THEODORA PANTELOGLOU (NPI# 1487661401) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487661401 |
| Entity Type | Individual |
| Full Name | THEODORA PANTELOGLOU |
| Credential | D.O. |
| Practice Address |
21430 46th Ave Bayside NY 11361-3316 |
| Mailing Address |
6 Orchard Pl Valley Stream NY 11580-5003 |
| Practice Telephone | 7182291064 |
| Practice Fax Number | 7184232924 |
| Mailing Telephone | 5162858219 |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2008-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 222871 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
21430 46TH AVE |
| City | BAYSIDE |
| State | NY |
| Zip Code | 11361-3316 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467078055 | Nicole E. Sarracco | Speech-Language Pathologist | 215 - 46 39th Avenue, Flushing, NY 11361 | 2020-06-19 |
| 1689294381 | Terri Robin Will | Registered Nurse | 3416 2019th Street, Queens, NY 11361 | 2020-04-22 |
| 1295364875 | Melanie Besthoff | Speech-Language Pathologist | 215-46 39th Avenue, Flushing, NY 11361 | 2020-04-05 |
| 1790339844 | Alana Valle | Occupational Therapist | 20947 34th Rd, Bayside, NY 11361 | 2019-07-26 |
| 1881175826 | Eva Mui | Pharmacist | 212 Northern Blvd, Bayside, NY 11361 | 2018-08-28 |
| 1063908531 | Hongik Acupuncture N.y. P.C. | Acupuncturist | 21441 42nd Ave Ste 4c, Bayside, NY 11361 | 2018-07-07 |
| 1093233694 | Karen Trentacosta | Registered Nurse | 40-04a Bell Boulevard, Bayside, NY 11361 | 2017-09-03 |
| 1801310131 | Hee Gi An | Dentist | 42-05 204th St, Flr 2, Bayside, NY 11361 | 2017-07-28 |
| 1780113050 | Miaoying Zhu | Social Worker | 217-63 Corbett Rd, Bayside, NY 11361 | 2017-06-08 |
| 1679016265 | Daniela Ragusa | Speech-Language Pathologist | 221-21 Corbett Road, Bayside, NY 11361 | 2016-11-30 |
| Find all providers in zip 11361 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720565187 | Bayside Pediatrics PC | Pediatrics | 4223 212th St Ste 1b, Bayside, NY 11361-2987 | 2018-07-27 |
| 1932426921 | Eugene Deblasio | Pediatrics | 1414 Bonnie Ln, Bayside, NY 11360-1145 | 2010-04-29 |
| 1538351788 | Martin Poliskin | Pediatrics | 209-25 18th Avenue, Bayside, NY 11360 | 2007-08-13 |
| 1730220666 | Yohan Park | Pediatrics | 4223 212th St Unit 1b, Bayside, NY 11361-2979 | 2007-02-12 |
| 1427110253 | David Berman | Pediatrics | 4032 221st Street, Bayside, NY 11361-2429 | 2006-12-15 |
| 1992864698 | Linda Volpe | Pediatrics | 29-01 216 Street, Bayside, NY 11360-1138 | 2006-12-08 |
| 1972604189 | Grace Nunez-russotto | Pediatrics | 23 25 Bell Boulevard, Bayside, NY 11360 | 2006-09-26 |
| 1114024767 | Jonathan Horwitz | Pediatrics | 2325 Bell Blvd, Bayside, NY 11360-2056 | 2006-09-17 |
| 1497867121 | Carmencita Diaz-sy | Pediatrics | 21544 24th Ave, Bayside, NY 11360-2220 | 2006-08-31 |
| 1447286323 | Li-min Yang | Pediatrics | 22116 Union Tpke, Bayside, NY 11364-3641 | 2006-06-23 |
| Find all providers in BAYSIDE | ||||
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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.