189-04 FACILITY INC (NPI# 1538567730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538567730 |
| Entity Type | Organization |
| Organization Name | 189-04 FACILITY INC |
| Practice Address |
18904 Union Tpke Suite B Fresh Meadows NY 11366-1862 |
| Practice Telephone | 7182711414 |
| Mailing Telephone | 7182711414 |
| Enumeration Date | 2014-12-21 |
| Last Update Date | 2014-12-21 |
| Authorized Official Name | DR. ALLEN ANTONELLI (PRESIDENT) |
| Authorized Official Telephone | 7182171414 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| Street Address |
18904 UNION TPKE SUITE B |
| City | FRESH MEADOWS |
| State | NY |
| Zip Code | 11366-1862 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063565950 | Alan Antonelli | Internal Medicine | 18904 Union Tpke, Fresh Meadows, NY 11366-1862 | 2007-01-22 |
| 1508314774 | Fresh Meadows Medical Services Pllc | Pathology | 18904 Union Tpke, Fresh Meadows, NY 11366-1862 | 2016-09-16 |
| 1467826529 | Alan Antonelli M.d. PC | Internal Medicine | 18904 Union Tpke, Fresh Meadows, NY 11366-1862 | 2015-11-30 |
| 1598957821 | Kenneth Andrew Appelbaum | Psychologist | 18904 Union Tpke, Fresh Meadows, NY 11366-1862 | 2007-08-10 |
| 1225157944 | Joshua Baumol Lamm | Psychiatry & Neurology | 18904 Union Tpke, Fresh Meadows, NY 11366-1862 | 2007-03-28 |
| 1497883896 | Rebecca Stern Lamm | Social Worker | 18904 Union Tpke, Fresh Meadows, NY 11366-1862 | 2007-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1831615756 | Joseph Sarreal | Licensed Practical Nurse | 77-03 166 Street, Fresh Meadows, NY 11366 | 2017-08-22 |
| 1780106872 | Nadezhda Bababekova | Registered Nurse | 77-15 169st, Fresh Meadows, NY 11366 | 2017-07-11 |
| 1669902284 | Alla Roziyeva | Case Manager/Care Coordinator | 162-16 Union Turnpike, Suite 303, Fresh Meadows, NY 11366 | 2017-06-15 |
| 1568998508 | Patricia Guthrie | Technician/Technologist | 17760 Union Tpke, Suite 110, Fresh Meadows, NY 11366 | 2017-05-11 |
| 1639617384 | Elina Gavrielova | Clinical Nurse Specialist | 7531 190th Street, Fresh Meadows, NY 11366 | 2017-02-02 |
| 1164966818 | Lamisa Ahsan | Pharmacist | 186-16 Union Tunrpike, Flushing, NY 11366 | 2016-12-15 |
| 1508217027 | Huisi Wu | Case Manager/Care Coordinator | 164-19 78th Ave, Fresh Meadows, NY 11366 | 2016-06-27 |
| 1770932113 | Mary-kate Martinez | Community Health Worker | 75-02 162nd St, Fresh Meadows, NY 11366 | 2016-06-07 |
| 1366899866 | Medical Offices of Occupational Health Resources P C | Clinic/Center | Hangar 3 Room 117, Laguardia Airport, Flushing, NY 11366 | 2016-05-16 |
| Find all providers in zip 11366 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467826529 | Alan Antonelli M.d. PC | Internal Medicine | 18904 Union Tpke, Fresh Meadows, NY 11366-1862 | 2015-11-30 |
| 1144538877 | Frank Evanov Md PC | Internal Medicine | 19303 Union Tpke, Fresh Meadows, NY 11366-1874 | 2010-09-15 |
| 1710128996 | Ghulamullah Shahzad | Internal Medicine | 19303 Union Tpke, Fresh Meadows, NY 11366 | 2009-03-17 |
| 1477651123 | Frederick D. Rutkovsky | Internal Medicine | 19303 Union Tpke, Fresh Meadows, NY 11366-1874 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326645870 | Gastro 2020 Pllc | Internal Medicine | 9618 Metropolitan Ave, Forest Hills, NY 11375-6625 | 2020-10-07 |
| 1457963241 | Medical Services of Uniondale, PC | Internal Medicine | 106 Charles Lindbergh Blvd Ste B, Uniondale, NY 11553-3632 | 2020-08-21 |
| 1619586419 | Kazbay Medical Pllc | Internal Medicine | 83 Salierno Rd, Tuxedo Park, NY 10987-4712 | 2020-07-28 |
| 1487279725 | Akifa Samdani, Md PC | Internal Medicine | 120 E 86th St # 2b, New York, NY 10028-1062 | 2020-06-12 |
| 1326673559 | Jack Husney Md P.C. | Internal Medicine | 2228 E 8th St, Brooklyn, NY 11223-4944 | 2020-03-09 |
| 1669005690 | Ron Porat Jankelson | Internal Medicine | 200 E 64th St Apt 10b, New York, NY 10065-7441 | 2020-02-18 |
| 1891345666 | Jrr Medical PC | Internal Medicine | 2569 Ocean Ave Ste 3, Brooklyn, NY 11229-4576 | 2019-09-13 |
| 1497218762 | Rudoy Medical PC | Internal Medicine | 2644 E 19th St, Brooklyn, NY 11235-3303 | 2019-04-12 |
| 1194287235 | Ng Medical Brooklyn Pllc | Internal Medicine | 943 60th St # C1, Brooklyn, NY 11219-4871 | 2019-04-05 |
| 1144786682 | Health Quest Medical Practice, PC | Internal Medicine | 400 Westage Business Ctr Dr Ste 202, Fishkill, NY 12524-2266 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
| City | FRESH MEADOWS |
| Zip Code | 11366 |
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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.