VILLAGE FAMILY PRACTICE, PC (NPI# 1902048911) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902048911 |
| Entity Type | Organization |
| Organization Name | VILLAGE FAMILY PRACTICE, PC |
| Practice Address |
30 5th Ave New York NY 10011-8859 |
| Practice Telephone | 2124771750 |
| Mailing Telephone | 2124771750 |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2010-04-22 |
| Authorized Official Name | JERRY CLEMENTS (PRESIDENT) |
| Authorized Official Telephone | 2124771750 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 166889 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
30 5TH AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10011-8859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013930411 | Michael Fredrick Leifert | Dentist | 30 5th Ave, Suite 1j.k., New York, NY 10011-8859 | 2006-07-26 |
| 1649517632 | Christina Noel Demartino | Physician Assistant | 30 5th Ave, Suite 1d, New York, NY 10011-8859 | 2013-01-10 |
| 1104182880 | Village Family Practice | Clinic/Center | 30 5th Ave, 1e, New York, NY 10011-8859 | 2012-04-06 |
| 1437300670 | Edward John Gorecki | Chiropractor | 30 5th Ave, Suite 1c, New York, NY 10011-8859 | 2008-10-07 |
| 1073792354 | Ronniette Cristina Garcia | Dentist | 30 5th Ave, Apt 1k, New York, NY 10011-8859 | 2007-11-02 |
| 1710183728 | Giulio Mazzarelli Chiropractic | Chiropractor | 30 5th Ave, New York, NY 10011-8859 | 2007-06-26 |
| 1598968323 | Eugene B Kalin | Psychoanalyst | 30 5th Ave, New York, NY 10011-8859 | 2007-06-08 |
| 1306060538 | Melvyn Martin Leifert | Dentist | 30 5th Ave, Suite 1j.k., New York, NY 10011-8859 | 2007-04-11 |
| 1275667875 | Eric M Wahl | Specialist | 30 5th Ave, 1e, New York, NY 10011-8859 | 2007-03-15 |
| 1992849004 | Steven David Levine | Chiropractor | 30 5th Ave, Suite 1-h, New York, NY 10011-8859 | 2007-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720603863 | Sara Lavner | Psychoanalyst | 80 Fith Avenue, Suite 1503, New York City, NY 10011 | 2020-06-15 |
| 1649829219 | Clara Angel Inc. | Counselor | 12 Fifth Avenue, Suite 1f, New York, NY 10011 | 2019-09-06 |
| 1245797786 | Efrat Ginot | Psychologist | 20 W 16th St Ground Floor, New York, NY 10011 | 2019-02-20 |
| 1619441276 | Deify Laser & Beauty Lounge | Specialist | 134 W. 23rd St., New York, NY 10011 | 2019-01-17 |
| 1215408117 | Habitat Specialty Pharmacy, Inc. | Pharmacy | Habitat Specialty Pharmacy, Inc, 171 Seventh Ave, New York, NY 10011 | 2018-12-17 |
| 1518437136 | Melissa Kate Mcintosh, Inc. | Counselor | 167 W. 21st St., #3se, Ny, NY 10011 | 2018-11-26 |
| 1700367851 | Chana Zigelboym | Speech-Language Pathologist | 353 W 17th St, New York, NY 10011 | 2018-08-27 |
| 1376042358 | Claudia Eleanore Lament | Social Worker | 31 Washington Square West, Pha, New York, NY 10011 | 2018-02-06 |
| 1023527611 | Linda Jacobs | Psychologist | 96 5th Avenue, Sutie 1d, New York, NY 10011 | 2017-09-26 |
| 1861919359 | Ireen Miras Ninonuevo | Social Worker | 80 5th Ave Ofc 2004-6, New York, NY 10011 | 2017-08-24 |
| Find all providers in zip 10011 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| 1396359642 | Marlene Aquino | Family Medicine | 252 E 4th St Apt 2d, New York, NY 10009-7538 | 2020-09-03 |
| 1164043378 | Weber Medical Care Pllc | Family Medicine | 10 Rutgers St Apt 4l, New York, NY 10002-7167 | 2020-04-28 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1770111429 | Live Life Now Health Group Pa | Family Medicine | 350 7th Ave, New York, NY 10001-5013 | 2020-03-30 |
| 1235762899 | 121 Medical P.C. | Family Medicine | 5030 Broadway Ste 818, New York, NY 10034-1670 | 2020-02-21 |
| 1558992206 | Juno Medical Practice, Pllc | Family Medicine | 2119 Frederick Douglass Blvd, New York, NY 10026-2392 | 2020-01-31 |
| 1912567884 | Chinatown True Care Medical Pllc | Family Medicine | 139 Centre St Ste 711, New York, NY 10013-4557 | 2019-06-13 |
| 1295205201 | Mary Scanlon-o'kelly | Family Medicine | 30 West St Apt 2a, New York, NY 10004-3052 | 2018-12-03 |
| 1932691532 | Tala Fanek | Family Medicine | 622 W 168th St Ph 12-1272, New York, NY 10032-3720 | 2018-05-31 |
| Find all providers in NEW YORK | ||||
Please comment or provide details below to improve the information on VILLAGE FAMILY PRACTICE, PC.
| 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.