KHADER MEDICAL PC (NPI# 1821304916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821304916 |
| Entity Type | Organization |
| Organization Name | KHADER MEDICAL PC |
| Practice Address |
1072 Grand Concourse Bronx NY 10456-3901 |
| Mailing Address |
25 Bank St Apt 214 H White Plains NY 10606-7000 |
| Practice Telephone | 7186814000 |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |
| Authorized Official Name | RAWAND KHADER (OWNER) |
| Authorized Official Telephone | 2122552333 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
002706 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1072 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10456-3901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467457002 | Concourse Rehab & Nursing Ctr Inc. | Skilled Nursing Facility | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2005-06-20 |
| 1194332197 | E L Family Health Np Pllc | Nurse Practitioner | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2020-09-24 |
| 1831666833 | Harbor Family Health Np Pllc | Nurse Practitioner | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2018-10-28 |
| 1689188690 | Hyun Suk Park | Clinical Nurse Specialist | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2017-11-29 |
| 1093244113 | Jennifer Ruth Moss | Psychologist | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2017-06-12 |
| 1033641485 | Dominica Uduba | Nurse Practitioner | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2017-04-03 |
| 1720479058 | Esther Lebovic | Nurse Practitioner | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2015-02-09 |
| 1861537672 | Esmie Morris-taylor | Nurse Practitioner | 1072 Grand Concourse, Bronx, NY 10456-3901 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336778281 | Danielle O'reggio Nurse Practicioner In Family Health P.C. | Nurse Practitioner | 1200 Webster Ave., Bronx, NY 10456 | 2020-04-03 |
| 1326678111 | New York Dialysis Services, Inc | Clinic/Center | 794 St Anns Ave, Bronx, NY 10456 | 2020-01-21 |
| 1174163430 | Emmanuel Guzman | Speech-Language Pathologist | 968 Cauldwell Avenue Rm 307, Bronx, NY 10456 | 2020-01-14 |
| 1154988194 | Arun George Prasad | Student in an Organized Health Care Education/Training Program | 1276 Fulton Avenue, Bronxcare Health System-fulton Divi, Psychiatry Residency, 5th Floor, Bronx, NY 10456 | 2019-05-24 |
| 1619431574 | Soroush Pakniyat-jahromi | Student in an Organized Health Care Education/Training Program | 1276 Fulton Ave. 5th Floor, Bronx, NY 10456 | 2019-01-24 |
| 1548745078 | Danielle Renee O'reggio | Nurse Practitioner | 1210 Webster Ave, Bronx, NY 10456 | 2018-10-01 |
| 1154830537 | Renee Lucette Mills | Counselor | 1011 Washington Avenue, 1st Floor, Bronx, NY 10456 | 2017-09-28 |
| 1487177572 | Webster Urgent Care, P.C. | Clinic/Center | 1210 Webster Avenue, Bronx, NY 10456 | 2017-07-20 |
| 1508395864 | Cheryl Roxann Camp | Counselor | 530 East 169th Street, Apt. 10e, Bronx, NY 10456 | 2017-06-08 |
| 1336683465 | Lorraine Dukes | Health Educator | 778 Forest Ave., P17x, Bronx, NY 10456 | 2016-12-08 |
| Find all providers in zip 10456 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245462621 | Sharad Kothari | Internal Medicine | 3979 Laconia Ave, Bronx, NY 10466-4916 | 2009-08-18 |
| 1124288170 | Alina Gory | Internal Medicine | 664 Thwaites Pl Apt 2a, Bronx, NY 10467-7925 | 2008-06-12 |
| 1962684373 | Alejandra Villalobos | Internal Medicine | 1 Fordham Plz Ste 1000, Bronx, NY 10458-5871 | 2007-11-28 |
| 1497955041 | Bernard Stern | Internal Medicine | 3128 Palisade Ave, Bronx, NY 10463-1014 | 2007-07-23 |
| 1518019124 | Carole Michelsen | Internal Medicine | 66 Van Cortlandt Park South, St. Patricks Home, Bronx, NY 10463 | 2007-01-17 |
| 1356429740 | Riverdale Internal Medicine & Geriatric Services, PC | Internal Medicine | 5601 Riverdale Ave, Suite 1d, Bronx, NY 10471-2119 | 2006-11-01 |
| 1598851628 | Anna Skokowska-lebelt | Internal Medicine | 4141 Carpenter Ave, Renal Unit, Bronx, NY 10466-2600 | 2006-10-05 |
| 1932206752 | Hannah I Lipman | Internal Medicine | Mmc - Dept of Internal Med, 111 East 210th Street, Bronx, NY 10467 | 2006-09-20 |
| 1306888086 | Jomarie Zeleznik | Internal Medicine | 3224 Grand Concourse, #ba, Bronx, NY 10458-1008 | 2006-06-10 |
| 1083667935 | Srinivasa Reddy Adapa | Internal Medicine | 3950 White Plains Rd, Bronx, NY 10466-3026 | 2006-05-19 |
| Find all providers in BRONX | ||||
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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.