MARIAM MACHABELI (NPI# 1962837377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962837377 |
| Entity Type | Individual |
| Full Name | MARIAM MACHABELI |
| Credential | MD |
| Practice Address |
765 Grand St Brooklyn NY 11211-5797 |
| Practice Telephone | 3479874764 |
| Practice Fax Number | 3479874769 |
| Mailing Telephone | 3479874764 |
| Mailing Fax Number | 3479874769 |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2019-08-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
270071 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
765 GRAND ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11211-5797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548892524 | Rahila M Pervez Md PC | Internal Medicine | 765 Grand St, Brooklyn, NY 11211-5797 | 2020-02-07 |
| 1215384912 | Medical Office | General Practice | 765 Grand St, Brooklyn, NY 11211-5797 | 2016-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265068407 | Kent Russell Siady | Physical Therapist | 240 South 3rd.street, Brooklyn, NY 11211 | 2020-03-19 |
| 1285268623 | Rafieh Pharmacy | Pharmacy | 70 Lee Ave Store, Brooklyn, NY 11211 | 2020-02-25 |
| 1306314471 | Incontrol Nutrition | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2018-11-07 |
| 1073027751 | Alicia Perez | Counselor | 141 South 5th Street, Office West #6, Brooklyn, NY 11211 | 2017-11-16 |
| 1003350265 | Hani Alsergani | Internal Medicine | King Faisal Specialist Hospital. Heart Center., Takasussi Street. Mbc 16, Riyadh, CENTRAL 11211 | 2016-12-07 |
| 1043769805 | Jennifer S Budhan | Social Worker | 378 Union Ave, Office B, Brooklyn, NY 11211 | 2016-09-21 |
| 1174978613 | Amor Siozon | Physical Therapist | 185 Marcy Avenue, Brooklyn, NY 11211 | 2016-05-03 |
| 1649656638 | Albalis Chavez | Specialist | 334 South Third Street. Apt. 3c, Brooklyn, NY 11211 | 2015-08-03 |
| 1114315033 | Maja Mirkovic | Dietitian, Registered | 378 Union Avenue, Office C, Brooklyn, NY 11211 | 2014-12-30 |
| 1447687033 | Sarah Maria Johnson | Counselor | 190 S8 St. Apt. 14, Brooklyn, NY 11211 | 2013-09-27 |
| Find all providers in zip 11211 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1912169392 | Gates Pediatrics PC | Pediatrics | 1532 Gates Ave, Brooklyn, NY 11237-5727 | 2008-06-27 |
| 1588790018 | Melanie A Bravo | Pediatrics | 1650 E 91st St, Brooklyn, NY 11236-5218 | 2007-02-26 |
| 1447308697 | Prudence A Osei-tutu Sr. | Pediatrics | 84 Linden Blvd, Brooklyn, NY 11226-3301 | 2007-01-06 |
| 1114084399 | Ada Ruderman | Pediatrics | 1208 Avenue Z, Brooklyn, NY 11235-4302 | 2007-01-03 |
| 1962560615 | Marie France Conde | Pediatrics | 350 Ocean Ave, Brooklyn, NY 11226-1362 | 2006-12-05 |
| 1497826267 | Leonore Beth Max | Pediatrics | 1103 Cortelyou Road, Brooklyn, NY 11218-5303 | 2006-11-13 |
| 1356424915 | Jack Sadacka | Pediatrics | 813 Quentin Rd Ste 202, Brooklyn, NY 11223-2220 | 2006-10-24 |
| 1629168604 | Boris Marshalik | Pediatrics | 2966 Ocean Ave, Brooklyn, NY 11235-3202 | 2006-10-13 |
| Find all providers in BROOKLYN | ||||
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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.