JACK RESNIK (NPI# 1558561985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558561985 |
Entity Type | Individual |
Full Name | JACK RESNIK |
Credential | MD |
Practice Address |
480 Genesee Street Rochester NY 14611 |
Practice Telephone | 5854363040 |
Practice Fax Number | 5852956009 |
Mailing Telephone | 5854363040 |
Mailing Fax Number | 5852956009 |
Enumeration Date | 2007-07-24 |
Last Update Date | 2008-02-07 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0401X |
Internal Medicine Specialization: Addiction Medicine |
099098 | NY | Allopathic & Osteopathic Physicians |
Street Address |
480 GENESEE STREET |
City | ROCHESTER |
State | NY |
Zip Code | 14611 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639339146 | Thomas Robert Gregg | Family Medicine | 480 Genesee Street, Jordan Health At Woodward, Rochester, NY 14611 | 2008-06-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578113874 | Brittany Desiree' James | Counselor | 601 Genesee Street, Rochester, NY 14611 | 2019-09-18 |
1629554456 | Burnagie Tafari Webbe | Licensed Practical Nurse | 49 Judson St, Rochester, NY 14611 | 2018-07-16 |
1194223917 | Caitlin Mucenski | Registered Nurse | 1099 Jay Street, Building J, Suite 202, Rochester, NY 14611 | 2018-01-26 |
1093233579 | Brittany Theresa Filip | Speech-Language Pathologist | Brittany Filip At Lincoln Park School No. 44, 820 Chili Avenue, Rochester, NY 14611 | 2017-09-05 |
1629591326 | Stacey D Mccloud | Licensed Practical Nurse | 55 Garfield St, Rochester, NY 14611 | 2017-07-25 |
1245685619 | Lilt Home Care | Home Health | 803 West Avenue, 353, Rochester, NY 14611 | 2016-05-04 |
1639539844 | Petrica Rouse | Dentist | 89 Genesee St Fl 2, Rochester, NY 14611 | 2016-03-01 |
1558737304 | People Inc. | Case Management | 835 W. Main Street, Rochester, NY 14611 | 2015-08-17 |
1619352051 | Lavanya Ravindran | Family Medicine | 89 Genesee St Bldg 3, Rochester, NY 14611 | 2015-07-28 |
1538567599 | Caring Hands Adl Inc | Home Health | 218 Garfield St., Rochester, NY 14611 | 2014-12-08 |
Find all providers in zip 14611 |
Taxonomy Code | 207RA0401X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Addiction Medicine |
An internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568484780 | Christopher John Davis | Internal Medicine | 296 Ashbourne Rd, Rochester, NY 14618-1704 | 2006-07-24 |
1518002005 | Robert L Mick | Internal Medicine | 774 W Main St, Rochester, NY 14611-2331 | 2007-02-21 |
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---|---|---|---|---|
1689272510 | Richter Medical PC | Internal Medicine | 1 Appaloosa Ln, Millbrook, NY 12545-6051 | 2020-10-13 |
1205493533 | Bct Medical Services PC | Internal Medicine | 230 Hilton Ave Ste 106, Hempstead, NY 11550-8116 | 2019-05-22 |
1568965309 | Lloyd E. Zimmerman | Internal Medicine | 205 E 95th St Apt 18b, New York, NY 10128-0237 | 2018-03-16 |
1962893560 | Maple Med Group LLC | Internal Medicine | 2000 Maple Hill St Ste 101, Yorktown Heights, NY 10598-4122 | 2015-02-18 |
1467897058 | Komal Amin | Internal Medicine | 25 Fairfield Way Apt 1, Commack, NY 11725-3414 | 2013-05-08 |
1407191364 | East End Physician Services PC | Internal Medicine | 44210 County Rd. 48, Southold, NY 11971 | 2012-12-04 |
1982976999 | Express Medical Care, P.c | Internal Medicine | .357 Broadway, Suite 2c, Amityville, NY 11701 | 2012-02-07 |
1952610701 | Annemarie Bonawitz-dodi | Internal Medicine | 942 Route 376 Ste 201, Wappingers Falls, NY 12590-6493 | 2010-09-28 |
1114132701 | Joshua David Lee | Internal Medicine | 423 E.23rd St., Vamc 15th Floor 15156n, New York, NY 10010 | 2007-05-14 |
1609090349 | Lawrence David Mass | Internal Medicine | 435 2nd Ave, New York, NY 10010-3101 | 2007-04-12 |
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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.