MAIMONIDES MEDICAL CENTER -MMC SURGICAL ONCOLOGY ASSOCIATES FPP (NPI# 1982971206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982971206 |
| Entity Type | Organization |
| Organization Name | MAIMONIDES MEDICAL CENTER -MMC SURGICAL ONCOLOGY ASSOCIATES FPP |
| Practice Address |
948 48th St Brooklyn NY 11219-2918 |
| Mailing Address |
Gpo Box 27399 New York NY 10087-7399 |
| Practice Telephone | 7182838773 |
| Mailing Telephone | 7182838773 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |
| Authorized Official Name | MARTIN CAMMER (DIRECTOR) |
| Authorized Official Telephone | 7182838773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | NY | Allopathic & Osteopathic Physicians |
| Street Address |
948 48TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11219-2918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902801103 | Ludovico Guarini | Pediatrics | 948 48th St, Brooklyn, NY 11219-2918 | 2005-06-15 |
| 1356798169 | Linda Luciano | Nurse Practitioner | 948 48th St, 2nd Floor, Brooklyn, NY 11219-2918 | 2016-05-22 |
| 1811386808 | Sanskriti Mishra | Psychiatry & Neurology | 948 48th St, Maimonides Medical Center, Brooklyn, NY 11219-2918 | 2015-01-14 |
| 1154738854 | Jennifer K Masciotta | Nurse Practitioner | 948 48th St, 2nd Floor, Brooklyn, NY 11219-2918 | 2014-07-15 |
| 1679915326 | Simona Mattarelliano | Nurse Practitioner | 948 48th St, Brooklyn, NY 11219-2918 | 2013-07-23 |
| 1932469087 | Steven Rudolph, M.d. | Psychiatry & Neurology | 948 48th St, Brooklyn, NY 11219-2918 | 2012-05-23 |
| 1275810624 | Nicole Mayo | Psychologist | 948 48th St, 3rd Floor, Brooklyn, NY 11219-2918 | 2011-11-14 |
| 1124318050 | Maimonides Medical Center | General Acute Care Hospital | 948 48th St, Brooklyn, NY 11219-2918 | 2011-04-12 |
| 1154610343 | Anastasia Paraskevas | Pharmacist | 948 48th St, Brooklyn, NY 11219-2918 | 2011-03-29 |
| 1780982355 | Anya Revah | Genetic Counselor, MS | 948 48th St, 3rd Floor, Brooklyn, NY 11219-2918 | 2011-03-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073127163 | Chava Bokchin | Registered Nurse | 6200 15th Avenue, Brooklyn, NY 11219 | 2020-09-04 |
| 1164033643 | Debbie Evadne Evans-wright | Nurse Practitioner | 979 48th Street, Brooklyn, NY 11219 | 2020-08-10 |
| 1528614559 | Jonathan Benjamin Goldstein | Specialist | Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 | 2019-08-15 |
| 1235782301 | Vanessa Walton | Social Worker | 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 | 2019-07-18 |
| 1083184618 | Sandra Murray | Licensed Practical Nurse | 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 | 2018-11-27 |
| 1023588746 | Wanipa Muwowo-nwade | Physician Assistant | 4802 10th Ave Rm 301, Brooklyn, NY 11219 | 2018-11-26 |
| 1366919896 | Evelin Ponce | Licensed Practical Nurse | 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 | 2018-11-02 |
| 1083180301 | Yefim Simkhayev | Occupational Therapist | 1317 52nd St, Brooklyn, NY 11219 | 2018-10-15 |
| 1598240186 | F & D Pharmacy Inc | Pharmacy | 5504 -13 Ave, Brooklyn, NY 11219 | 2018-09-28 |
| 1245737469 | Yekaterina Joltikov | Student in an Organized Health Care Education/Training Program | Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 | 2018-04-13 |
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| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639694805 | Bay Ridge Surgi-center LLC | Surgery | 370 Bay Ridge Pkwy Ste 1, Brooklyn, NY 11209-3164 | 2017-08-09 |
| 1871977298 | Siarhei Melnikau | Surgery | 321 86th St Apt 2d, Brooklyn, NY 11209-5027 | 2015-07-15 |
| 1356757868 | Cristina Pate | Surgery | 5 Maspeth Ave, Brooklyn, NY 11211-2508 | 2014-07-03 |
| 1740601152 | Guy Yves Augustin | Surgery | 2603 Avenue D, Brooklyn, NY 11226-7811 | 2014-01-02 |
| 1720420763 | Mohammad Hamshow | Surgery | 948 48th St Fl 3, Brooklyn, NY 11219-2918 | 2013-07-18 |
| 1376984310 | Maryam Saeed | Surgery | 450 Clarkson Ave # 40, Brooklyn, NY 11203-2012 | 2013-07-06 |
| 1346680790 | Joseph A Sidaoui | Surgery | 27 Kingsland Ave Apt 2l, Brooklyn, NY 11211-1551 | 2013-06-30 |
| 1336584333 | Joseph Rothman | Surgery | 1316 E 24th St, Brooklyn, NY 11210-5143 | 2013-05-03 |
| 1083954648 | Jacques Duperval, Md, Fics, Facs, PC | Surgery | 60 Plaza Street East, Suite S-3, Brooklyn, NY 11238 | 2013-02-19 |
| 1700123189 | Liba Shaffer | Surgery | 9 E 91st St, Brooklyn, NY 11212-1501 | 2013-01-06 |
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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.