NATHALIA IDELEVITCH (NPI# 1447440029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447440029 |
| Entity Type | Individual |
| Full Name | NATHALIA IDELEVITCH |
| Credential | M.D. |
| Practice Address |
3048 Brighton 1st St Ste 6 Brooklyn NY 11235 |
| Mailing Address |
3048 Brighton 1st St Ste 6 Brooklyn NY 11235-8081 |
| Practice Telephone | 3477029531 |
| Practice Fax Number | 3477136416 |
| Mailing Telephone | 3477029531 |
| Mailing Fax Number | 3477136416 |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2020-05-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
MD451234 | PA | Allopathic & Osteopathic Physicians |
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
244585 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3048 BRIGHTON 1ST ST STE 6 |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11235 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407463466 | Sk Tutoring Center LLC | Speech-Language Pathologist | 3360 Shore Parkway, Suite C1, Brooklyn, NY 11235 | 2020-09-24 |
| 1841803665 | Svetlana Gaitchikova | Registered Nurse | 35 Seacrest Terrace, Brooklyn, NY 11235 | 2020-08-31 |
| 1427661198 | Kizzy Marie Salguero | Social Worker | 2625, East 14th Street Suite 200, Brooklyn, NY 11235 | 2020-08-24 |
| 1861015042 | Aspire Physical Therapy PC | Physical Therapist | 3000 Ocean Pkwy #2jtrump Village 1, Brooklyn, NY 11235 | 2020-05-22 |
| 1093337248 | Dhwani Patel | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency Program, Coney Island Hospi, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-05-11 |
| 1780203596 | Thomas George | Student in an Organized Health Care Education/Training Program | Nyc Health & Hospitals/coney Island, 2601 Ocean Parkway, Brooklyn, NY 11235 | 2020-04-11 |
| 1326676537 | Olukayode Ahmed Busari | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway Brooklyn, New York, NY 11235 | 2020-04-01 |
| 1831759323 | Daniel Groisman | Case Manager/Care Coordinator | 2571 East 17th Street, Groundfloor, Brooklyn, NY 11235 | 2019-06-17 |
| 1013577998 | Aaron Rene Allick Douen | Student in an Organized Health Care Education/Training Program | 2601 Ocean Parkway, 4th Floor 4n98, Brooklyn, NY 11235 | 2019-06-13 |
| 1609431162 | Anna Pozdner | Speech-Language Pathologist | 2571 E 17th St, Brooklyn, Brooklyn, NY 11235 | 2019-05-09 |
| Find all providers in zip 11235 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| 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://wwwtheabfm.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 |
|---|---|---|---|---|
| 1245682475 | Salut Medical PC | Family Medicine | 699 Stanley Ave, Brooklyn, NY 11207-7905 | 2016-07-12 |
| 1891010781 | Christine R. Viola | Family Medicine | 415 Ocean Pkwy, 4a, Brooklyn, NY 11218-4748 | 2010-04-02 |
| 1942352687 | Executive Health Medical Care PC | Family Medicine | 7901 Bay Parkway, Suite 1b, Brooklyn, NY 11214 | 2007-01-16 |
| 1235140542 | Richard Gary Conway | Family Medicine | 1445 E 3rd St, Brooklyn, NY 11230-5572 | 2006-08-11 |
| 1780004358 | Omer Tipu Physician PC | Family Medicine | 446 Mcdonald Ave, Brooklyn, NY 11218-2212 | 2014-04-23 |
| 1720327406 | Carolyn Jean Murray | Family Medicine | 4802 10th Ave, Maimonides Medical Center, Brooklyn, NY 11219-2916 | 2013-01-31 |
| 1669601159 | Omer Khalique Tipu | Family Medicine | 446 Mcdonald Ave, Brooklyn, NY 11218-2212 | 2009-07-07 |
| 1740423508 | Nathalia Idelevitch Medical Office PC | Family Medicine | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2009-04-09 |
| 1548421456 | Willis Medical Services, P.C. | Family Medicine | 7724 New Utrecht Ave, Suite L.l., Brooklyn, NY 11214-1014 | 2008-06-23 |
| 1417030883 | Howard Mitchell Orkin | Family Medicine | 8605 Flatlands Ave, Brooklyn, NY 11236-3607 | 2006-10-21 |
| Find all providers in BROOKLYN | ||||
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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.