KZARK MEDICAL P.C. (NPI# 1164847117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164847117 |
| Entity Type | Organization |
| Organization Name | KZARK MEDICAL P.C. |
| Practice Address |
2027 Jerome Ave Bronx NY 10453-1803 |
| Practice Telephone | 9178011180 |
| Mailing Telephone | 9178011180 |
| Enumeration Date | 2014-02-27 |
| Last Update Date | 2014-02-27 |
| Authorized Official Name | KONSTANTINOS ZARKADAS (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9178011180 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 240460 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922416205 | Kzark Medical P.C. | Family Medicine | 2391 Bell Blvd, Bayside, NY 11360-2000 | 2014-07-30 |
| Street Address |
2027 JEROME AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10453-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982811832 | Jerome Medical Office, PC | Internal Medicine | 2027 Jerome Ave, Bronx, NY 10453-1803 | 2007-05-17 |
| 1821699695 | Joel Mammen | Pharmacist | 2027 Jerome Ave, Bronx, NY 10453-1803 | 2020-11-06 |
| 1346792603 | Wecare Medical PC | Internal Medicine | 2027 Jerome Ave, Bronx, NY 10453-1803 | 2016-11-02 |
| 1811167091 | Kwawo Kodwokyi Cudjoe | Pharmacist | 2027 Jerome Ave, Bronx, NY 10453-1803 | 2008-03-04 |
| 1518174440 | 2027 Alico Pharmacy Corp | Pharmacy | 2027 Jerome Ave, Bronx, NY 10453-1803 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316553225 | Victor Felipe | Occupational Therapist | 2042 Grand Avenue, Apartment 2d, Ny, Apt 2d, Bronx, NY 10453 | 2020-09-17 |
| 1033745849 | Jennifer Vargas | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-03-13 |
| 1457985038 | John Steven Contreras | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 | 2020-02-24 |
| 1538799648 | Ari Warshawsky | Counselor | Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 | 2020-01-17 |
| 1407403413 | Cristaly Williams | Behavioral Analyst | 2105 Jerome Avenue, Bronx, NY 10453 | 2019-08-23 |
| 1770041204 | Yei Won Lee | Student in an Organized Health Care Education/Training Program | Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 | 2019-03-04 |
| 1265905517 | William Alexander Jones Jr. | Behavior Technician | 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 | 2019-01-09 |
| 1154810737 | Emily Patricia Mitchell | Occupational Therapist | 2105 Jerome Ave, Bronx, NY 10453 | 2018-05-09 |
| 1417445149 | Ashna N Shah | Student in an Organized Health Care Education/Training Program | Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 | 2018-04-27 |
| 1700384328 | Kevin Ponce Obate | Physical Therapist | 1975 University Ave, Bronx, NY 10453 | 2018-01-29 |
| Find all providers in zip 10453 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700439031 | Cargill Comprehensive Care Services | Family Medicine | 1054 E 231st St, Bronx, NY 10466-4806 | 2019-07-16 |
| 1346775640 | Elena Hill | Family Medicine | 1276 Fulton Ave Fl 1, Bronx, NY 10456-3402 | 2017-04-24 |
| 1700337508 | Mayte Montufar | Family Medicine | 2136 Muliner Ave Fl 1, Bronx, NY 10462-2003 | 2016-10-18 |
| 1306296561 | Stephen Asiedu Medical Practice, P.C. | Family Medicine | 1245b Edward L Grant Hwy, Bronx, NY 10452-3101 | 2016-06-20 |
| 1336595008 | Chantal Nathalie Ogle | Family Medicine | 1054 Simpson St, Bronx, NY 10459-2404 | 2016-05-11 |
| 1811350242 | Jenna Medical Office PC | Family Medicine | 2742 Third Avenue, Bronx, NY 10455 | 2016-04-02 |
| 1235542549 | Welisane Bebe | Family Medicine | 1276 Fulton Ave, 4th Floor, Bronx Lebanon Hospital, Bronx, NY 10456 | 2014-06-04 |
| 1386081545 | Geoffrey Sheppard Dunn | Family Medicine | 68 E 161st St Fl 13, Bronx, NY 10451-2207 | 2013-05-29 |
| 1629413372 | Liliana Monica Taich | Family Medicine | 3050 Corlear Ave Ste 201, Bronx, NY 10463-5181 | 2013-05-08 |
| 1184968232 | Lwhmedical PC | Family Medicine | 1811 Hone Ave, Bronx, NY 10461-1406 | 2012-11-15 |
| 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.