DR. BROCK JOHN DEBENHAM (NPI# 1073869350) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073869350 |
| Entity Type | Individual |
| Full Name | DR. BROCK JOHN DEBENHAM |
| Credential | M.D. |
| Practice Address |
515 W 59th St Apt 04e New York NY 10019-1047 |
| Practice Telephone | 7186631872 |
| Mailing Telephone | 7186631872 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
P84873 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
515 W 59TH ST APT 04E |
| City | NEW YORK |
| State | NY |
| Zip Code | 10019-1047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922134352 | Katja Goldflam | Emergency Medicine | 515 W 59th St, Apt 19f, New York, NY 10019-1047 | 2007-02-27 |
| 1043763832 | Avinash Singh | Student in an Organized Health Care Education/Training Program | 515 W 59th St, Apartment # 23c, New York, NY 10019-1047 | 2016-07-27 |
| 1538510797 | Abimbola Onayemi | Student in an Organized Health Care Education/Training Program | 515 W 59th St, Apt. 23g, New York, NY 10019-1047 | 2016-06-28 |
| 1134570716 | Valery Victoria Rivas Cuesta | Student in an Organized Health Care Education/Training Program | 515 W 59th St, 17h, New York, NY 10019-1047 | 2016-06-25 |
| 1982013488 | Teresa Lebron-correa | Nurse Practitioner | 515 W 59th St, New York, NY 10019-1047 | 2014-08-08 |
| 1780091553 | Ashish Adrian Correa | Student in an Organized Health Care Education/Training Program | 515 W 59th St, Apt. 15g, New York, NY 10019-1047 | 2014-07-14 |
| 1639585870 | Siddharth Kunte | Student in an Organized Health Care Education/Training Program | 515 W 59th St, 7f, New York, NY 10019-1047 | 2014-07-09 |
| 1437565652 | Ashwin Kishtagari | Student in an Organized Health Care Education/Training Program | 515 W 59th St, Apt# 22g, New York, NY 10019-1047 | 2014-07-08 |
| 1891122149 | Pragya Ranjan | Student in an Organized Health Care Education/Training Program | 515 W 59th St, Apt. # 19g, New York, NY 10019-1047 | 2013-10-01 |
| 1578842522 | Yunuen Aguilera Garcia | Student in an Organized Health Care Education/Training Program | 515 W 59th St, Apartment 30 H., New York, NY 10019-1047 | 2011-08-09 |
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|---|---|---|---|---|
| 1497391486 | Central Park Gyn | Obstetrics & Gynecology | 233 W 58th Street, New York, NY 10019 | 2019-11-25 |
| 1336794486 | Olivia Mandelbaum | Psychologist | Citpd At Mount Sinai West Hospital, 1000 10th Avenue, New York, NY 10019 | 2019-08-06 |
| 1740835958 | Kara Kaplan | Physical Medicine & Rehabilitation | 1 W 59th Street, Level A, La Palestra, New York, NY 10019 | 2019-08-05 |
| 1376196048 | Dyan Lesley Diemer | Massage Therapist | The Positive Mind Center, 119 West 57th Street Suite 1100, New York, NY 10019 | 2019-07-22 |
| 1144882499 | Tomohiro Fujisaki | Student in an Organized Health Care Education/Training Program | 1000, 10th Avenue, 3rd Floor 3a-08, New York, NY 10019 | 2019-07-07 |
| 1558823070 | Nazanin Khajoueinejad | Student in an Organized Health Care Education/Training Program | 425 West 59th Street, 7th Floor, Department of Surgery, New York, NY 10019 | 2019-04-03 |
| 1356801153 | Nicholas Theodoropoulos | Student in an Organized Health Care Education/Training Program | 1000 10th Avenue, 3rd Floor, 3a-08, New York, NY 10019 | 2019-03-20 |
| 1265990345 | Prohealth Care Associates, LLP | Occupational Therapist | 244-250 West 54th Street, Suite 404, New York, NY 10019 | 2019-03-07 |
| 1043784804 | Dr Rosemarie Zimmerman & Dr Andriy Krayniy Pllc | Dentist | 135 West 58 Street, Suite 1d, Nyc, NY 10019 | 2019-01-15 |
| 1053881680 | Mary Pender Greene | Social Worker | 311a West 50 Street, New York, NY 10019 | 2018-11-27 |
| Find all providers in zip 10019 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639566516 | Fauzia Shaikh | Radiology | 525 E 68th St # 95, New York, NY 10065-4870 | 2015-04-18 |
| 1417368721 | Moses Min-chi Tam | Radiology | 550 1st Ave Fl 2, New York, NY 10016-6402 | 2014-05-09 |
| 1649690629 | Christine Chin | Radiology | 622 West 168th Street Chony North B-level, New York, NY 10032 | 2014-04-17 |
| 1336566272 | Stanislav Lazarev | Radiology | 1184 5th Avenue, First Floor, Pm-124, New York, NY 10029-1002 | 2014-03-27 |
| 1043574494 | Sumeeta Varma | Radiology | 1250 Broadway Fl 2, New York, NY 10001 | 2012-06-30 |
| 1902164288 | Nisha Ohri | Radiology | 217 E 96th St, Apt 34f, New York, NY 10128-3950 | 2012-04-24 |
| 1770856254 | Icahn School of Medicine At Mount Sinai | Radiology | 1184 5th Ave # 1236, New York, NY 10029-6503 | 2012-02-15 |
| 1417237058 | Anna Lee | Radiology | 225 East 126th St, New York, NY 10087-2012 | 2011-08-26 |
| 1225334865 | Charles B Simone II | Radiology | 225 E 126th St, New York, NY 10035-1406 | 2011-01-30 |
| 1952619181 | Tribeca Radiation Pllc | Radiology | 408-410 Broadway, New York, NY 10013-4111 | 2010-09-22 |
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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.