PROMEDICA IMAGING, P.C. (NPI# 1285764076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285764076 |
| Entity Type | Organization |
| Organization Name | PROMEDICA IMAGING, P.C. |
| Practice Address |
2001 Marcus Ave New Hyde Park NY 11042-1011 |
| Practice Telephone | 5164371077 |
| Practice Fax Number | 5164371093 |
| Mailing Telephone | 5164371077 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2008-06-17 |
| Authorized Official Name | DR. GAIL PHILLIPS (PRESIDENT) |
| Authorized Official Telephone | 5164371077 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085U0001X |
Radiology Specialization: Diagnostic Ultrasound |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | PROMEDICA IMAGING, P.C. | 2001 Marcus Avenue, Lake Success, Ny 11020 |
| Street Address |
2001 MARCUS AVE |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-1011 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477071397 | Elizabeth Moses | Psychologist | 2001 Marcus Ave, New Hyde Park, NY 11042-2061 | 2017-08-30 |
| 1760914501 | Binju Bose | Family Medicine | 2001 Marcus Ave, New Hyde Park, NY 11042-2061 | 2017-03-31 |
| 1649717810 | Lighte | Internal Medicine | 2001 Marcus Ave, E130, New Hyde Park, NY 11042-2061 | 2017-01-26 |
| 1427594464 | Lighte Associates Pllc | Internal Medicine | 2001 Marcus Ave, N218, New Hyde Park, NY 11042-2061 | 2017-01-15 |
| 1184022121 | Christine Palladino | Registered Nurse | 2001 Marcus Ave, New Hyde Park, NY 11042-2061 | 2014-12-08 |
| 1417354929 | Queens-nassau Medical Associates PC | Internal Medicine | 2001 Marcus Ave, Suite W260, New Hyde Park, NY 11042-2061 | 2014-11-26 |
| 1477973196 | Elizabeth Gellman | Psychologist | 2001 Marcus Ave, E128, New Hyde Park, NY 11042-2061 | 2014-04-21 |
| 1740610757 | North Shore Long Island Jewish Health Care Inc | Allergy & Immunology | 2001 Marcus Ave, Suite N220, New Hyde Park, NY 11042-2061 | 2013-11-13 |
| 1174957617 | Celia Lu | Pharmacist | 2001 Marcus Ave, Suite S160, New Hyde Park, NY 11042-2061 | 2013-08-31 |
| 1942633094 | Nadia A Insanally | Psychologist | 2001 Marcus Ave, Suite E128, New Hyde Park, NY 11042-2061 | 2013-08-13 |
| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639448020 | Ali Saleem | Radiology | 1301 Lowell Ave, New Hyde Park, NY 11040-4246 | 2011-12-14 |
| 1528355914 | Frances M. Vernace | Radiology | 39 Windsor Gate Drive, New Hyde Park, NY 11040 | 2011-07-06 |
| 1669764874 | James Park | Radiology | 6 Ohio Dr Ste 204, New Hyde Park, NY 11042-1129 | 2011-05-05 |
| 1326275777 | Mahendra Sharma Md PC | Radiology | 15 Knolls Drive, New Hyde Park, NY 11040-1110 | 2009-06-12 |
| 1023188471 | Alan Johnson | Radiology | Lij Dept of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1386714731 | Barak Friedman | Radiology | Lijmc-department of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-09 |
| 1710057849 | David Siegel | Radiology | Lijmc-dept of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1659441798 | Diane Wilkinson | Radiology | Lijmc-dept. of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1871663930 | John Hines | Radiology | Lijmc - Dept of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| 1023188158 | Edward Wind | Radiology | Lijmc - Dept. of Radiology, 270-05 76th Avenue, New Hyde Park, NY 11040 | 2006-11-08 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| 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.