OMER TIPU PHYSICIAN PC (NPI# 1780004358) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780004358 |
| Entity Type | Organization |
| Organization Name | OMER TIPU PHYSICIAN PC |
| Practice Address |
446 Mcdonald Ave Brooklyn NY 11218-2212 |
| Mailing Address |
710 Sunnyview Oval Keasbey NJ 08832-1039 |
| Practice Telephone | 7189724200 |
| Mailing Telephone | 7189724200 |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-08-01 |
| Authorized Official Name | OMER TIPU (PRESIDENT) |
| Authorized Official Telephone | 7189724200 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03850084 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | OMER TIPU PHYSICIAN PC | 710 Sunnyview Oval, Keasbey, New Jersey 08832 |
| Street Address |
446 MCDONALD AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11218-2212 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538377700 | Kings Highway Physical Therapy PC | Specialist | 446 Mcdonald Ave, Brooklyn, NY 11218-2212 | 2007-05-19 |
| 1396052858 | Rapid Medical Care | Family Medicine | 446 Mcdonald Ave, Brooklyn, NY 11218-2212 | 2010-09-06 |
| 1801107594 | Mariyum A Shakir | Internal Medicine | 446 Mcdonald Ave, Brooklyn Medical Group, Brooklyn, NY 11218-2212 | 2010-06-28 |
| 1669601159 | Omer Khalique Tipu | Family Medicine | 446 Mcdonald Ave, Brooklyn, NY 11218-2212 | 2009-07-07 |
| 1700047289 | Clerisy Medical, PC | Specialist | 446 Mcdonald Ave, Brooklyn, NY 11218-2212 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578161410 | Sigit LLC | In Home Supportive Care | 1132 39 St, Basement, Brooklyn, NY 11218 | 2020-10-13 |
| 1073127338 | Mushka Sternbach | Specialist | 312-38 Street, Brooklyn, NY 11218 | 2020-09-03 |
| 1659989614 | Sara Montag | Specialist | Yeled V'yaldas 1312 38th Street, Brooklyn, NY 11218 | 2020-07-16 |
| 1922626936 | Benzion Fuhrer | Specialist | Yeled Vyalda, 1312 38 St, Brooklyn, NY 11218 | 2020-07-07 |
| 1326665209 | Sara Rosenberg | Specialist | Yeled V' Yalda, 1312-38 Street, Brooklyn, NY 11218 | 2020-06-26 |
| 1831714690 | Estee Goldberg-lieblich | Specialist | Y'eled V'yalda, 1312 38th St., Brooklyn, NY 11218 | 2020-06-08 |
| 1659915213 | Esther M Schon | Specialist | Yeled V'yalda's 1312- 38 Street, Brooklyn, NY 11218 | 2019-11-06 |
| 1902464597 | Malky Wallerstein | Specialist | Yeled V'yalda's 1312 38th Street, Brooklyn, NY 11218 | 2019-05-30 |
| 1457817900 | Rut Munk | Specialist | Yeled V' Yalda's, 1312 38 Street, Brooklyn, NY 11218 | 2019-02-20 |
| 1073089405 | Bracha Yagudaev | Specialist | Yeled V'yalda's 1312-38 Street, Brooklyn, NY 11218 | 2018-10-24 |
| Find all providers in zip 11218 | ||||
| Taxonomy Code | 207QG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Geriatric Medicine |
| A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245682475 | Salut Medical PC | Family Medicine | 699 Stanley Ave, Brooklyn, NY 11207-7905 | 2016-07-12 |
| 1891010781 | Christine R. Viola | Family Medicine | 415 Ocean Pkwy, 4a, Brooklyn, NY 11218-4748 | 2010-04-02 |
| 1447440029 | Nathalia Idelevitch | Family Medicine | 3048 Brighton 1st St Ste 6, Brooklyn, NY 11235 | 2007-07-30 |
| 1942352687 | Executive Health Medical Care PC | Family Medicine | 7901 Bay Parkway, Suite 1b, Brooklyn, NY 11214 | 2007-01-16 |
| 1235140542 | Richard Gary Conway | Family Medicine | 1445 E 3rd St, Brooklyn, NY 11230-5572 | 2006-08-11 |
| 1720327406 | Carolyn Jean Murray | Family Medicine | 4802 10th Ave, Maimonides Medical Center, Brooklyn, NY 11219-2916 | 2013-01-31 |
| 1669601159 | Omer Khalique Tipu | Family Medicine | 446 Mcdonald Ave, Brooklyn, NY 11218-2212 | 2009-07-07 |
| 1740423508 | Nathalia Idelevitch Medical Office PC | Family Medicine | 4802 10th Ave, Brooklyn, NY 11219-2916 | 2009-04-09 |
| 1548421456 | Willis Medical Services, P.C. | Family Medicine | 7724 New Utrecht Ave, Suite L.l., Brooklyn, NY 11214-1014 | 2008-06-23 |
| 1417030883 | Howard Mitchell Orkin | Family Medicine | 8605 Flatlands Ave, Brooklyn, NY 11236-3607 | 2006-10-21 |
| 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.