DR. JEROMY RYAN PATTERSON (NPI# 1770877953) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770877953 |
| Entity Type | Individual |
| Full Name | DR. JEROMY RYAN PATTERSON |
| Credential | M.D. |
| Practice Address |
11602 Queens Blvd Ste A Forest Hills NY 11375-7055 |
| Mailing Address |
6851 Jericho Tpke Ste 150 Syosset NY 11791-4462 |
| Practice Telephone | 7183011100 |
| Practice Fax Number | 7182613893 |
| Mailing Telephone | 5167171817 |
| Mailing Fax Number | 6312046446 |
| Enumeration Date | 2011-06-05 |
| Last Update Date | 2018-10-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 278937 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 04680333 | 05 | |
| NY | NYC SURGICAL ASSOCIATES | 1720357817 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6851 Jericho Tpke Ste 150, Syosset, NY 11791 | 5167171817 | 6312046446 |
| Street Address |
11602 QUEENS BLVD STE A |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375-7055 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992046700 | Irwin Herbert Krasna | Surgery | 70-20 108th St., Apt. 7p, Forest Hills, NY 11375 | 2013-03-05 |
| 1740891290 | Catherine Pastor | Surgery | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2020-08-10 |
| 1407121536 | Richard Bassin | Surgery | 11247 Queens Blvd, 204, Forest Hills, NY 11375-7417 | 2012-03-22 |
| 1295066520 | Manny Sternberg | Surgery | 11045 Queens Blvd, Apt. 810, Forest Hills, NY 11375-5501 | 2010-01-27 |
| 1902058357 | Faris Al-gebory Md | Surgery | 70-31a 108th Street, Suite 4, Forest Hills, NY 11375 | 2008-10-16 |
| 1942461272 | Philip J. Lopresti D.o., P.C. | Surgery | 10810 72nd Ave, Forest Hills, NY 11375-5338 | 2008-06-19 |
| 1912039405 | Forest Hills Surgical Associates PC | Surgery | 11042 72nd Rd, Forest Hills, NY 11375-8303 | 2007-03-10 |
| 1487717773 | Alan P Zeitlin M D and Michael Reich M D Pllc | Surgery | 69-60 108th Street, Forest Hills, NY 11375-4323 | 2006-12-18 |
| 1396805909 | Moises Tenembaum Md & Michael Drew Md Pllc | Surgery | 7010 Austin St, Suite 103, Forest Hills, NY 11375-4763 | 2006-12-12 |
| 1417047648 | Philip John Lopresti | Surgery | 10810 72nd Ave, Forest Hills, NY 11375-5338 | 2006-10-16 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
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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.