DR. DEEPU KOSHY ALEXANDER (NPI# 1275728560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275728560 |
| Entity Type | Individual |
| Full Name | DR. DEEPU KOSHY ALEXANDER |
| Credential | M.D. |
| Practice Address |
325 E Main St Suite 120 Patchogue NY 11772-3114 |
| Practice Telephone | 6316543278 |
| Practice Fax Number | 6316541474 |
| Mailing Telephone | 6316543278 |
| Mailing Fax Number | 6316541474 |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2016-05-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 245999 | NY | Allopathic & Osteopathic Physicians |
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
245999 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03026400 | 05 |
| Street Address |
325 E MAIN ST SUITE 120 |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772-3114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033133343 | Satheesh Joseph | Internal Medicine | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 | 2006-07-27 |
| 1205489119 | Diane Cesario | Nurse Practitioner | 325 E Main St, Patchogue, NY 11772-3114 | 2019-07-19 |
| 1942679469 | Stephanie Ramdeen | Nurse Practitioner | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 | 2015-09-15 |
| 1700151032 | Natalia Beridze | Internal Medicine | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 | 2012-03-20 |
| 1568695831 | Adam Kruger | Internal Medicine | 325 E Main St, Patchogue, NY 11772-3114 | 2009-09-02 |
| 1407083454 | Wasiq Rahman | Internal Medicine | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 | 2009-06-17 |
| 1871729566 | Bimal Patel | Specialist | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1033133343 | Satheesh Joseph | Internal Medicine | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 | 2006-07-27 |
| 1700151032 | Natalia Beridze | Internal Medicine | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 | 2012-03-20 |
| 1568695831 | Adam Kruger | Internal Medicine | 325 E Main St, Patchogue, NY 11772-3114 | 2009-09-02 |
| 1740455195 | Dimple Eapen | Internal Medicine | 475 E Main St, Suite 205, Patchogue, NY 11772-3121 | 2008-04-28 |
| 1336336064 | Bhargava Chandra Pulipati | Internal Medicine | 475 E Main St, Ste 205, Patchogue, NY 11772-3121 | 2007-09-26 |
| 1821177981 | Brookhaven Cardiac LLC | Internal Medicine | 475 E Main St, Suite 205, Patchogue, NY 11772-3121 | 2006-11-02 |
| 1447273404 | Junichi Iwai | Internal Medicine | 285 Sills Road, Suite 12 C, Patchogue, NY 11772 | 2006-07-25 |
| 1295737187 | Soma N Pulipati | Internal Medicine | 475 E Main St, Ste 205, Patchogue, NY 11772-3121 | 2005-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548738 | St. Peter's Health Partners Medical Associates, P.C. | Internal Medicine | 2546 Balltown Road Suite 300, Cardiology Associates of Schenectady, Schenectady, NY 12309-1079 | 2020-11-03 |
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1801495320 | Guler Cardiology and Wellness | Internal Medicine | 34 Swan St Ste 3, Batavia, NY 14020-3292 | 2020-10-26 |
| 1174138382 | Southern Westchester Medical PC | Internal Medicine | 944 N Broadway Ste G04, Yonkers, NY 10701-1307 | 2020-09-14 |
| 1922628320 | Phuong Dinh Lam Mac | Internal Medicine | 1400 Pelham Pkwy S Rm 5, Bronx, NY 10461-1197 | 2020-04-26 |
| 1114547064 | Lotus Cardiovascular Care Pllc | Internal Medicine | 198 Oakley Ave, Elmont, NY 11003-2520 | 2020-04-21 |
| 1841824885 | Raman Kumar Md Pllc | Internal Medicine | 333 Broadway Ste 1, Amityville, NY 11701-2719 | 2020-02-28 |
| 1578197729 | North Shore Onsite Medical Diagnostic P.C. | Internal Medicine | 7418 41st Ave, Elmhurst, NY 11373-5601 | 2020-02-26 |
| 1720624604 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd Fl 2, Bronx, NY 10471-3010 | 2019-11-26 |
| 1508401217 | Atlantic Cardiovascular Care PC | Internal Medicine | 5114 Post Rd, Bronx, NY 10471-3010 | 2019-11-18 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. DEEPU KOSHY ALEXANDER.
| 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.