DR. PAVEL GOZENPUT


Address: 1 Healthy Way, Oceanside, NY 11572
Phone: 5166323200

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RC0200X Internal Medicine
Specialization: Critical Care Medicine
265898 NY Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
1 Healthy Way, Oceanside, NY 11572 5166323200

Office Location

Street Address 1 HEALTHY WAY
City OCEANSIDE
State NY
Zip Code 11572

Providers in the same location

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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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207RC0200X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Critical Care Medicine

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City OCEANSIDE
Zip Code 11572

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Dataset Information

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.

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