1437382298 | Empire State Medical Associates, P.C. | Internal Medicine | 520 Main St, Roosevelt Island, NY 10044-0032 | 2009-08-27 |
| 1457518151 | Maung Yee | Internal Medicine | 1 Main St, Roosevelt Island, NY 10044-0052 | 2008-05-20 |
| Find all providers in ROOSEVELT ISLAND | ||||
| City | ROOSEVELT ISLAND |
| Zip Code | 10044 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.