MARI SU (NPI# 1053337618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053337618 |
| Entity Type | Individual |
| Full Name | MARI SU |
| Credential | M.D. |
| Practice Address |
5141 Broadway New York NY 10034-1159 |
| Mailing Address |
622 W 168th St New York NY 10032-3720 |
| Practice Telephone | 2123054098 |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 223608-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
5141 BROADWAY |
| City | NEW YORK |
| State | NY |
| Zip Code | 10034-1159 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780677427 | Donald Matthew Kim | Internal Medicine | 5141 Broadway, Rm 2-095, New York, NY 10034-1159 | 2005-08-29 |
| 1063011534 | Rabiah Arooj Toppa | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-10-25 |
| 1952900599 | Renee Elizabeth Alexander | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-10-24 |
| 1548870967 | Julie Abraham | Occupational Therapist | 5141 Broadway, New York, NY 10034-1159 | 2020-08-01 |
| 1215551312 | Alana Ruth Ribowsky | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2020-06-04 |
| 1508492588 | Joshua Silberbush | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2020-03-21 |
| 1760015275 | Susan Marie Konish | Nurse Practitioner | 5141 Broadway, New York, NY 10034-1159 | 2020-02-13 |
| 1508497884 | Darya Korshukova | Physician Assistant | 5141 Broadway, New York, NY 10034-1159 | 2020-01-27 |
| 1447896196 | Diana Kim | Pharmacist | 5141 Broadway, New York, NY 10034-1159 | 2019-11-18 |
| 1386289007 | Elizabeth Catherine Medina | Registered Nurse | 5141 Broadway, New York, NY 10034-1159 | 2019-11-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649812512 | Vilma Lantigua | Physician Assistant | 90 Vermilyea Ave #139, New York, NY 10034 | 2019-10-11 |
| 1477037125 | Alexa Paige Ruffino | Physician Assistant | 5105 Broadway, New York, NY 10034 | 2018-09-19 |
| 1821514456 | Chinara M Tate | Dietitian, Registered | 520 W 218th Street, Apt 3a, New York, NY 10034 | 2017-08-15 |
| 1770006165 | Brittany Palmer | Speech-Language Pathologist | 10 Park Ter E Apt 4l, New York, NY 10034 | 2017-07-18 |
| 1457891947 | Easy Choice Agency | Home Health | 3863 10th Avenue, Ny, NY 10034 | 2017-03-02 |
| 1598114738 | Kent Haina Jr. | Nurse Anesthetist, Certified Registered | 133 Seaman Ave Apt 5a, New York, NY 10034 | 2016-06-08 |
| 1902274756 | Rosa Ma Caram | Early Intervention Provider Agency | 601 Kappock St., Apt. 4e, Bronx, NY 10034 | 2015-09-10 |
| 1104232040 | Michael Kwakye | General Practice | 5030 Broadway Ste 816, New York, NY 10034 | 2014-07-10 |
| 1619389624 | Jay Steven Reidler | Orthopaedic Surgery | Columbia Orthopedics, 5141 Broadway, 3 Field West, New York, NY 10034 | 2014-05-25 |
| 1467718247 | Sherman Medical Care, PC | Internal Medicine | 231 Sherman Ave, 1f, New York, NY 10034 | 2012-04-06 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627799 | Kb Medical Practice PC | Obstetrics & Gynecology | 120 5th Ave Fl 5, New York, NY 10011-5638 | 2020-10-23 |
| 1891317582 | Lenox Obgyn, LLC | Obstetrics & Gynecology | 175 E 62nd St Ste 1a, New York, NY 10065-7626 | 2020-05-15 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1427610021 | K & K Broadway Inc. | Obstetrics & Gynecology | 111 Broadway Rm 1405, New York, NY 10006-3903 | 2019-07-03 |
| 1770046294 | Elena-maria Buruiana | Obstetrics & Gynecology | 30 E 60th St Ste 808, New York, NY 10022-1064 | 2019-04-11 |
| 1720540800 | Seckin Medical Pllc | Obstetrics & Gynecology | 872 5th Avenue, New York, NY 10065 | 2019-04-05 |
| 1962996751 | Soman Mary Wong Md PC | Obstetrics & Gynecology | 139 Centre St Ste 809, New York, NY 10013-4558 | 2018-06-15 |
| 1700379781 | Women's Health of Manhattan Obgyn Pllc | Obstetrics & Gynecology | 16 E 82nd St Ste 1, New York, NY 10028-0343 | 2018-06-13 |
| 1043714603 | A Elassar Medical Practice P.c | Obstetrics & Gynecology | 693 5th Ave Fl 7, New York, NY 10022-3164 | 2018-03-20 |
| 1326401027 | Sinmisola Hassanat Ewumi | Obstetrics & Gynecology | 506 Lenox Ave Fl Mlk4, New York, NY 10037-1802 | 2016-03-30 |
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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.