EVAN PONCHER (NPI# 1942509708) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942509708 |
| Entity Type | Individual |
| Full Name | EVAN PONCHER |
| Credential | MD |
| Practice Address |
102-01 66th Road Forest Hills NY 11375 |
| Practice Telephone | 7188304200 |
| Enumeration Date | 2011-03-19 |
| Last Update Date | 2016-07-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 28695 | NE | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 268160-1 | NY | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | DR0053572 | CO | Allopathic & Osteopathic Physicians |
| Street Address |
102-01 66TH ROAD |
| City | FOREST HILLS |
| State | NY |
| Zip Code | 11375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023059284 | Sangam B Jhaveri | Internal Medicine | 102-01 66th Road, Forest Hills, NY 11375-2029 | 2006-06-09 |
| 1629433156 | Intermed Healthcare PC | Internal Medicine | 102-01 66th Road, Forest Hills, NY 11375-2029 | 2015-12-29 |
| 1912304494 | Fatima Moslimani | Physician Assistant | 102-01 66th Road, Forest Hills, NY 11375 | 2014-11-26 |
| 1619218658 | Forest Hills Hospital | General Acute Care Hospital | 102-01 66th Road, Forest Hills, NY 11375 | 2013-03-14 |
| 1861761751 | Sangam B Jhaveri Physician PC | Internal Medicine | 102-01 66th Road, Forest Hills, NY 11375-2029 | 2011-12-21 |
| 1801022108 | Mandeep Singh Saluja | Internal Medicine | 102-01 66th Road, Forest Hills, NY 11375-2122 | 2009-06-02 |
| 1336395532 | Roxanne P Chase-wiley | Nurse Practitioner | 102-01 66th Road, Forest Hills, NY 11375 | 2008-08-07 |
| 1376749572 | Dmitriy Aronov | Anesthesiology | 102-01 66th Road, Forest Hills, NY 11375 | 2007-06-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709623 | Nicole Ficano | Counselor | 102-02 66th Road, Forest Hills, NY 11375 | 2020-10-30 |
| 1396342473 | One Stop Senior Day Care Inc | Clinic/Center | 108-10 72nd Ave 2fl, Forest Hills, NY 11375 | 2020-10-02 |
| 1063029023 | Prohealth Care Associates, LLP | Occupational Therapist | 118-35 Queens Boulevard, Suite 1550, Forest Hills, NY 11375 | 2020-09-24 |
| 1659909398 | Lindsay Stemke | Student in an Organized Health Care Education/Training Program | 102-01 66th Rd., Forest Hills, NY 11375 | 2020-03-30 |
| 1609409887 | Yesodot, Inc | Clinic/Center | 110-06 69th Ave, Forest Hills, NY 11375 | 2020-02-17 |
| 1831744945 | Darius Douglas | Counselor | Bleuler Psychotherapy Center 104-70 Queens Blvd, Suite 500, Forest Hills, NY 11375 | 2019-08-06 |
| 1598329914 | Jane Rochelle Pahang | Physical Therapist | 116-21 Queens Blvd, Forest Hills, NY 11375 | 2019-05-01 |
| 1558828939 | Natalie Koptyev | Pharmacist | 108-14 68th Drive, Forest Hills, NY 11375 | 2019-02-21 |
| 1043782014 | Magdalena Lekic Salameh | Behavioral Analyst | 67-29 Kessel Street, Forest Hills, NY 11375 | 2018-12-31 |
| 1861960031 | Bertine Sylvie Alectine | Specialist | 108-18 Queens Blvd, 5th Floor, Suite 4a, Forest Hills, NY 11375 | 2018-11-06 |
| Find all providers in zip 11375 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215314083 | Eric Copeli | Emergency Medicine | 10250 62nd Rd Apt 2b, Forest Hills, NY 11375-1009 | 2015-04-30 |
| 1982983185 | Christie Lech | Emergency Medicine | 8843 69th Rd, Forest Hills, NY 11375-6609 | 2011-08-05 |
| 1821308099 | Steven Joseph Manierre | Emergency Medicine | 112-25 75th Ave, Apt 1, Forest Hills, NY 11375 | 2010-10-20 |
| 1417058363 | Steven Michael Hormozdi | Emergency Medicine | Forest Hills Hospital / North Shore-lij Health System, 102-01 66th Road, Forest Hills, NY 11375 | 2006-09-25 |
| 1609837384 | Waiho Lum | Emergency Medicine | 11201 75th Ave, Forest Hills, NY 11375-5633 | 2006-03-31 |
| 1891073078 | Yelena Sorokina-ruffini | Emergency Medicine | 10201 66th Rd, Emergency Department, Forest Hills, NY 11375-2029 | 2011-07-22 |
| 1053603068 | Yizza Narvaez | Emergency Medicine | 10201 66th Rd, Forest Hills, NY 11375-2029 | 2011-05-09 |
| 1083878979 | Rachel Emily Bruce | Emergency Medicine | 10201 66th Rd, Department of Emergency Medicine, Forest Hills, NY 11375-2029 | 2008-07-10 |
| 1245492487 | Petru Codrin Nemes | Emergency Medicine | 10201 66th Rd, Forest Hills Hospital, Emergency Department, Forest Hills, NY 11375-2029 | 2008-06-30 |
| 1023278520 | Farhad Mohammad Gazi | Emergency Medicine | 10201 66th Rd, Medical Staff Office, Forest Hills, NY 11375-2029 | 2008-06-10 |
| Find all providers in FOREST HILLS | ||||
| City | FOREST HILLS |
| Zip Code | 11375 |
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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.