TRISTATE MEDICAL CARE PC (NPI# 1972693315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972693315 |
Entity Type | Organization |
Organization Name | TRISTATE MEDICAL CARE PC |
Practice Address |
3615 Ave S Brooklyn NY 11234 |
Mailing Address |
8200 21st Ave Brooklyn NY 11214 |
Practice Telephone | 7183362110 |
Mailing Telephone | 7182366644 |
Mailing Fax Number | 7182369080 |
Enumeration Date | 2006-10-14 |
Last Update Date | 2008-01-16 |
Authorized Official Name | DR. SHASHIBALA SONI (MD FACP FACC) |
Authorized Official Telephone | 7182364444 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | 128754 | NY | Allopathic & Osteopathic Physicians |
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
128754 | NY | Ambulatory Health Care Facilities |
N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
25MA06036700 | NJ | Ambulatory Health Care Facilities |
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
128754 | NY | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053352468 | Tristate Medical Care PC | Physical Medicine & Rehabilitation | 21 Grand Ave, Suite 505, Palisades Park, NJ 07650-1076 | 2006-06-09 |
Street Address |
3615 AVE S |
City | BROOKLYN |
State | NY |
Zip Code | 11234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861000549 | Vanessa Clouden | Counselor | 651 East 59th St, Brooklyn, NY 11234 | 2020-07-17 |
1467098871 | Stephan Jean-claude | Licensed Practical Nurse | 853 Est 52nd St., Kings, NY 11234 | 2019-11-20 |
1356983167 | Barbara Baptiste | Family Medicine | 4710 Flatlands Ave, Brooklyn, NY 11234 | 2019-10-14 |
1376199141 | Sabrina Boutros | Physician Assistant | 1618 East 34th Street, Brooklyn, NY 11234 | 2019-08-16 |
1740846252 | Angelie Dawn Banaybanay Flores | Physical Therapist | 3214 Kings Highway, Brooklyn, New York, NY 11234 | 2019-05-10 |
1891273033 | Diana Haughton-bennett | Nurse Practitioner | 2067 E 60th St, Brooklyn, NY 11234 | 2018-07-31 |
1518450030 | Eduard Galper | Technician/Technologist | 2062 E 36th St, Brooklyn, NY 11234 | 2018-06-09 |
1538658448 | Vanessa Lee Hernandez | Nurse Practitioner | 3201 Kings Highway-emergency Room, Brooklyn, NY 11234 | 2018-05-07 |
1609377126 | Keisha Batson | Behavior Technician | 1669 E 48th St, Brooklyn, NY 11234 | 2018-02-21 |
1598280323 | Flex Rehab Physical Therapy PC | Physical Therapist | 1950 Coleman St, Brooklyn, NY 11234 | 2017-08-14 |
Find all providers in zip 11234 |
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 |
---|---|---|---|---|
1649767013 | Complete Express Medical PC | Internal Medicine | 3047 Avenue U Ste 2, Brooklyn, NY 11229-5144 | 2018-04-20 |
1699287201 | Heart & Rhythm Centers of Excellence, Inc | Internal Medicine | 1623 Flatbush Ave Ste 110, Brooklyn, NY 11210-3259 | 2017-11-05 |
1073962304 | Feel Good Medical PC | Internal Medicine | 2965 Ocean Pkwy Ste 2b, Brooklyn, NY 11235-8048 | 2016-06-07 |
1871958140 | Med Care Consultants | Internal Medicine | 4713 Church Ave, Brooklyn, NY 11203-3209 | 2015-12-30 |
1710366729 | Nyc Diagnostic Medical P.C. | Internal Medicine | 622 Avenue X, Brooklyn, NY 11235-6120 | 2015-05-22 |
1952723017 | Jeremiah M Gelles, Md PC | Internal Medicine | 508 78th St, Brooklyn, NY 11209-3706 | 2014-01-09 |
1265862486 | Cardiovascular Wellness Medical | Internal Medicine | 2606 Haring St Fl 2, Brooklyn, NY 11235-1606 | 2013-11-25 |
1821437401 | Pace Cardiology PC | Internal Medicine | 135 Ocean Pkwy Ste 1t, Brooklyn, NY 11218-2579 | 2013-06-18 |
1740522176 | Cardiac Associates of New York Pllc | Internal Medicine | 372 Avenue U Ste 1b, Brooklyn, NY 11223-4052 | 2013-03-24 |
1831430495 | Helping Hands Medical Services PC | Internal Medicine | 2422 Knapp St, Brooklyn, NY 11235-1006 | 2013-03-07 |
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.