DR. TIMOTHY EVAN RADOMISLI (NPI# 1619051265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619051265 |
| Entity Type | Individual |
| Full Name | DR. TIMOTHY EVAN RADOMISLI |
| Credential | MD |
| Practice Address |
130 East 77th Street 12th Floor New York NY 10021 |
| Practice Telephone | 2122498088 |
| Practice Fax Number | 2124344887 |
| Mailing Telephone | 2122498088 |
| Mailing Fax Number | 2124344887 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
189251 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
130 EAST 77TH STREET 12TH FLOOR |
| City | NEW YORK |
| State | NY |
| Zip Code | 10021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881657542 | Richard S Lazzaro | Specialist | 130 East 77th Street, Lenox Hill Hospital, New York, NY 10075 | 2006-04-11 |
| 1164056123 | Abdulrahman Hatem Aman | Student in an Organized Health Care Education/Training Program | 130 East 77th Street, 8th Floor Room 801, New York, NY 10075 | 2020-02-28 |
| 1629589734 | Maria Dedios | Nurse Practitioner | 130 East 77th Street, 3 Black Hall, New York, NY 10075 | 2017-10-16 |
| 1861839946 | Ob/gyn Services P.c | Obstetrics & Gynecology | 130 East 77th Street, New York, NY 10075 | 2013-05-29 |
| 1255667077 | Jacqueline Lagazo-guia | Nurse Practitioner | 130 East 77th Street, 9 Black Hall, New York, NY 10075-1851 | 2009-10-29 |
| 1053561936 | Nicolas M Van Mieghem | General Acute Care Hospital | 130 East 77th Street, New York, NY 10021 | 2008-09-26 |
| 1629244884 | Jason A. Ellis | Neurological Surgery | 130 East 77th Street, Dept. of Neurosurgery, Black Hall, Third Floor, New York, NY 10075 | 2008-05-07 |
| 1194946772 | Wendy Lynn Bendersky | Physician Assistant | 130 East 77th Street, 8th Floor, New York, NY 10021 | 2007-05-01 |
| 1669573879 | Michelle Regina Demeo | Physician Assistant | 130 East 77th Street, C/o Manhattan Orthopaedics, 7th Floor, New York, NY 10075-1851 | 2006-09-26 |
| 1558372904 | Peter David Costantino | Specialist | 130 East 77th Street, 10th Floor, New York, NY 10075 | 2006-08-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720609175 | Haneen Qadourah | Student in an Organized Health Care Education/Training Program | Weillcornellinternalmedicineassociates, 505east70thstreet, Newyorkcity, NY 10021 | 2020-04-27 |
| 1114547080 | Mohd Omair Jamil | Pharmacist | 530 East 74th Street, 10281, New York, NY 10021 | 2020-04-21 |
| 1750915062 | Radoslav Jovanovic, Md and Kevin Jovanovic, Md | Obstetrics & Gynecology | 930 Fifth Avenue, Suite 3, New York, NY 10021 | 2020-02-25 |
| 1750915344 | Stacyann S Foster | Nurse Practitioner | 1305 York Avenue 2nd Floor, New York, NY 10021 | 2020-02-24 |
| 1477184547 | John Schipano | Pharmacist | Zitomer, 969 Madison Ave, New York, NY 10021 | 2020-01-28 |
| 1932741253 | Memorial Sloan Kettering Cancer Center | Pharmacy | 530 East 74 Street, Room 1101, New York, NY 10021 | 2019-10-09 |
| 1922656875 | Kouros Emami | Clinical Neuropsychologist | 525 East 71st St., 5th Floor, New York, NY 10021 | 2019-09-03 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1316591209 | Siddiqi Medical P.C. | Internal Medicine | Archcare At Mary Manning Walsh Home, 1339 York Avenue, New York, NY 10021 | 2019-07-29 |
| 1942763602 | Alisha Bouzaher | Student in an Organized Health Care Education/Training Program | 439 East 71st, 1st Floor, New York, NY 10021 | 2019-04-10 |
| Find all providers in zip 10021 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316980428 | Richard I Ulin | Orthopaedic Surgery | 1095 Park Ave, New York, NY 10128-1154 | 2006-06-14 |
| 1437672623 | Karim Masrouha | Orthopaedic Surgery | 550 1st Ave, New York, NY 10016-6402 | 2017-07-20 |
| 1770931776 | Jenny Frances, LLC | Orthopaedic Surgery | 303 2nd Ave, Suite 19, New York, NY 10003-2739 | 2016-05-31 |
| 1215326814 | Trustees of Columbia University In The City of New York | Orthopaedic Surgery | 161 Fort Washington Ave, 2nd Floor, New York, NY 10032 | 2015-01-20 |
| 1750654505 | Emily Ruth Dodwell | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2012-02-09 |
| 1780963660 | Emmanouil Morakis | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2011-08-10 |
| 1871899088 | Richard I. Ulin, M.d., P.C. | Orthopaedic Surgery | 1095 Park Ave, New York, NY 10128-1154 | 2011-02-04 |
| 1821221805 | Vladimir Goldman | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2009-08-25 |
| 1790931970 | Jenny Margareta Frances | Orthopaedic Surgery | 301 E 17th St, Hospital for Joint Diseases, New York, NY 10003-3804 | 2008-08-07 |
| 1972762433 | Peter D. Fabricant | Orthopaedic Surgery | 535 E 70th St, New York, NY 10021-4823 | 2008-06-09 |
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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.