DR. IVAN G DIMICH (NPI# 1134442999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134442999 |
| Entity Type | Individual |
| Full Name | DR. IVAN G DIMICH |
| Credential | M.D. |
| Practice Address |
201east79thstreetsuite 20 E New York NY 10075-0836 |
| Mailing Address |
201east79thstreetsuite20e New York NY 10075-0836 |
| Practice Telephone | 2127348232 |
| Mailing Telephone | 2127348232 |
| Enumeration Date | 2010-03-09 |
| Last Update Date | 2010-03-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
1045571 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
201EAST79THSTREETSUITE 20 E |
| City | NEW YORK |
| State | NY |
| Zip Code | 10075-0836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457961062 | Rosaleen Christine Galvin | Nurse Practitioner | 415 East 80th St, Apt. 1n, New York, NY 10075 | 2020-08-07 |
| 1528602810 | Jane C Karsh | Social Worker | 50 East 78th St. #9a, New York, NY 10075 | 2019-10-30 |
| 1417513052 | Up Up and Away Behavior Analytics PC | Behavioral Analyst | 435 East 79th Street, Apt. 6u, New York, NY 10075 | 2019-05-18 |
| 1730742727 | Liron Bar-el | Student in an Organized Health Care Education/Training Program | 100 E 77th Street, New York, 4 Wollman, Room #453, New York, NY 10075 | 2019-04-16 |
| 1912468380 | Doaa Morrar | Student in an Organized Health Care Education/Training Program | 100 East 77th Street 12 Wollman, Department of Pathology, New York, NY 10075 | 2019-03-28 |
| 1588138382 | Nichola Stimpson | Registered Nurse | Lenoxhill Hospital 100 East, 77 Street, New York, NY 10075 | 2019-01-15 |
| 1316433147 | Lindsay Dudek | Advanced Practice Midwife | 336 E 77th St Apt 19, New York, NY 10075 | 2018-07-04 |
| 1104315480 | Erica Refkin | Speech-Language Pathologist | Lenox Hill Hospital, 100 E. 77th Street, New York, NY 10075 | 2018-05-02 |
| 1275021198 | Yaniv Yosef Brailovschi | Student in an Organized Health Care Education/Training Program | 130 77th Street 2 Black Hall, New York, NY 10075 | 2018-04-26 |
| 1952807687 | James Chris Velasquez IIi | Student in an Organized Health Care Education/Training Program | 520 E 79th, 4b, New York, NY 10075 | 2018-04-02 |
| Find all providers in zip 10075 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669731055 | Ian Hovis | Pediatrics | 208 E 82nd St, Apt 22, New York, NY 10028-2725 | 2012-05-07 |
| 1780975029 | Jamie K. Harrington | Pediatrics | 3959 Broadway # Chn-2, New York, NY 10032-1559 | 2011-04-20 |
| 1922397421 | Erin Paul | Pediatrics | 3959 Broadway # Chn 2-253, New York, NY 10032-1559 | 2011-04-05 |
| 1386964419 | Amee Shah | Pediatrics | 545 W 110th St, Apt 6f, New York, NY 10025-2015 | 2010-06-11 |
| 1902059207 | Jeffrey Dayton | Pediatrics | 525 E 68th St # F-695b, Box 104, New York, NY 10065-4870 | 2008-10-30 |
| 1356592760 | Eugenie F Doyle | Pediatrics | 32 Washington Sq. West, New York, NY 10011 | 2008-10-03 |
| 1376562017 | Gillian L. Henry | Pediatrics | 160 E 32nd St Fl 2, Pediatric Carrdiology, New York, NY 10016-6004 | 2006-07-19 |
| 1609847425 | Young Sun Diane Rhee | Pediatrics | Columbia University Depatment Pediatrics, 3959 Broadway, New York, NY 10032 | 2006-01-30 |
| 1467453647 | Karen Altmann | Pediatrics | 3959 Broadway, 2north, New York, NY 10032-1559 | 2005-08-10 |
| 1245236553 | Anne Ferris | Pediatrics | 170 W 12th St, Coleman 801, New York, NY 10011-8202 | 2005-06-22 |
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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.