MR. BOTROS GARAS (NPI# 1841767761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841767761 |
| Entity Type | Individual |
| Full Name | MR. BOTROS GARAS |
| Credential | PA |
| Practice Address |
6061 Putnam Ave Ridgewood NY 11385-4529 |
| Practice Telephone | 3476103306 |
| Mailing Telephone | 3476103306 |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2018-10-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 022942 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
6061 PUTNAM AVE |
| City | RIDGEWOOD |
| State | NY |
| Zip Code | 11385-4529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326650425 | Nicole Jablonska | Speech-Language Pathologist | 60-24 Grove Street, Ridgewood, NY 11385 | 2020-08-19 |
| 1295393296 | Ila Debra Christmas | Clinic/Center | 67-29 Myrtle Avenue, Glendale, NY 11385 | 2019-06-04 |
| 1164929584 | Carmen E. Vidal | Case Manager/Care Coordinator | 61-06 Metropolitan Ave., Ridgewood, NY 11385 | 2018-04-11 |
| 1467955385 | Avchemists LLC | Pharmacy | 68-28 Myrtle Ave, Glendale, NY 11385 | 2018-03-16 |
| 1235639667 | Yu-jen Hwang | Physical Therapist | 55-05 Myrtle Avenue, 2nd Floor, Ridgewood, NY 11385 | 2018-02-12 |
| 1477069185 | Selena Delgado | Behavior Technician | 64-07 Cooper Avenue, Glendale, NY 11385 | 2017-12-18 |
| 1851806913 | Myrtle Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 7933 Myrtle Ave, Flushing, NY 11385 | 2017-12-11 |
| 1104345727 | Suzanne Eng | Counselor | 1080 Wykoff Ave., Suite D4, Ridgewood, NY 11385 | 2017-09-14 |
| 1588183339 | Geri P Services Inc. | Early Intervention Provider Agency | 5938 Gates Ave, Ridgewood, NY 11385 | 2017-09-13 |
| 1922523935 | Kristen Michele Spang | Speech-Language Pathologist | 79-56 77th Road, Glendale, NY 11385 | 2017-08-10 |
| Find all providers in zip 11385 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902185424 | Nicole Marie Siegel | Physician Assistant | 7326 70th St, Ridgewood, NY 11385-7118 | 2011-08-15 |
| 1154531960 | Sharon Soroka Ukleja | Physician Assistant | 20 Wilsey Sq Ste C, Ridgewood, NJ 07450-3730 | 2007-05-23 |
| 1942428255 | Alisa Stephanie Goulbourne-scott | Physician Assistant | 19 Henrietta Ct, Ridgewood, NJ 07450-2938 | 2007-04-23 |
| 1285245811 | Jessica I Deleon | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2020-08-17 |
| 1295360576 | Jill Kathleen Mcgovern | Physician Assistant | 106 Prospect Street, 3rd Floor, Ridgewood, NJ 07450-4433 | 2020-03-07 |
| 1417508391 | Nirali Patel | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2019-09-23 |
| 1053888362 | Diana S Cronenberg | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-10-25 |
| 1962986703 | Nerricka Nalundasan | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-09-18 |
| 1558857748 | Amanda Ukleja | Physician Assistant | 223 N Van Dien Ave, Ridgewood, NJ 07450-2726 | 2018-07-10 |
| 1083109474 | Sydney Denault | Physician Assistant | 85 S Maple Ave, Ridgewood, NJ 07450-4561 | 2018-06-27 |
| Find all providers in RIDGEWOOD | ||||
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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.