DR. JOHN ROBERT CARLUCCI (NPI# 1164676938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164676938 |
| Entity Type | Individual |
| Full Name | DR. JOHN ROBERT CARLUCCI |
| Credential | MD |
| Practice Address |
1650 Grand Concourse Department of Surgery Bronx NY 10457-7606 |
| Mailing Address |
1650 Selwyn Ave Suite 4f Bronx NY 10457-7626 |
| Practice Telephone | 7185901800 |
| Mailing Telephone | 7185901800 |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2015-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | 247733 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194829507 | John Francis Carlucci | Chiropractor | 2105 W County Line Rd, Suite # 7, Jackson, NJ 08527-2301 | 2006-09-08 |
| Street Address |
1650 GRAND CONCOURSE DEPARTMENT OF SURGERY |
| City | BRONX |
| State | NY |
| Zip Code | 10457-7606 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407859952 | Ruth Mankoff | Advanced Practice Midwife | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2005-05-28 |
| 1053918813 | Ujwol Karmacharya | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-10-05 |
| 1427664713 | Jasmine George | Pharmacist | 1650 Grand Concourse, Main Basement Pharmacy, Bronx, NY 10457 | 2020-09-22 |
| 1700491446 | Harpreet Kaur | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-10 |
| 1801401567 | Aditya Tiwari | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-10 |
| 1134733884 | Sushant Niroula | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-01 |
| 1124632864 | Sachin Bhandari | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-09-01 |
| 1720692585 | Dhruv Patel | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-08-31 |
| 1447864293 | Amit Mishra | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7697 | 2020-08-31 |
| 1912511775 | Yakoot Muhammad Khan | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, Bronx, NY 10457-7606 | 2020-08-31 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851722 | Aruna Muthumanickam | Student in an Organized Health Care Education/Training Program | 1650 Grand Concourse, The Bronx, New York City, NY 10457 | 2020-08-11 |
| 1013527753 | Cherine Awad | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue, Bronxcare Health System, Bronx, NY 10457 | 2020-08-07 |
| 1023626926 | Tolulope Oyinlola Olorunsogo | Student in an Organized Health Care Education/Training Program | 1650 Selwyn Avenue - Bronxcare Health System, Departmen, Suite 6h, Bronx, NY 10457 | 2020-07-16 |
| 1750999801 | Kalyan C Chilukuri | Student in an Organized Health Care Education/Training Program | Bronxcare Hospital Center, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-15 |
| 1003434457 | Nauri Estefani Abreu Roa | Student in an Organized Health Care Education/Training Program | Bronxlebanon Health System, 1650 Grand Concourse, Bronx, NY 10457 | 2020-07-13 |
| 1033737630 | Sapna Sharma | Student in an Organized Health Care Education/Training Program | St. Barnabas Hospital, 4422 Third Avenue Bronx, Bronx, NY 10457 | 2020-07-09 |
| 1194341081 | Asha Tadepalli | Optometrist | 1650 Selwyn Avenue, Suite 1c, Bronxcare Health System, Department of Ophthalmology, Bronx, NY 10457 | 2020-06-17 |
| 1578196549 | Ernesto Murray | Technician | 463 East 178st Apt#3b, Bronx New York, NY 10457 | 2020-02-19 |
| 1245891001 | Muhammad Shahzad | Student in an Organized Health Care Education/Training Program | St. Barnabas Health 4422 Third Avenue, Bronx, NY 10457 | 2019-06-24 |
| 1144886565 | Grant Joseph Gleason | Student in an Organized Health Care Education/Training Program | 4422 3rd Avenue St Barbabas Hospital Dept of Dentistry, Bronx, NY 10457 | 2019-05-10 |
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| Taxonomy Code | 208800000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Urology |
| A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548376171 | Reza Ghavamian | Urology | Mmc - Dept of Urology, 3400 Bainbridge Avenue, 5th Fl, Bronx, NY 10467 | 2006-08-23 |
| 1407831324 | Eric R Kreutzer | Urology | 1695 Eastchester Rd, Suite 501, Bronx, NY 10461-2374 | 2005-12-13 |
| 1902889330 | Michael Young | Urology | 2015 Grand Concourse Ste 390, Bronx, NY 10453-4303 | 2005-11-21 |
| 1669462008 | Edward Geisler | Urology | 1749 Grand Concourse Ofc A, Bronx, NY 10453-8250 | 2005-10-26 |
| 1225699648 | 334 Grand Concourse Medical PC | Urology | 444 Willis Ave, Bronx, NY 10455-4013 | 2019-06-26 |
| 1033523212 | Azfar Uddin Shaikh | Urology | 1400 Pelham Pkwy S, Bronx, NY 10461-1138 | 2014-06-17 |
| 1912327594 | Evan Kovac | Urology | 1250 Waters Pl, Tower 2, 9th Floor, Bronx, NY 10461-2720 | 2014-04-22 |
| 1982949103 | Bronxcare Health System | Urology | 1650 Grand Concourse, Bronx, NY 10457 | 2012-11-28 |
| 1114275393 | Grace Thomas | Urology | 234 E 149th St, Bronx, NY 10451-5504 | 2012-08-21 |
| 1215222856 | Kara Watts | Urology | 111 E 210th St, 5th Floor, Dept. of Urology, Bronx, NY 10467-2401 | 2011-06-11 |
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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.