OCEAN MEDICAL PLUS PC (NPI# 1285993956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285993956 |
| Entity Type | Organization |
| Organization Name | OCEAN MEDICAL PLUS PC |
| Practice Address |
315 E 105th St Suite 104 New York NY 10029-5000 |
| Practice Telephone | 2127227800 |
| Mailing Telephone | 2127227800 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-10-23 |
| Authorized Official Name | DR. VADIM SURIKOV (OWNER) |
| Authorized Official Telephone | 2127227800 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
208907 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
315 E 105TH ST SUITE 104 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-5000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619914348 | Lee Craig Nagourney | Family Medicine | 315 E 105th St, Suite 104b, New York, NY 10029-5000 | 2006-06-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 207QA0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adolescent Medicine |
| A family medicine physician with multidisciplinary training in the unique physical, psychological and social characteristics of adolescents and their health care problems and needs. |
| 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 Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093224107 | Jenny Liu | Family Medicine | 1320 York Ave Apt 19b, New York, NY 10021-4860 | 2017-09-21 |
| 1326049529 | Charles Richard Gordon | Family Medicine | 200 Cabrini Blvd, Suite 17, New York, NY 10033-1100 | 2005-08-10 |
| 1396211918 | Manhattan Medical Arts, Pllc | Family Medicine | 123 W 20th St, New York, NY 10011-3639 | 2018-10-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972848307 | A Merryland Operating LLC | Family Medicine | 1704-06 Mermaid Ave, Brooklyn, NY 11224-2622 | 2012-12-12 |
| 1598844433 | Yefim Isaac Sosonkin | Family Medicine | 2221 Ocean Ave, Brooklyn, NY 11229-2303 | 2006-11-02 |
| 1861402273 | Melissa L. Trazzera | Family Medicine | 470 Woodbury Rd, Cold Spring Harbor, NY 11724-2234 | 2006-08-08 |
| 1063447878 | Valery Bayshtok | Family Medicine | 9905 63rd Dr, Rego Park, NY 11374-2450 | 2006-07-11 |
| 1841286325 | Denise Octaviani | Family Medicine | 1223 N Salina St, Syracuse, NY 13208-1519 | 2005-09-21 |
| 1275525040 | Harlee A Fried | Family Medicine | 28 Rykowski Ln, Middletown, NY 10941-4018 | 2005-08-18 |
| 1932699709 | Medea Medical PC | Family Medicine | 6829 Springfield Blvd, Oakland Gdns, NY 11364-2632 | 2018-05-16 |
| 1770881245 | Suny Health Science Center At Brooklyn | Family Medicine | 97 Amity St, Brooklyn, NY 11201-6004 | 2011-03-08 |
| 1548393150 | Vinay J Shah | Family Medicine | 1211 White Plains Rd, Bronx, NY 10472-4900 | 2007-03-13 |
| 1144309808 | Martha Arden | Family Medicine | 2001 Marcus Ave, Suite N204, New Hyde Park, NY 11042-2061 | 2006-11-03 |
| Find all providers with the same taxonomy | ||||
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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.