DR. PAVEL GOZENPUT (NPI# 1558599381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1558599381 |
Entity Type | Individual |
Full Name | DR. PAVEL GOZENPUT |
Credential | M.D. |
Practice Address |
1 Healthy Way Oceanside NY 11572 |
Mailing Address |
247 Whitman Dr Brooklyn NY 11234-6934 |
Practice Telephone | 5166323200 |
Mailing Telephone | 7183444474 |
Enumeration Date | 2009-07-01 |
Last Update Date | 2018-11-02 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
265898 | NY | Allopathic & Osteopathic Physicians |
Address | Telephone Number | Fax Number |
---|---|---|
1 Healthy Way, Oceanside, NY 11572 | 5166323200 |
Street Address |
1 HEALTHY WAY |
City | OCEANSIDE |
State | NY |
Zip Code | 11572 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104824606 | Edward E Mullen | Specialist | 1 Healthy Way, Oceanside, NY 11572-1551 | 2005-07-08 |
1831796812 | Diane S Mcdevitt | Nurse Practitioner | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-10-03 |
1053921742 | Mount Sinai School of Medicine | Psychiatry & Neurology | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-08-06 |
1841809886 | Rizvi Surgical Care Pllc | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-07-27 |
1760004022 | Vascular Care LLC | Surgery | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-09 |
1023639937 | Florence Dasrath | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-05-01 |
1730709312 | Jordana Schmidt-swartz | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-23 |
1336769207 | Nia Jagroop | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-21 |
1366062523 | Gladys Isabel Palaguachi | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-17 |
1578182846 | Amit Elazar | Student in an Organized Health Care Education/Training Program | 1 Healthy Way, Oceanside, NY 11572-1551 | 2020-04-15 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376152868 | True North Dialysis Center LLC | Clinic/Center | 3005 Long Beach Rd, Oceanside, NY 11572 | 2020-07-30 |
1508493560 | Mercedes Andreina Cardenas Pena | Student in an Organized Health Care Education/Training Program | 196 South Nassau, Oceanside, NY 11572 | 2020-03-26 |
1275170219 | Prohealth Dental Pllc | Dentist | 2870 Long Beach Road, Oceanside, NY 11572 | 2019-12-10 |
1982252409 | Fe Jaurigue | Nurse Practitioner | 2391 Washington Ave, Oceanside, NY 11572 | 2019-08-28 |
1689160749 | Emil A Tocci, Dc, PC | Chiropractor | 3091 Lawson Blvd, Oceanside, NY 11572 | 2018-07-02 |
1336652726 | Jennifer L Rodgers | Nurse Practitioner | 435 Kinsley Ct, Oceanside, NY 11572 | 2017-11-08 |
1205387859 | Joanne Hudkins | Nurse Practitioner | 3353 5th St, Oceanside, NY 11572 | 2016-10-19 |
1346693595 | Michelle Coletta-guadagno | Case Manager/Care Coordinator | 400 Oceanside Pkwy, Oceanside, NY 11572 | 2016-07-22 |
1831543271 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 3705 Hampton Rd, Oceanside, NY 11572 | 2016-04-22 |
1598170474 | Amy Daleo | Licensed Practical Nurse | 299 Waukena Ave, Oceanside, NY 11572 | 2014-06-30 |
Find all providers in zip 11572 |
Taxonomy Code | 207RC0200X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Critical Care Medicine |
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
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 |
---|---|---|---|---|
1710287792 | Tri-city Integrated Physicians Services, Apc | Internal Medicine | 3231 Waring Ct, Suite D, Oceanside, CA 92056-4510 | 2010-10-25 |
1053441329 | Pratan Vathesatogkit | Internal Medicine | 3231 Waring Ct, Suite D, Oceanside, CA 92056-4510 | 2007-03-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225508179 | Critical Care Telemedicine, Pllc | Internal Medicine | 1971 Western Ave # 197, Albany, NY 12203-5066 | 2018-12-04 |
1962908376 | Jan Bakker | Internal Medicine | 555 First Ave, New York, NY 10016 | 2018-04-04 |
1124543095 | Ccmma Nj LLC | Internal Medicine | 224 W 18th St Apt 8a, New York, NY 10011-4558 | 2017-08-11 |
1538698642 | Medical Care for All PC | Internal Medicine | 22 E 41st St Fl 4, New York, NY 10017-6280 | 2017-06-12 |
1437606050 | Sleep Solutions Inc. | Internal Medicine | 2446 East Tremont Avenue, Bronx, NY 10461-2817 | 2016-09-01 |
1841609302 | Laura Miranda | Internal Medicine | 4750 59th St, Woodside, NY 11377-5570 | 2014-08-10 |
1104236611 | Britta Kumley | Internal Medicine | 450 Clarkson Ave # Sl-50, Brooklyn, NY 11203-2012 | 2014-05-06 |
1467872739 | Glen Thomas Granati | Internal Medicine | Mather Hospital, 75 N Country Rd, Port Jefferson, NY 11777 | 2014-04-24 |
1497172548 | Michael Joseph Lau | Internal Medicine | 39 Brentwood Rd Ste 102, Bay Shore, NY 11706-8031 | 2014-03-26 |
1821431164 | Nidhi Kavi | Internal Medicine | 56 Myles Ave, Levittown, NY 11756-1717 | 2013-04-16 |
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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.