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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01023505 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
8515 Main St, Briarwood, NY 114351879 | 5164593329 | 7189786888 |
Street Address |
11811 GUY R BREWER BLVD |
City | JAMAICA |
State | NY |
Zip Code | 11434 |
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 |
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 Code | 207VM0101X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Obstetrics & Gynecology |
Specialization | Maternal & Fetal Medicine |
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. |
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 |
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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.