DR. RICHARD BRYAN JACARUSO (NPI# 1912999780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912999780 |
| Entity Type | Individual |
| Full Name | DR. RICHARD BRYAN JACARUSO |
| Credential | D.O. |
| Practice Address |
1401 Franklin Avenue Garden City NY 11530-1613 |
| Mailing Address |
1401 Franklin Ave Garden City NY 11530-1613 |
| Practice Telephone | 5168772626 |
| Practice Fax Number | 5168770945 |
| Mailing Telephone | 5168772626 |
| Mailing Fax Number | 5168770945 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2016-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
176739 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1401 FRANKLIN AVENUE |
| City | GARDEN CITY |
| State | NY |
| Zip Code | 11530-1613 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861622599 | Dori L Cinque | Dietitian, Registered | 1401 Franklin Avenue, Garden City, NY 11530 | 2009-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144850207 | Ellen Jay Palacio Mabatid | Physical Therapist | 66 New Hyde Park, Garden City, NY 11530 | 2020-01-16 |
| 1255991022 | Rubin Anesthesia Pain Management, Pllc | Anesthesiology | 1103 Stewart Avenue, Suite 300, Garden City, NY 11530 | 2019-06-14 |
| 1144793720 | Jack Doby Garden City, LLC | Eyewear Supplier (Equipment, not the service) | Jack Doby Garden City, LLC, 928 Old Country Road, Garden City, NY 11530 | 2019-01-07 |
| 1386135051 | Granger & Sahasra | Dentist | 1103 Stewart Avenue Suite 104, Garden City, NY 11530 | 2018-05-29 |
| 1598262537 | Suzanne P. Reid-bradshaw | Specialist | Kidz Therapy, 300 Garden City Plaza, Garden City, NY 11530 | 2018-04-06 |
| 1972021129 | Nicole Maria Gaudino | Nurse Practitioner | One South Avenue, Waldo Hall, Garden City, NY 11530 | 2017-09-07 |
| 1619495645 | Christine Scheppa | Registered Nurse | 225 Brompton Rd South, Garden City South, NY 11530 | 2017-08-30 |
| 1699290981 | Deborah Ann Pontosky | Registered Nurse | 104 Fifth Street, Garden City, NY 11530 | 2017-08-08 |
| 1932648748 | Tahmina Jahir | Student in an Organized Health Care Education/Training Program | 15 Hilton Ave, Garden City, NY 11530 | 2017-02-14 |
| 1598209173 | Dino Michelli | Specialist | 300 Garden City Plaza, Ste 350, Kidz Therapy/ Gayle E. Kligman Therapeutic Resources, Garden City, NY 11530 | 2016-12-15 |
| Find all providers in zip 11530 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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 |
|---|---|---|---|---|
| 1720019383 | William R Back | Internal Medicine | 30626 Ford Rd, Garden City, MI 48135-1870 | 2006-07-05 |
| 1174554687 | Nizam Ali Habhab | Internal Medicine | 1244 Middlebelt Rd, Garden City, MI 48135-2822 | 2006-07-05 |
| 1427040278 | Philip D Ragno | Internal Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2005-08-18 |
| 1194334771 | Catholic Health Initiatives Colorado | Internal Medicine | 311 E Spruce St, Garden City, KS 67846-5614 | 2020-07-29 |
| 1093253783 | Felix I Oviasu Md PC | Internal Medicine | 400 Garden City Plz, Suite 303, Garden City, NY 11530-3322 | 2017-02-02 |
| 1346610185 | Nyli Medicine Pllc | Internal Medicine | 1225 Franklin Ave, Suite 325, Garden City, NY 11530-1691 | 2015-10-06 |
| 1760725949 | Matthew D Wright | Internal Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2013-04-05 |
| 1033419270 | Cardiovascular Medical Associates PC | Internal Medicine | 975 Stewart Ave, Garden City, NY 11530-4816 | 2010-10-21 |
| 1710129044 | Jonathan Nichol Jordan | Internal Medicine | 975 Stewart Ave, Garden City, NY 11530-4816 | 2009-04-01 |
| 1578740478 | Seth Robert Bender | Internal Medicine | 1401 Franklin Ave, Garden City, NY 11530-1613 | 2008-01-23 |
| Find all providers in GARDEN CITY | ||||
| City | GARDEN CITY |
| Zip Code | 11530 |
Please comment or provide details below to improve the information on DR. RICHARD BRYAN JACARUSO.
| 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.