FORDHAM PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI# 1124524970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124524970 |
Entity Type | Organization |
Organization Name | FORDHAM PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC |
Practice Address |
11 E Fordham Rd Ste A Bronx NY 10468-5406 |
Mailing Address |
304 Wainwright Dr Ste 110 Northbrook IL 60062-1919 |
Practice Telephone | 8475938460 |
Practice Fax Number | 2242354652 |
Mailing Telephone | 2243180118 |
Mailing Fax Number | 2242354652 |
Enumeration Date | 2018-04-02 |
Last Update Date | 2018-04-02 |
Authorized Official Name | YAN KATSNELSON (OWNER) |
Authorized Official Telephone | 2243180118 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
Street Address |
11 E FORDHAM RD STE A |
City | BRONX |
State | NY |
Zip Code | 10468-5406 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
Find all providers in zip 10468 |
Taxonomy Code | 2086S0129X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Vascular Surgery |
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
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 Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
1205332905 | Fordham Medical of New York LLC | Surgery | 11 E Fordham Rd Ste B, Bronx, NY 10468-5406 | 2018-04-02 |
1366956260 | Foxhurst Professional Medical Services of New York LLC | Surgery | 947 Southern Blvd Ste A, Bronx, NY 10459-3401 | 2017-11-30 |
1063926962 | Pelham Pkwy Professional Medical Services of New York LLC | Surgery | 2157 White Plains Rd Ste A, Bronx, NY 10462 | 2017-11-30 |
1457873234 | Mott Haven Medical of New York LLC | Surgery | 384 E 149th St Ste 201, Bronx, NY 10455-3908 | 2017-07-12 |
1730547522 | Foxhurst Medical of New York LLC | Surgery | 947 Southern Blvd Ste B, Bronx, NY 10459 | 2016-02-08 |
1861649055 | Anoushiravan Amini Hadjibashi | Surgery | 3400 Bainbridge Ave # 4311, Bronx, NY 10467-2404 | 2008-08-19 |
1588733232 | Teruo Hirose | Surgery | 5830 Tyndall Ave, Bronx, NY 10471-2108 | 2006-11-07 |
1164504320 | Kenneth A Goldstein | Surgery | Eastern Vascular Assoc, 3219 East Tremont Avenue, Bronx, NY 10461 | 2006-10-19 |
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.