VANGUARD DERMATOLOGY (NPI# 1619179009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619179009 |
| Entity Type | Organization |
| Organization Name | VANGUARD DERMATOLOGY |
| Practice Address |
2119 E 15th St Brooklyn NY 11229-4314 |
| Mailing Address |
14568 3rd Ave Whitestone NY 11357-1101 |
| Practice Telephone | 7183322999 |
| Mailing Telephone | 7183322999 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | DR. MICHAEL SHAPIRO (PRESIDENT) |
| Authorized Official Telephone | 7183322999 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 234760 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02692937 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659556777 | Vanguard Dermatology | Specialist | 2119 E 15th St, Brooklyn, NY 11229-4314 | 2008-01-08 |
| 1336337955 | Vanguard Dermatology | Specialist | 11045 Queens Blvd, Unit 116, Forest Hills, NY 11375-5501 | 2007-10-09 |
| Street Address |
2119 E 15TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11229-4314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396960761 | Nana Kanzaveli | Physician Assistant | 2119 E 15th St, Brooklyn, NY 11229-4314 | 2007-04-13 |
| 1639575665 | South Brooklyn Medical PC | Specialist | 2119 E 15th St, Brooklyn, NY 11229-4314 | 2014-11-19 |
| 1659556777 | Vanguard Dermatology | Specialist | 2119 E 15th St, Brooklyn, NY 11229-4314 | 2008-01-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063041291 | Nastasia Shygaieva | Counselor | 2 Ivan Court, House, Brooklyn, NY 11229 | 2020-04-08 |
| 1700430253 | Nicole Komisar | Case Manager/Care Coordinator | 2148 Ocean Avenu Suite 302, Brooklyn, NY 11229 | 2019-08-01 |
| 1639723950 | Refuah Diagnostics LLC | Technician | 1988 East 22nd Street, Ground Floor, Brooklyn, NY 11229 | 2019-07-25 |
| 1235792987 | Igor Kulishov | Counselor | 1623 Kings Highway, Brooklyn, Ny 11229, Brooklyn, NY 11229 | 2019-04-18 |
| 1477016145 | Natalia Roth | Nurse Practitioner | Visiting Nurse Service of New York, 1630 East 15 St, 3 Fl, NY 11229 | 2019-04-10 |
| 1942769930 | 1st Care Nj LLC | Case Management | 3919 Bedford Ave, Brooklyn, NY 11229 | 2019-03-18 |
| 1689138505 | Expert Home Care, Inc. | Home Health Aide | 1906 Kings Highway, 2nd Floor, Brooklyn, NY 11229 | 2019-01-24 |
| 1881167732 | Luba's Homecare Inc. | Home Health | 2518 Ocean Ave., Cellar Floor, Brooklyn, NY 11229 | 2019-01-03 |
| 1073084216 | Gem Therapy LLC | Early Intervention Provider Agency | 1674 East 19th Street, 2fl, Brooklyn, NY 11229 | 2018-12-16 |
| 1316412356 | Rina Barkhordarzadeh | Speech-Language Pathologist | 1925 Stuart Street, Brooklyn, NY 11229 | 2018-10-05 |
| Find all providers in zip 11229 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639099 | Munisa Mukhamatkulova | Specialist | 1133 E 73rd St, Brooklyn, NY 11234-5409 | 2020-11-06 |
| 1699376251 | Ilona Gamer | Specialist | 2525 E 23rd St, Brooklyn, NY 11235-2505 | 2020-11-02 |
| 1043818545 | Doris Gonzalez-rivera | Specialist | 5610 Avenue T, Brooklyn, NY 11234-4724 | 2020-10-15 |
| 1023625936 | Chaya R Zaetz | Specialist | 797 Maple St, Brooklyn, NY 11203-1312 | 2020-09-24 |
| 1801402060 | Discover Licensed Behavior Analyst Pllc | Specialist | 1350 55th St, Brooklyn, NY 11219-4213 | 2020-09-22 |
| 1114533320 | Yocheved Gershonowitz | Specialist | 1694 E 7th St, Brooklyn, NY 11223-2216 | 2020-09-22 |
| 1992311260 | Sherry A Valentine | Specialist | 1937 Bay Ridge Ave Apt 3r, Brooklyn, NY 11204-4546 | 2020-09-21 |
| 1609481670 | Celina Stolpen | Specialist | 2527 E 27th St, Brooklyn, NY 11235-2016 | 2020-09-15 |
| 1386259760 | Elina Khamish | Specialist | 155 Oceana Dr E Apt 3g, Brooklyn, NY 11235-6684 | 2020-09-11 |
| 1053925263 | Michelle Shneyder | Specialist | 2111 Voorhies Ave, Brooklyn, NY 11235-2817 | 2020-09-04 |
| Find all providers in BROOKLYN | ||||
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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.