PREMIER PHYSICIANS OF NEW YORK PLLC (NPI# 1235483306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235483306 |
| Entity Type | Organization |
| Organization Name | PREMIER PHYSICIANS OF NEW YORK PLLC |
| Practice Address |
1120 Park Ave New York NY 10128-1242 |
| Mailing Address |
3599 University Blvd S Suite 805 Jacksonville FL 32216-4252 |
| Practice Telephone | 2129966660 |
| Practice Fax Number | 2129962506 |
| Mailing Telephone | 9043098680 |
| Mailing Fax Number | 9043455841 |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2013-04-29 |
| Authorized Official Name | MITCHELL D TERK (DIRECTOR) |
| Authorized Official Telephone | 9043098680 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208800000X | Urology | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801222955 | Premier Physicians of New York Pllc | Urology | 170 William St, 5th Fl, New York, NY 10038-2612 | 2013-09-20 |
| 1316384753 | Premier Physicians of New York Pllc | Radiology | 10614 70th Ave, Forest Hills, NY 11375-4253 | 2013-05-24 |
| 1811333107 | Premier Physicians of New York Pllc | Urology | 955 Park Ave, New York, NY 10028-0321 | 2013-05-14 |
| 1134564719 | Premier Physicians of New York Pllc | Urology | 24 E 12th St, Suite 2-1, New York, NY 10003-4513 | 2013-05-08 |
| 1083059877 | Premier Physicians of New York Pllc | Urology | 24 E 12th St, Suite 2-1, New York, NY 10003-4513 | 2013-05-07 |
| 1427302942 | Premier Physicians of New York Pllc | Urology | 229 E 79th St, Suite 1a, New York, NY 10075-0866 | 2012-11-06 |
| 1861746513 | Premier Physicians of New York Pllc | Urology | 205 E 78th St, New York, NY 10075-1243 | 2012-11-02 |
| 1699029769 | Premier Physicians of New York Pllc | Urology | 157 E 72nd St, New York, NY 10021-4331 | 2012-10-29 |
| 1417201583 | Premier Physicians of New York Pllc | Urology | 3041 Avenue U, 2nd Floor, Brooklyn, NY 11229-5126 | 2012-10-29 |
| 1316291487 | Premier Physicians of New York Pllc | Urology | 12 E 86th St, New York, NY 10028-0506 | 2012-10-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PREMIER PHYSICIANS OF NEW YORK PLLC | 61 East 77th Street, New York, New York 10075 |
| Street Address |
1120 PARK AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10128-1242 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508853805 | Susan Ruth Clarvit | Psychiatry & Neurology | 1120 Park Ave, New York, NY 10128-1242 | 2005-10-02 |
| 1033377387 | Wilma G Rosen, Ph.d., P.C. | Clinical Neuropsychologist | 1120 Park Ave, New York, NY 10128-1242 | 2008-05-22 |
| 1013126697 | Wilma G Rosen | Clinical Neuropsychologist | 1120 Park Ave, New York, NY 10128-1242 | 2007-05-21 |
| 1679789143 | William Joseph Chambers | Psychiatry & Neurology | 1120 Park Ave, Suite 1-d, New York, NY 10128-1242 | 2007-05-14 |
| 1891894655 | Robin L Lipschitz | Internal Medicine | 1120 Park Ave, New York, NY 10128-1242 | 2006-09-21 |
| 1730286378 | Joseph E Kansao | Chiropractor | 1120 Park Ave, New York, NY 10128-1242 | 2006-09-17 |
| 1538184239 | Franklin M Klion | Internal Medicine | 1120 Park Ave, # 1c, New York, NY 10128-1242 | 2006-07-13 |
| 1972535714 | Howard Irwin Schiff | Urology | 1120 Park Ave, New York, NY 10128 | 2006-07-06 |
| 1588694723 | Jonathan David Schiff | Urology | 1120 Park Ave, New York, NY 10128 | 2006-07-04 |
| 1114904505 | Jerome Saul Zacks | Internal Medicine | 1120 Park Ave, New York, NY 10128-1242 | 2005-12-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671314 | Kathleen Forhan | Student in an Organized Health Care Education/Training Program | 116 East 92nd Street, Bsmnt, New York, NY 10128 | 2020-02-18 |
| 1811539638 | Baron Shieh | Physical Therapist | 1844 Second Ave, New York, NY 10128 | 2019-10-14 |
| 1720641335 | Michael Gary Rothenberg | Psychologist | 5 East 94th Street, New York, NY 10128 | 2019-04-18 |
| 1275003865 | Desiree Caban | Psychoanalyst | 1449 Lexington Ave 4b1 East, New York, NY 10128 | 2018-11-27 |
| 1326514191 | Yjk Anesthesia LLC | Anesthesiology | 403 East 91st, New York, NY 10128 | 2018-10-19 |
| 1619454568 | Arthur Jenkins Md LLC | Neurological Surgery | 65 Eat 96th Street, Suite 1b, New York, NY 10128 | 2018-07-24 |
| 1285120832 | Eric Axel Gerdner | Social Worker | 309 E 94th St Fl 4, New York, NY 10128 | 2018-07-06 |
| 1003317694 | Max I Bolotin | Psychologist | 49 East 96 Street Apt 12d, New York, NY 10128 | 2018-02-28 |
| 1518471465 | Elyse Palumbo | Social Worker | 305 East 92nd Street, New York, NY 10128 | 2017-11-29 |
| 1720505282 | Arlene Kramer Richards | Psychologist | 200 East89 Street, 45bc, New York, NY 10128 | 2017-08-25 |
| Find all providers in zip 10128 | ||||
| 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 |
|---|---|---|---|---|
| 1730714221 | Total Urology Office Based Surgery LLC | Urology | 7 W 51st St Ste 1&4, 8th Floor, New York, NY 10019-6910 | 2020-03-05 |
| 1639709561 | American Medical PC | Urology | 45 W 34th St Rm 901, New York, NY 10001-3145 | 2020-01-20 |
| 1548728058 | Jose Miguel Flores Martinez | Urology | 16 E 60th St Ste 402, New York, NY 10022-1096 | 2019-03-05 |
| 1245796846 | Miroslav L Djordjevic | Urology | 1425 Madison Ave Fl 6, New York, NY 10029-6514 | 2019-02-19 |
| 1588025654 | Brm Holdings LLC | Urology | 930 5th Ave Apt 8h, New York, NY 10021-2680 | 2016-03-16 |
| 1720405020 | Boston Medical, P.C. | Urology | 45 W. 34th Street, Suite 901, New York, NY 10016 | 2014-03-25 |
| 1740622646 | Stanley Arthur Ginsberg | Urology | 401 East 80th St, Apt 9k, New York, NY 10075-0298 | 2013-07-22 |
| 1871842997 | Gerald Zelikovsky, M.d., P.C. | Urology | 5 East 84th Street, New York, NY 10002-0407 | 2012-09-05 |
| 1154679876 | Jawad Antoine Feghali | Urology | 215 E 77th St Apt 2e, New York, NY 10075-2101 | 2012-08-28 |
| 1467714576 | Mohit Gupta | Urology | 222 E 41st St Fl 12, New York, NY 10017-6739 | 2012-06-14 |
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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.