DR. IZUKA P UDOM


Address: 11811 Guy R Brewer Blvd, Jamaica, NY 11434
Phone: 7189457150

DR. IZUKA P UDOM (NPI# 1639134588) 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) 1639134588
Entity Type Individual
Full Name DR. IZUKA P UDOM
Credential MD
Practice Address 11811 Guy R Brewer Blvd
Jamaica
NY 11434
Mailing Address 8515 Main St
Briarwood
NY 11435-1879
Practice Telephone 7189457150
Practice Fax Number 7189786888
Mailing Telephone 5164593329
Mailing Fax Number 7189786888
Enumeration Date 2006-04-20
Last Update Date 2018-08-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207V00000X Obstetrics & Gynecology 169783 NY Allopathic & Osteopathic Physicians
Y 207VM0101X Obstetrics & Gynecology
Specialization: Maternal & Fetal Medicine
169783 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01023505 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8515 Main St, Briarwood, NY 114351879 5164593329 7189786888

Office Location

Street Address 11811 GUY R BREWER BLVD
City JAMAICA
State NY
Zip Code 11434

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750638961 Joseph P. Addabbo Family Health Center, Inc. Clinic/Center 11811 Guy R Brewer Blvd, Jamaica, NY 11434-2101 2012-08-07
1598865149 Maria Dolores Rodriguez Family Medicine 11811 Guy R Brewer Blvd, Jamaica, NY 11434-2101 2006-09-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033726583 Quwanna M Seymour Licensed Practical Nurse Sweet P Home Care Inc 169-37 144th Rd, Jamaica, NY 11434 2020-09-29
1609482645 Joanquina Beaublanc Registered Nurse 170300 130th Ave, Queens, NY 11434 2020-09-16
1386252799 Maria Akeloko Behavioral Analyst 16630 137th Ave, Jamaica, NY 11434 2020-07-22
1023635430 Jessica Obidimalor Nurse Practitioner 165-17 145th Road, Jamaica, NY 11434 2020-07-01
1548885528 Dominique Alicia Preville Registered Nurse 127-14 122nd Street, Apt 2, Queens, NY 11434 2020-06-15
1235754748 Jameela Scotland Licensed Practical Nurse 172 128 Ave, Jamaica, NY 11434 2020-06-10
1447892815 Accord Medical Supply Inc Durable Medical Equipment & Medical Supplies 115-17 Merrick Blvd., Jamaica, NY 11434 2019-10-17
1578122032 Denise Marie Cahill Counselor 175-15 Rockaway Blvd., Janaica, NY 11434 2019-06-10
1235794363 Whitney Sewell Social Worker 115-15 Sutphin Blvd., Jamaica, NY 11434 2019-05-03
1770055832 Kassandra Maria Campbell Registered Nurse 114-76 177th Street, Jamaica, NY 11434 2018-12-29
Find all providers in zip 11434

Taxonomy Information

Taxonomy Code 207VM0101X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Maternal & Fetal Medicine

Taxonomy Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285249268 Dottie L Watson Md Obstetrics & Gynecology 270 River St Ste 204, Troy, NY 12180-0806 2020-09-15
1083126155 Hjc Medicine Pllc Obstetrics & Gynecology 13620 38th Ave Ste 5d, Flushing, NY 11354-4264 2017-10-30
1497275044 Dr. Tang Medical Office PC Obstetrics & Gynecology 76 Cambridge Ave, Garden City, NY 11530-1153 2017-06-25
1386087062 Jessica Brooke Spiegelman Obstetrics & Gynecology 150 E 32nd St Fl 1, New York, NY 10016-6058 2013-04-11
1457626632 Patricia Rekawek Obstetrics & Gynecology 120 Mineola Blvd Ste 110, Mineola, NY 11501-4077 2012-03-20
1326334053 Frances Marks Obstetrics & Gynecology 622 West 168 Street, Dept Ob/gyn, 16th Floor, Nyph Columbia Presbyterian Medical Center, New York, NY 10032 2011-06-21
1336431840 Matthew J. Blitz Obstetrics & Gynecology 376 E Main St Ste 202, Bay Shore, NY 11706 2011-05-03
1861781452 Malavika Prabhu Obstetrics & Gynecology 525 E 68th St # M7-22, New York, NY 10065 2011-04-04
1104125806 Sarah Lillian Pachtman Obstetrics & Gynecology 130 E 77th St Fl 2, New York, NY 10075-1851 2011-03-21
1033439690 Alexis Joanne Disilvestro Obstetrics & Gynecology 1240 New Scotland Avenue Suite 101, St. Peter's Maternal Fetal Medicine, Slingerlands, NY 12159-9276 2010-06-07
Find all providers with the same taxonomy

Competitor

Search similar providers

City JAMAICA
Zip Code 11434

Improve Information

Please comment or provide details below to improve the information on DR. IZUKA P UDOM.

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.

Trending Searches