PROHEALTH CARE ASSOCIATES LLP (NPI# 1275596280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275596280 |
| Entity Type | Organization |
| Organization Name | PROHEALTH CARE ASSOCIATES LLP |
| Practice Address |
2800 Marcus Ave Lake Success NY 11042-1008 |
| Practice Telephone | 5166226000 |
| Practice Fax Number | 5166082889 |
| Mailing Telephone | 5166226000 |
| Mailing Fax Number | 5166226068 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2012-06-27 |
| Authorized Official Name | DR. DAVID J COOPER (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 5166226000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 207RS0010X |
Internal Medicine Specialization: Sports Medicine |
6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 208000000X | Pediatrics | 6039109 | NY | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 6039109 | NY | Allopathic & Osteopathic Physicians |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | 6039109 | NY | Suppliers |
| N | 291U00000X | Clinical Medical Laboratory | 6039109 | NY | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | RAILROADMEDICAREQUEENS | 05334 | 01 |
| RAILROAD MEDICARE | CE1459 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700369188 | Prohealth Care Associates LLP | Podiatrist | 1560 Broadway Ste 705, New York, NY 10036-2519 | 2018-09-11 |
| 1780184341 | Prohealth Care Associates LLP | Podiatrist | 4045 Hempstead Tpke Fl 3, Bethpage, NY 11714-5611 | 2018-02-20 |
| 1346686805 | Prohealth Care Associates LLP | Durable Medical Equipment & Medical Supplies | 2419 Jericho Turnpike, Garden City Park, NY 11040 | 2013-05-10 |
| 1235483504 | Prohealth Care Associates LLP | Durable Medical Equipment & Medical Supplies | 205 E Main St Ste 1-8, Huntington, NY 11743-7928 | 2012-11-07 |
| 1598265266 | Prohealth Care Associates LLP | Orthopaedic Surgery | 3131 Kings Hwy, Brooklyn, NY 11234-2644 | 2018-02-19 |
| 1689188781 | Prohealth Care Associates LLP | Specialist | 205 E Main St Ste 1-8, Huntington, NY 11743-7928 | 2017-11-28 |
| 1396013777 | Prohealth Care Associates LLP | Durable Medical Equipment & Medical Supplies | 2920 Hempstead Tpke, Suite 7, Levittown, NY 11756-1402 | 2011-12-13 |
| 1285643650 | Prohealth Care Associates LLP | Specialist | 48 Route 25a, Suite 106, Smithtown, NY 11787-1431 | 2006-08-05 |
| Street Address |
2800 MARCUS AVE |
| City | LAKE SUCCESS |
| State | NY |
| Zip Code | 11042-1008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699099036 | Trusha Narendra Shah | Anesthesiology | 2800 Marcus Ave, Lake Success, NY 11042 | 2010-03-14 |
| 1164754321 | Adam K Gonzalez | Physician Assistant | 2800 Marcus Ave, Lake Success, NY 11042 | 2010-02-12 |
| 1669633509 | Ian Matthew Sambur | Otolaryngology | 2800 Marcus Ave, Suite 207, Lake Success, NY 10042 | 2008-06-23 |
| 1306003975 | Bryan Ding | Orthopaedic Surgery | 2800 Marcus Ave, Suite 102, Lake Success, NY 11042-1113 | 2008-05-20 |
| 1083886147 | Lisa Katz Buglino | Allergy & Immunology | 2800 Marcus Ave, Suite 202, Lake Success, NY 11042 | 2008-03-28 |
| 1437295391 | Hera Sambaziotis Md Mph & Martina Frandina Md, Obstetrics & Gynecolgy | Obstetrics & Gynecology | 2800 Marcus Ave, Suite 204, Lake Success, NY 11042 | 2007-01-29 |
| 1588744148 | Hera Sambaziotis | Obstetrics & Gynecology | 2800 Marcus Ave, Suite 204, Lake Success, NY 11042-0000 | 2006-10-17 |
| 1023044831 | Allen J Wiesenfeld | Radiology | 2800 Marcus Ave, Lake Success, NY 11042-1008 | 2006-06-23 |
| 1396784609 | Alan Fein | Internal Medicine | 2800 Marcus Ave, Lake Success, NY 11042-1008 | 2006-06-05 |
| 1265471585 | Lawrence Shulman | Internal Medicine | 2800 Marcus Ave, Lake Success, NY 11042-1008 | 2006-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558315887 | Hui-chu Judy Chang | Internal Medicine | 2 Prohealth Plaza, Lake Success, NY 11042 | 2006-05-20 |
| 1699736983 | Patrick J Cavanaugh | Internal Medicine | 1 Hollow Lane, Ste 312 North Shore Medical Specialties Group PC, Lake Success, NY 11042 | 2006-03-28 |
| 1659368314 | Louis R Heisler | Internal Medicine | 910 Lakeville Rd, Lake Success, NY 11040-3008 | 2005-09-28 |
| 1215936000 | Scott L Kellman | Internal Medicine | 2 Ohio Dr, Lake Success, NY 11042-1111 | 2005-07-14 |
| 1659637890 | Chrystal Ann Landry | Internal Medicine | 450 Lakeville Road, Northwell Health, Monter Cancer Center, Lake Success, NY 11042 | 2012-04-02 |
| 1154555696 | Henry Vuong | Internal Medicine | 2800 Marcus Avenue, Suite 200, Lake Success, NY 11042-1113 | 2009-05-12 |
| 1346388162 | Harry S Jacob | Internal Medicine | 2800 Marcus Avenue, Suite 203, Lake Success, NY 11042 | 2007-02-02 |
| 1497766620 | Yunis Roberts & Barrau PC | Internal Medicine | 410 Lakeville Road, Lake Success, NY 11042 | 2006-08-11 |
| 1184651507 | Lisa Kirschbaum | Internal Medicine | 2 Pro Health Plz, Lake Success, NY 11042-1111 | 2006-06-28 |
| 1760419188 | Linda Tepper | Internal Medicine | 2 Pro Health Plz, Lake Success, NY 11042-1111 | 2006-06-28 |
| Find all providers in LAKE SUCCESS | ||||
| City | LAKE SUCCESS |
| Zip Code | 11042 |
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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.