ALLEN J WIESENFELD (NPI# 1023044831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023044831 |
| Entity Type | Individual |
| Full Name | ALLEN J WIESENFELD |
| Credential | MD |
| Practice Address |
2800 Marcus Ave Lake Success NY 11042-1008 |
| Practice Telephone | 5166226100 |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2008-06-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
165269 | NY | Allopathic & Osteopathic Physicians |
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
165269 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
2800 MARCUS AVE |
| City | LAKE SUCCESS |
| State | NY |
| Zip Code | 11042-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699099036 | Trusha Narendra Shah | Anesthesiology | 2800 Marcus Ave, Lake Success, NY 11042 | 2010-03-14 |
| 1164754321 | Adam K Gonzalez | Physician Assistant | 2800 Marcus Ave, Lake Success, NY 11042 | 2010-02-12 |
| 1669633509 | Ian Matthew Sambur | Otolaryngology | 2800 Marcus Ave, Suite 207, Lake Success, NY 10042 | 2008-06-23 |
| 1306003975 | Bryan Ding | Orthopaedic Surgery | 2800 Marcus Ave, Suite 102, Lake Success, NY 11042-1113 | 2008-05-20 |
| 1083886147 | Lisa Katz Buglino | Allergy & Immunology | 2800 Marcus Ave, Suite 202, Lake Success, NY 11042 | 2008-03-28 |
| 1437295391 | Hera Sambaziotis Md Mph & Martina Frandina Md, Obstetrics & Gynecolgy | Obstetrics & Gynecology | 2800 Marcus Ave, Suite 204, Lake Success, NY 11042 | 2007-01-29 |
| 1588744148 | Hera Sambaziotis | Obstetrics & Gynecology | 2800 Marcus Ave, Suite 204, Lake Success, NY 11042-0000 | 2006-10-17 |
| 1396784609 | Alan Fein | Internal Medicine | 2800 Marcus Ave, Lake Success, NY 11042-1008 | 2006-06-05 |
| 1265471585 | Lawrence Shulman | Internal Medicine | 2800 Marcus Ave, Lake Success, NY 11042-1008 | 2006-06-05 |
| 1013955855 | Vu Nguyen | Internal Medicine | 2800 Marcus Ave, Lake Success, NY 11042-1008 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891928255 | Michael Vitale | Radiology | 2800 Marcus Ave Ste 110, Lake Success, NY 11042-1113 | 2009-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124632039 | Radiance Medicine LLC | Radiology | 95 Norman Ave, Brooklyn, NY 11222-2937 | 2020-09-08 |
| 1174083828 | Mark Medical Care Queens Pllc | Radiology | 6405 Woodside Ave, Woodside, NY 11377-3654 | 2019-03-20 |
| 1962917492 | Israel Schur Md Pllc | Radiology | 202 Centre St Fl 5, New York, NY 10013-3613 | 2017-12-06 |
| 1659897775 | 9909 Medical | Radiology | 2515 Crescent St Ste 1, Astoria, NY 11102-4370 | 2017-08-21 |
| 1104357896 | Paramount Diagnostics LLC | Radiology | 201 Irving Pl, Woodmere, NY 11598-1639 | 2017-03-23 |
| 1881009926 | Dennis Cummings | Radiology | 450 Clarkson Ave., Box 1262, Department Suny Downstate Medical Center, Brooklyn, NY 11203-1262 | 2014-06-27 |
| 1699192815 | Amir Noor | Radiology | 240 E 86th St Apt Phb, New York, NY 10028-3000 | 2014-03-26 |
| 1689014987 | Advanced Access Medical Care, Pllc | Radiology | 1733 Eastchester Rd, Bronx, NY 10461-2315 | 2013-07-01 |
| 1851739601 | Vascular Interventional Services | Radiology | 6335 Transit Rd, Depew, NY 14043-1030 | 2013-06-13 |
| 1437406238 | Arbabzadeh Massoud Physician, PC | Radiology | 2809 Wehrle Dr Ste 13, Williamsville, NY 14221-7385 | 2012-08-10 |
| Find all providers with the same taxonomy | ||||
| City | LAKE SUCCESS |
| Zip Code | 11042 |
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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.