INTERMED CARE PC (NPI# 1356621445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356621445 |
| Entity Type | Organization |
| Organization Name | INTERMED CARE PC |
| Practice Address |
55 E 124th St New York NY 10035-1815 |
| Mailing Address |
1849 86th St Brooklyn NY 11214-3108 |
| Practice Telephone | 6468959118 |
| Mailing Telephone | 7183319600 |
| Mailing Fax Number | 7183319703 |
| Enumeration Date | 2011-08-22 |
| Last Update Date | 2011-09-16 |
| Authorized Official Name | BORIS MAZUROV (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7183319600 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03324018 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033499124 | Intermed Care PC | Internal Medicine | 953 Southern Blvd Lbby, Bronx, NY 10459-3428 | 2011-08-22 |
| 1063792158 | Intermed Care PC | Internal Medicine | 721 Flushing Ave, Brooklyn, NY 11206-4419 | 2011-08-22 |
| 1144235516 | Intermed Care PC | Legal Medicine | 3048 Brighton 1st St, Brooklyn, NY 11235-8080 | 2006-07-31 |
| Street Address |
55 E 124TH ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10035-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275502593 | Michael Jay Rothstein | Nurse Practitioner | 55 E 124th St, New York, NY 10035-1815 | 2006-03-17 |
| 1326443771 | Ilya Makarovskiy | Podiatrist | 55 E 124th St, New York, NY 10035-1815 | 2014-10-28 |
| 1538400429 | Jessica Koletsky | Clinic/Center | 55 E 124th St, New York, NY 10035-1815 | 2013-03-03 |
| 1922336510 | Niezl Huqueriza Estorque | Physical Therapist | 55 E 124th St, New York, NY 10035-1815 | 2009-11-20 |
| 1932366366 | Tara Blitz-herbel | Podiatrist | 55 E 124th St, New York, NY 10035-1815 | 2008-05-22 |
| 1891977500 | Joan M. Radjieski | Family Medicine | 55 E 124th St, New York, NY 10035-1815 | 2007-12-04 |
| 1215136692 | Judith Ellen Shoobe | Neuromusculoskeletal Medicine & OMM | 55 E 124th St, New York, NY 10035-1815 | 2007-07-16 |
| 1275634651 | Mark Harold Swartz | Internal Medicine | 55 E 124th St, New York, NY 10035-1815 | 2006-09-26 |
| 1689774119 | Gregory Paul Taylor | Physical Therapist | 55 E 124th St, New York, NY 10035-1815 | 2006-09-24 |
| 1760402481 | Eunice Virginia Ramsey-parker | Podiatrist | 55 E 124th St, New York, NY 10035-1815 | 2006-07-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821531 | Shandrika Potts-mills | Social Worker | 2600 Madison Ave, New York, NY 10035 | 2020-08-10 |
| 1982220919 | Christine Marie Fitzsimmons | Registered Nurse | 104-106 E 126th Street, 1a, New York, NY 10035 | 2020-06-25 |
| 1811542038 | Tamsin Jordan | Dietitian, Registered | Hunter College, 2180 3rd Ave, New York, Ny, New York, NY 10035 | 2019-08-05 |
| 1659938397 | Fanney Pereyra | Dentist | 2265 Third Avenue, New York, NY 10035 | 2019-05-28 |
| 1770046351 | Ralph Lauren Center for Cancer Care and Prevention | Special Hospital | 1919 Madison Ave Frnt 2, New York, NY 10035 | 2019-04-10 |
| 1285105866 | Union Square Eye Center LLC | Optometrist | 1815 Madison Avenue, New York, NY 10035 | 2018-12-08 |
| 1497236913 | Susannah Irene Blum | Speech-Language Pathologist | Ps 138@ps30 144 Eat 138th Street, New York, NY 10035 | 2018-08-23 |
| 1114413267 | Woodhull Medical Supplies Inc. | Durable Medical Equipment & Medical Supplies | 57 East 124th St, New York, NY 10035 | 2018-07-02 |
| 1477041234 | Rina Rossignol | Social Worker | 108 Wards Island, Manhattan, NY 10035 | 2018-04-27 |
| 1669978664 | Alexandra Black | Student in an Organized Health Care Education/Training Program | 53 East 124th Street, New York, NY 10035 | 2018-03-30 |
| Find all providers in zip 10035 | ||||
| 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. |
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| 1346858222 | Sowell Health PC | Internal Medicine | 308 E 38th St Ste 200, New York, NY 10016-9825 | 2020-07-16 |
| 1417574062 | Bob Yeon Shim | Internal Medicine | 330 W 145th St Apt 605, New York, NY 10039-3095 | 2020-06-30 |
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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.