DR. GEORGE DEITRICK (NPI# 1265534143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265534143 |
| Entity Type | Individual |
| Full Name | DR. GEORGE DEITRICK |
| Credential | MD |
| Practice Address |
130 W Kingsbridge Rd James J . Peters Va Medical Center Bronx NY 10468-3904 |
| Mailing Address |
17 Kenwood Rd Garden City NY 11530-3034 |
| Practice Telephone | 7185849000 |
| Mailing Telephone | 5162481420 |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2081P0004X |
Physical Medicine & Rehabilitation Specialization: Spinal Cord Injury Medicine |
188018-1 | NY | Allopathic & Osteopathic Physicians |
| X | 208600000X | Surgery | 188018-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
130 W KINGSBRIDGE RD JAMES J . PETERS VA MEDICAL CENTER |
| City | BRONX |
| State | NY |
| Zip Code | 10468-3904 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991185 | Solomon Nadler | Dentist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2005-06-02 |
| 1124628755 | Eka Beriashvili | Pharmacist | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-11-01 |
| 1578170528 | Luisa Mejia | Radiology | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-09-24 |
| 1881208148 | Christina Heng | Nurse Practitioner | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-09-03 |
| 1629687710 | Maria Kyritsi | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-24 |
| 1013525336 | Adam Adam | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-22 |
| 1700494267 | Vaishali Geedigunta | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-21 |
| 1134737786 | Gavro Jelic | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-20 |
| 1255959664 | Mirjana Barjaktarovic | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-07-12 |
| 1124645171 | Olivia Castro | Respiratory Therapist, Registered | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2020-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| Taxonomy Code | 2081P0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Spinal Cord Injury Medicine |
| A physician who addresses the prevention, diagnosis, treatment and management of traumatic spinal cord injury and non-traumatic etiologies of spinal cord dysfunction by working in an interdisciplinary manner. Care is provided to patients of all ages on a lifelong basis and covers related medical, physical, psychological and vocational disabilities and complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] 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. ACGME Accredited Residency Program Requirements: 1 year of training with 3-5 years in relevant specialty for a total of 4-6 years. ABMS Approved Subspecialty Certificate: (Physical Medicine and Rehabilitation) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447360961 | Arthur Shay Cytryn | Physical Medicine & Rehabilitation | 130 W Kingsbridge Rd, Bronx, NY 10468-3904 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871846683 | Integrated Pain and Rehabilitation Solutions, Pllc | Physical Medicine & Rehabilitation | 29 Sycamore Ln, Commack, NY 11725-2329 | 2012-10-17 |
| 1912221680 | Pappas Physical Medicine & Rehabilitation, Pllc | Physical Medicine & Rehabilitation | 3135 31st St, Astoria, NY 11106-2530 | 2010-03-24 |
| 1477589471 | Tahir M Qazi | Physical Medicine & Rehabilitation | 80 Mead St, North Tonawanda, NY 14120-4435 | 2006-06-23 |
| 1063455202 | Jaishree Capoor | Physical Medicine & Rehabilitation | 94-25 59th Avenue, Unit F7, Elmhurst, NY 11373 | 2006-06-14 |
| 1477505667 | Bojun Chen | Physical Medicine & Rehabilitation | 13237 41st Rd, Room 103, Flushing, NY 11355-4242 | 2006-05-16 |
| 1770580862 | Inocencia Carrano | Physical Medicine & Rehabilitation | 60 Dunning Rd, Middletown, NY 10940-2215 | 2005-07-05 |
| 1508288234 | Tarrytown Medical Injury Care Pllc | Physical Medicine & Rehabilitation | 102 S Broadway, Tarrytown, NY 10591-4006 | 2014-01-15 |
| 1437319001 | Vincent Huang | Physical Medicine & Rehabilitation | 77 Jackson Ave, Scarsdale, NY 10583-3140 | 2008-06-16 |
| 1588824544 | Sharmatie Lal | Physical Medicine & Rehabilitation | 301 E Main St, Bay Shore, NY 11706-8408 | 2008-06-12 |
| 1295994531 | Lisa Marie Ruppert | Physical Medicine & Rehabilitation | 515 Madison Ave, 5th Floor, New York, NY 10022-5403 | 2008-06-02 |
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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.