AMERICAN COMPREHENSIVE HEALTHCARE MEDICAL GROUP (NPI# 1174928378) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174928378 |
| Entity Type | Organization |
| Organization Name | AMERICAN COMPREHENSIVE HEALTHCARE MEDICAL GROUP |
| Practice Address |
5205-7 Church Avenue Brooklyn NY 11203-3513 |
| Mailing Address |
5205-7 Church Avenue Brooklyn NY 11203-0386 |
| Practice Telephone | 7186888088 |
| Practice Fax Number | 7186888018 |
| Mailing Telephone | 7186888088 |
| Mailing Fax Number | 7186888081 |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2014-10-30 |
| Authorized Official Name | KELVIN K JACK (PRESIDENT) |
| Authorized Official Telephone | 7186888088 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 002201 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE | 002201 | 01 |
| NY | 002778018 | 05 |
| Street Address |
5205-7 CHURCH AVENUE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203-3513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780298281 | Tse Medical Pllc | Obstetrics & Gynecology | 846 55th Street, 1fl, Brooklyn, NY 11220-1122 | 2020-09-02 |
| 1275176869 | Trustcare Women's Health Ob/gyn PC | Obstetrics & Gynecology | 730 58th St Bsmt, Brooklyn, NY 11220-3917 | 2019-10-25 |
| 1194379644 | Giovanna Fiorella Ramirez Barbieri | Obstetrics & Gynecology | 374 Stockholm St, Brooklyn, Ny 11237, Brooklyn, NY 11237 | 2019-08-01 |
| 1528523560 | Diane Marie Ashton | Obstetrics & Gynecology | 128 Saint Marks Ave, Brooklyn, NY 11217-2412 | 2019-02-04 |
| 1457816571 | Maureen Saint-jean | Obstetrics & Gynecology | 5308 Avenue K, Brooklyn, NY 11234-3338 | 2019-02-02 |
| 1639532724 | Huda Afaneh | Obstetrics & Gynecology | 7575 Northcliff Ave Ste 302, Brooklyn, OH 44144-3265 | 2016-04-05 |
| 1831551928 | Vuy Li Physician P.C. | Obstetrics & Gynecology | 6824 Fort Hamilton Pkwy, Brooklyn, NY 11219-5855 | 2016-03-28 |
| 1861887564 | Shweta Shah | Obstetrics & Gynecology | Medwell Women's Services 2183 Ocean Avenue, Brooklyn, NY 11229 | 2015-03-31 |
| 1467880369 | Julia Jaffe | Obstetrics & Gynecology | 86 S Oxford St Apt 1, Brooklyn, NY 11217-1614 | 2013-10-31 |
| 1467715367 | Jennifer Aquino | Obstetrics & Gynecology | 113 Dahill Rd, Brooklyn, NY 11218-2205 | 2012-06-17 |
| Find all providers in BROOKLYN | ||||
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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.