DR. JOHANE GILDADE BOURSIQUOT (NPI# 1275801219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275801219 |
| Entity Type | Individual |
| Full Name | DR. JOHANE GILDADE BOURSIQUOT |
| Credential | M.D. |
| Practice Address |
150 Riverside Dr New York NY 10024-2298 |
| Mailing Address |
150 Eileen Way Unit 1 Syosset NY 11791-5313 |
| Practice Telephone | 6465053500 |
| Mailing Telephone | 5168555255 |
| Mailing Fax Number | 5169212451 |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | MT205076 | PA | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 277201 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2015 Grand Concourse, Bronx, NY 104534303 | 7182997295 | 7182996797 |
| 7924 Jamaica Ave, Woodhaven, NY 114211801 | 7188050037 | 3479609468 |
| Street Address |
150 RIVERSIDE DR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10024-2298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053316950 | Kateri Residence | Skilled Nursing Facility | 150 Riverside Dr, New York, NY 10024-2298 | 2005-06-16 |
| 1780206078 | Amarachi E Abara | Family Medicine | 150 Riverside Dr, New York, NY 10024-2298 | 2020-05-11 |
| 1114552742 | Ruel Santos Lucas | Physical Therapist | 150 Riverside Dr, New York, NY 10024-2298 | 2020-03-04 |
| 1073071080 | Gregory Ra | Occupational Therapy Assistant | 150 Riverside Dr, New York, NY 10024-2298 | 2019-03-08 |
| 1295263796 | Progressive Care Medical Group, Pllc | Clinic/Center | 150 Riverside Dr, New York, NY 10024-2298 | 2017-05-27 |
| 1104288117 | Jared Tannenbaum | Family Medicine | 150 Riverside Dr, New York, NY 10024-2298 | 2016-03-28 |
| 1265832745 | Aidara Gueye | Licensed Practical Nurse | 150 Riverside Dr, New York, NY 10024-2298 | 2014-09-03 |
| 1477980621 | Jessica Marie Cantwell | Occupational Therapist | 150 Riverside Dr, New York, NY 10024-2298 | 2013-10-02 |
| 1972935286 | Rehabcare | Home Health | 150 Riverside Dr, New York, NY 10024-2298 | 2013-08-08 |
| 1558704544 | 150 Riverside Op. LLC | Skilled Nursing Facility | 150 Riverside Dr, New York, NY 10024-2298 | 2013-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023646387 | Peter Avery | Psychologist | 230 Central Park West, First Floor, #5, New York, NY 10024 | 2020-03-31 |
| 1417588526 | Amelia Rogers Lindberg | Physical Therapist | 230 West 79th Street, Apt 124s, New York, NY 10024 | 2020-01-28 |
| 1720636640 | By Your Side Services Licensed Applied Behavior Analyst Practice Pllc | Community/Behavioral Health | 105 W. 86th Street, #228, New York, NY 10024 | 2019-09-04 |
| 1407408453 | Barbara Bessin Zucker | Social Worker | 565 West End Ave. - Suite 1a, New York, NY 10024 | 2019-07-10 |
| 1609337815 | Pratistha Maharjan | Physical Therapist | 86th Street, 2w #1, Manhattan, NY 10024 | 2019-03-29 |
| 1396215968 | Sara Kahn | Nutritionist | 267 W. 89th Street Apt 5a, New York, NY 10024 | 2018-11-27 |
| 1205311586 | Matthew Ludwig Spieler | Psychologist | 255 W 88th St Apt 9e, New York, NY 10024 | 2018-10-02 |
| 1629576475 | Christopher Eldredge | Social Worker | 52 Riverside Drive, Suite 1a, New York, NY 10024 | 2018-01-26 |
| 1154850717 | Anthony William Zoghbi Md | Psychiatry & Neurology | 140 West 79th Street, Suite 1f-2, New York, NY 10024 | 2017-06-07 |
| 1821526955 | Noel Bohl-fabian | Social Worker | 140 W 79th St Apt 2b, New York, NY 10024 | 2017-06-02 |
| Find all providers in zip 10024 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962022152 | Lynnette Lallave - Cortes | General Practice | 2 Seaman Ave Apt 1d, New York, NY 10034-2904 | 2020-04-17 |
| 1104463652 | Ohad Shimshon Bentur | General Practice | 450 E 63rd St Apt 3g, New York, NY 10065-7957 | 2019-12-03 |
| 1689136137 | Michael Gordon | General Practice | 750 Columbus Ave Apt 6a, New York, NY 10025-6477 | 2019-04-03 |
| 1538651385 | Caroline Roberta Campbell | General Practice | 129 W 81st St Apt 3, New York, NY 10024-7207 | 2018-06-06 |
| 1104317973 | Michael Stavis Bohl | General Practice | 235 W 48th St Apt 34a, New York, NY 10036-1431 | 2018-05-28 |
| 1841793015 | Xin He | General Practice | 60 W 75th St Lowr Level, New York, NY 10023-2016 | 2018-03-14 |
| 1811497381 | James Uhrig | General Practice | 316 W 84th St Apt 6g, New York, NY 10024-4249 | 2018-02-20 |
| 1730607391 | Ruben Osvaldo Garcia | General Practice | 400 E 52nd St Apt 12j, New York, NY 10022-6407 | 2017-09-05 |
| 1992231294 | Paul Promadhattvedi | General Practice | 255 Fort Washington Ave Apt 41, New York, NY 10032-1252 | 2017-05-04 |
| 1407381486 | Taber Cloey Lightbourne | General Practice | 1051 Riverside Drive, Box 103, New York, NY 10032 | 2017-04-27 |
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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.