DR. GILAD ELLENBERG (NPI# 1538104427) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538104427 |
| Entity Type | Individual |
| Full Name | DR. GILAD ELLENBERG |
| Credential | MD |
| Practice Address |
8601 Homelawn St Jamaica NY 11432-2635 |
| Mailing Address |
68 Piccadilly Rd Great Neck NY 11023-1547 |
| Practice Telephone | 7187390355 |
| Mailing Telephone | 5167733399 |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 127287-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00467827 | 05 |
| Street Address |
8601 HOMELAWN ST |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-2635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083866875 | Caroline Fakhry Alexander | Ophthalmology | 8849 163rd St, Jamaica, NY 11432-4046 | 2008-10-13 |
| 1760550271 | Jayant Dolatray Desai | Ophthalmology | 16521 Hillside Ave, Jamaica, NY 11432-4134 | 2006-12-01 |
| 1235195876 | Edward Wood | Ophthalmology | 11120 Merrick Blvd, Jamaica, NY 11433-4016 | 2006-04-22 |
| 1891246120 | Desai Medical Pllc | Ophthalmology | 16521 Hillside Ave, Jamaica, NY 11432-4134 | 2016-10-21 |
| 1649545260 | Ankit Mehta | Ophthalmology | 16405 Hillside Ave Fl 2, Jamaica, NY 11432-4140 | 2012-03-14 |
| 1639470586 | Marcelle M.morcos, Md, PC | Ophthalmology | 8849 163rd St, Jamaica, NY 11432-4046 | 2010-11-09 |
| 1124199856 | Michael L Slavin | Ophthalmology | 8268 164th St, Jamaica, NY 11432-1121 | 2006-11-13 |
| 1043393481 | Ira Jeffrey Udell | Ophthalmology | 8268 164th St, Jamaica, NY 11432-1121 | 2006-10-21 |
| 1720161169 | Faye L Warren | Ophthalmology | 8268 164th St, Jamaica, NY 11432-1121 | 2006-10-21 |
| 1881776342 | Melanie Ann Ryan Graham | Ophthalmology | 8268 164th St, Jamaica, NY 11432-1121 | 2006-10-20 |
| Find all providers in JAMAICA | ||||
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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.