MEDICAL ALLIANCE OF NEW JERSEY PC (NPI# 1215454905) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215454905 |
| Entity Type | Organization |
| Organization Name | MEDICAL ALLIANCE OF NEW JERSEY PC |
| Practice Address |
4806 11th Ave Brooklyn NY 11219-2931 |
| Practice Telephone | 3479885822 |
| Enumeration Date | 2017-08-24 |
| Last Update Date | 2017-08-24 |
| Authorized Official Name | NAFTALI TYBERG (GENAREL MANAGER) |
| Authorized Official Telephone | 3479885822 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
25MA04527600 | NJ | Allopathic & Osteopathic Physicians |
| Street Address |
4806 11TH AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134788961 | Goldy Protovin | Specialist | 4806 11th Ave, Brooklyn, NY 11219-2931 | 2019-06-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
| Find all providers in zip 11219 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932667870 | Smart Care Medical P C | Physical Medicine & Rehabilitation | 353 93rd St, Brooklyn, NY 11209-6901 | 2019-03-11 |
| 1730584947 | 1st Step To Health Medical PC | Physical Medicine & Rehabilitation | 4310-12 Church Avenue, Brooklyn, NY 11203 | 2014-10-30 |
| 1588918007 | Karat Liberty Medical Care PC | Physical Medicine & Rehabilitation | 130 Oceana Dr W, Apt 5f, Brooklyn, NY 11235-6998 | 2012-11-06 |
| 1285934950 | Rehabilitation Medicine Specialist, PC | Physical Medicine & Rehabilitation | 1549 Ralph Ave, Brooklyn, NY 11236-3127 | 2010-10-28 |
| 1528223211 | Mbf Rehab Physical & Occupational Therapy Pllc | Physical Medicine & Rehabilitation | 550 Remsen Ave, Brooklyn, NY 11236-1002 | 2008-07-23 |
| 1902069354 | Joshua Ben Reimer | Physical Medicine & Rehabilitation | 3131 Kings Hwy Ste C11, Brooklyn, NY 11234-2621 | 2008-07-07 |
| 1093835308 | Fredric Feit | Physical Medicine & Rehabilitation | 1474 Ocean Ave, Brooklyn, NY 11230-3860 | 2007-03-30 |
| 1154487528 | Sanjeev Agarwal | Physical Medicine & Rehabilitation | 450 Clarkson Ave # 30, Department of Orthopedic Surgery and Rehabilitation Med, Brooklyn, NY 11203-2056 | 2006-12-29 |
| 1518023399 | Yury Koyen | Physical Medicine & Rehabilitation | 265 Ave X, Brooklyn, NY 11223 | 2006-12-28 |
| 1144233586 | Zhanna Nudelman | Physical Medicine & Rehabilitation | 840 E 8th St, Apt 5h, Brooklyn, NY 11230-2754 | 2006-08-15 |
| 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.