JACK M GORMAN (NPI# 1700879087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700879087 |
| Entity Type | Individual |
| Full Name | JACK M GORMAN |
| Credential | MD |
| Practice Address |
1425 Madison Ave Box 1230 New York NY 10029 |
| Mailing Address |
2700 Arlington Ave Bronx NY 10463 |
| Practice Telephone | 2126598763 |
| Practice Fax Number | 2128603945 |
| Mailing Telephone | 7186012927 |
| Mailing Fax Number | 2128603945 |
| Enumeration Date | 2005-08-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
134700 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225328164 | Jack G Gorman | Dentist | 5899 Sunrise Blvd, Citrus Heights, CA 95610-6866 | 2011-04-12 |
| 1922036375 | Jack B. Gorman | Podiatrist | 399 York Rd, Warminster, PA 18974-4516 | 2006-06-28 |
| Street Address |
1425 MADISON AVE BOX 1230 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290791 | Naomi Dambreville | Psychologist | 1425 Madison Ave, New York, NY 10029-6514 | 2020-09-16 |
| 1124679469 | Maria S Loizos | Clinical Neuropsychologist | 1425 Madison Ave, New York, NY 10029-6514 | 2019-09-27 |
| 1306406897 | Evan Darwin | Internal Medicine | 1425 Madison Ave, New York, NY 10029-6514 | 2019-06-17 |
| 1538664933 | Jonathan Lee | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave, New York, NY 10029-6514 | 2018-03-27 |
| 1063963346 | Natacha Tardio | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave, 6th Floor (pediatric Allergy Department), New York, NY 10029-6514 | 2016-10-20 |
| 1225408867 | Talia Wiesel | Psychologist | 1425 Madison Ave, New York, NY 10029-6514 | 2015-09-25 |
| 1811365687 | Kanwal Shiraj Mohan | Psychiatry & Neurology | 1425 Madison Ave, New York, NY 10029-6514 | 2015-09-09 |
| 1255716536 | Leena Jayesh Patel | Physician Assistant | 1425 Madison Ave, New York, NY 10029-6514 | 2015-07-28 |
| 1447630926 | Jacqueline Hargrove | Psychologist | 1425 Madison Ave, New York, NY 10029-6514 | 2015-06-01 |
| 1962896019 | Adam H. Korayem | Surgery | 1425 Madison Ave, 4th Floor, Box 1273, New York, NY 10029-6514 | 2015-03-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
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|---|---|---|---|---|
| 1447850276 | Nyc Psychiatric Associates | Psychiatry & Neurology | 385 5th Ave Rm 1106, New York, NY 10016-3340 | 2020-10-30 |
| 1730706169 | Scott Dibartolo | Psychiatry & Neurology | 426 W 45th St Apt 5fe, New York, NY 10036-9066 | 2020-07-01 |
| 1104449701 | Clear Minds Nyc, LLC | Psychiatry & Neurology | 210 E 121st St Apt 2m, New York, NY 10035-3053 | 2020-05-19 |
| 1215556774 | Allexian, LLC | Psychiatry & Neurology | 418 E 71st St Ph Fl, New York, NY 10021-4894 | 2020-04-14 |
| 1427682350 | Brian Francis Esposito | Psychiatry & Neurology | 435 E 70th St Apt 27h, New York, NY 10021-5349 | 2020-02-29 |
| 1255979902 | Yuli Fradkin Md LLC | Psychiatry & Neurology | 315 W 57th St Ste 401, New York, NY 10019-3147 | 2019-12-12 |
| 1477196822 | Martijn Figee | Psychiatry & Neurology | 1000 10th Ave # 10g-44, New York, NY 10019-1147 | 2019-10-17 |
| 1033750823 | Mccd Psychiatry Services Pllc | Psychiatry & Neurology | 109 W 27th St # 5s, New York, NY 10001-6208 | 2019-10-02 |
| 1366093783 | James Halper Md | Psychiatry & Neurology | 41 W 72nd Street, 1c, New York, NY 10023-3476 | 2019-09-26 |
| 1891349635 | Veerle Bergink | Psychiatry & Neurology | 1425 Madison Ave # L4-34, New York, NY 10029-6514 | 2019-07-30 |
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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.