DR. ANDREA KERMACK (NPI# 1083021133) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083021133 |
| Entity Type | Individual |
| Full Name | DR. ANDREA KERMACK |
| Credential | M.D. |
| Practice Address |
804 E 138th Bronx NY 10039 |
| Practice Telephone | 7186657500 |
| Mailing Telephone | 7186657500 |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2018-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 275487 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
804 E 138TH |
| City | BRONX |
| State | NY |
| Zip Code | 10039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689280117 | Princess Nailah Blackwell | Licensed Practical Nurse | 2844 Fredrick Douglas Blvd, Apt# 5c, New York, NY 10039 | 2020-09-21 |
| 1265927701 | Samara L Pelt | Behavioral Analyst | 700 Lenox Ave Apt 6e, New York, NY 10039 | 2018-06-27 |
| 1245774827 | Celeste Elena Simpson | Speech-Language Pathologist | 2589 Seventh Ave, P.s. 200 The James Mccune Smith School, New York, NY 10039 | 2016-12-15 |
| 1902268840 | Rangel Pharmacy Inc | Pharmacy | 159 12 Harlem River Dr, New York, NY 10039 | 2016-03-21 |
| 1407212319 | Daphney Nicolas | Early Intervention Provider Agency | 271 West 146 Street Apt #9, New York, NY 10039 | 2016-01-07 |
| 1598152555 | Elizabeth Dorcena-jeune | Physician Assistant | 2698 Fredrick Douglass Boulevard, New York, NY 10039 | 2015-04-16 |
| 1528335577 | Carlos Rafael Rodriguez | Internal Medicine | 2771 Frederick Douglass, New York, NY 10039 | 2011-11-18 |
| 1548578305 | Gspm Pharmacy Inc | Pharmacy | 2830 8th Ave, Pharmacy, New York, NY 10039 | 2010-09-15 |
| 1942524178 | Slrhc Faculty Practice | Internal Medicine | 2771 Frederick Douglass Boulevard, New York, NY 10039 | 2010-03-17 |
| 1700097987 | Brenda Joy Baulkman | Social Worker | 220 West 148th Street, #3n, New York, NY 10039 | 2007-05-27 |
| Find all providers in zip 10039 | ||||
| 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 |
|---|---|---|---|---|
| 1164020012 | Rr Medical Office Pllc | Internal Medicine | 1447 Zerega Ave, Bronx, NY 10462-5411 | 2020-10-13 |
| 1619574126 | Throggs Neck Medical Pllc | Internal Medicine | 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 | 2020-10-07 |
| 1144794314 | Mohammed Shofiullah Shibli | Internal Medicine | 2500 Frisby Ave Apt 24d, Bronx, NY 10461-3247 | 2019-01-21 |
| 1740781905 | Bk Medical Care P.c | Internal Medicine | 2000 Mcgraw Ave, Bronx, NY 10462-8070 | 2018-02-23 |
| 1043738586 | Diabetes Relief Center of Bronx Mso LLC | Internal Medicine | 2825 3rd Ave Ste 200, Bronx, NY 10455-4066 | 2017-09-05 |
| 1790137388 | Sabrina Brana | Internal Medicine | 4422 Third Ave Mills Bldg 3rd, Bronx, NY 10457 | 2016-07-07 |
| 1386096345 | Christopher James Brana | Internal Medicine | 4422 Third Ave, Mills Bldg 3rd, Bronx, NY 10457 | 2016-07-01 |
| 1982068078 | Silvio Goris | Internal Medicine | 3400 Tibbett Ave, Apt 2f, Bronx, NY 10463-3766 | 2016-04-05 |
| 1710349816 | Rikhil S Kochhar | Internal Medicine | 3010 Grand Concourse Apt L3, Bronx, NY 10458-1534 | 2016-03-28 |
| 1841656857 | Heracles Medical PC | Internal Medicine | 2825 Third Ave, Suite 7, Bronx, NY 10455 | 2016-01-06 |
| Find all providers in BRONX | ||||
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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.