NOVA VITA MEDICAL PC (NPI# 1760907166) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760907166 |
| Entity Type | Organization |
| Organization Name | NOVA VITA MEDICAL PC |
| Practice Address |
887 Rutland Rd Brooklyn NY 11203 |
| Mailing Address |
887 Rutland Rd Brooklyn NY 11203-1911 |
| Practice Telephone | 3476276385 |
| Practice Fax Number | 3474139888 |
| Mailing Telephone | 3476276385 |
| Mailing Fax Number | 3474139888 |
| Enumeration Date | 2017-08-07 |
| Last Update Date | 2018-05-22 |
| Authorized Official Name | UBONG JACKSON UDOYEN (MD) |
| Authorized Official Telephone | 8032697381 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians | ||
| Y | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | STATE LICENSE | 265463 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659884690 | Nova Vita Medical PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-11-13 |
| Street Address |
887 RUTLAND RD |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205825320 | Adex Physical Therapy PC | Physical Therapist | 887 Rutland Rd, Brooklyn, NY 11203-1911 | 2005-10-20 |
| 1871966333 | Raj Medical Diagnostics PC | Internal Medicine | 887 Rutland Rd, Brooklyn, NY 11203 | 2015-11-05 |
| 1336224773 | Adewale Sarafadeen Adenlola | Physical Therapist | 887 Rutland Rd, Adex Pt PC, Brooklyn, NY 11203-1911 | 2006-10-26 |
| 1023038890 | Chinwe F Okonkwo | Internal Medicine | 887 Rutland Rd, Brooklyn, NY 11203-1911 | 2006-07-21 |
| 1194746636 | Rutland Medical Plaza | Internal Medicine | 887 Rutland Rd, Brooklyn, NY 11203 | 2006-07-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023615747 | Winnie Ming Wong | Dance Therapist | 451 Clarkson Ave R Building, Idd/mh Unit, R5west, Brooklyn, NY 11203 | 2020-10-06 |
| 1174134803 | Jermiah Jonoah Jones | Social Worker | 307 E 54th St, 3, Brooklyn, NY 11203 | 2020-08-14 |
| 1780201566 | Jesvin Jeyapaulraj | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate, General Surgery Department, Brooklyn, NY 11203 | 2020-06-29 |
| 1881219731 | Natasha Thomas | Specialist | 140 East 52nd St Brooklyn, Apt 1r, Brooklyn, NY 11203 | 2020-06-16 |
| 1679197396 | Syed Hamza Bin Waqar | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Msc 50, Suny Downstate, Brooklyn, NY 11203 | 2020-05-29 |
| 1013536846 | Isaak Rubinov | Student in an Organized Health Care Education/Training Program | 91 E 39th St, Brooklyn, NY 11203 | 2020-04-12 |
| 1932733615 | Shade Celestine | Specialist | 293 East53rd Street, Brooklyn, NY 11203 | 2020-03-03 |
| 1023656147 | Shenez Brutus | Nurse Practitioner | Suny Downstate College of Nursing, 450 Clarkson Avenue, Brooklyn, NY 11203 | 2019-12-19 |
| 1215586425 | Terry-ann Lee | Registered Nurse | 440 East 45th Street, Kings, NY 11203 | 2019-09-10 |
| 1568023828 | Mmeyeneabasi David Omede | Student in an Organized Health Care Education/Training Program | 450 Clarkson Avenue, Suny Downstate Medical Center, Brooklyn, NY 11203 | 2019-06-26 |
| Find all providers in zip 11203 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447518535 | Yi Feng Chen | Allergy & Immunology | 802 64th St Fl 3, Brooklyn, NY 11220-4730 | 2012-04-26 |
| 1306073291 | Edward Kleiman | Allergy & Immunology | 1314 41st St, Brooklyn, NY 11218-3571 | 2009-06-17 |
| 1558438796 | Sigmund Friedman | Allergy & Immunology | 1421 48th St, Brooklyn, NY 11219 | 2006-11-30 |
| 1922186204 | Ruy Chen Tio | Allergy & Immunology | 1715 East 17th Street, Brooklyn, NY 11229 | 2006-11-02 |
| 1447205836 | Babatunde Adeyemi | Allergy & Immunology | 1711 Ralph Ave, Brooklyn, NY 11236-3319 | 2006-05-23 |
| 1215937453 | Chona Cudal Fernandez-gulmatico | Allergy & Immunology | 3103 Emmons Ave, Brooklyn, NY 11235-1709 | 2005-07-29 |
| 1437153301 | Yalamanchi K Rao | Allergy & Immunology | 565 Bay Ridge Pkwy, Brooklyn, NY 11209-3309 | 2005-06-09 |
| 1073129110 | Yelena Yakutilova | Allergy & Immunology | 5321 Flatlands Ave, Brooklyn, NY 11234-2322 | 2020-09-22 |
| 1942836895 | Michelle E Chanin | Allergy & Immunology | 506 6th St, Brooklyn, NY 11215-3609 | 2020-03-22 |
| 1356833529 | Andrea Burke | Allergy & Immunology | 1002 Manhattan Ave, Brooklyn, NY 11222-1314 | 2018-06-04 |
| 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.