DR. BENCLEMENT GERVACIO (NPI# 1992096572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992096572 |
| Entity Type | Individual |
| Full Name | DR. BENCLEMENT GERVACIO |
| Other Name | MR. BENCLEMENT NADADO |
| Credential | M.D. |
| Practice Address |
3433 Junction Blvd Jackson Heights NY 11372-3828 |
| Mailing Address |
5645 Main St Flushing NY 11355-5045 |
| Practice Telephone | 7183965156 |
| Mailing Telephone | 7186702000 |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2018-10-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
276622 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAL LICENSE | 276622 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5645 Main St, Flushing, NY 113555045 | 7186702000 |
| Street Address |
3433 JUNCTION BLVD |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-3828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548357569 | Alexander Du Yaphockun | Pediatrics | 3433 Junction Blvd, Jackson Heights, NY 11372-3828 | 2006-10-10 |
| 1235525130 | Daniel Silovitz | Internal Medicine | 3433 Junction Blvd, Jackson Heights, NY 11372-3828 | 2015-04-08 |
| 1104176395 | Departement of Health and Mental Hygiene | Clinic/Center | 3433 Junction Blvd, Jackson Heights, NY 11372-3828 | 2012-09-14 |
| 1215284575 | Maria Zdybicki | Registered Nurse | 3433 Junction Blvd, Jackson Heights, NY 11372-3828 | 2012-08-06 |
| 1376899708 | Department of Health | Clinic/Center | 3433 Junction Blvd, Jackson Heights, NY 11372-3828 | 2012-08-03 |
| 1952583205 | Natasha Anushri Anandaraja | Pediatrics | 3433 Junction Blvd, 2nd Fl, Jackson Heights, NY 11372-3828 | 2007-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| 1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
| 1710513395 | Golden Age Home Care, Inc | Home Health | 71-16 35th Street, Jackson Heights, NY 11372 | 2020-03-16 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1598234031 | Bithi Roy | Social Worker | 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 | 2018-11-14 |
| 1225506496 | Michael Anavian | Counselor | 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 | 2018-11-06 |
| 1982189171 | Jackson Pharmacy Inc. | Pharmacy | 7102, 37th Avenue, Jackson Heights, NY 11372 | 2018-10-03 |
| 1689155814 | Sostenes Batista Lima | Counselor | 35-25 86th St Apt 1f, Jackson Heights, NY 11372 | 2018-08-26 |
| Find all providers in zip 11372 | ||||
| Taxonomy Code | 207RI0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Infectious Disease |
| An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://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 |
|---|---|---|---|---|
| 1285066357 | Emmanuel Medical Care | Internal Medicine | 9205 Roosevelt Ave # 1, Jackson Heights, NY 11372-7941 | 2013-07-31 |
| 1720194038 | Diosmary Ahagencia Oliva | Internal Medicine | Chest Clinic Corona District Health Center, 34-33 Junction Blvd, Jackson Heights, NY 11372 | 2006-08-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003421801 | Andrea Low | Internal Medicine | 215 W 125th St Rm 302, New York, NY 10027-4426 | 2020-09-09 |
| 1114551827 | Steven Neal Miller | Internal Medicine | 29 Blair Dr, Huntington, NY 11743-2465 | 2020-03-03 |
| 1871123703 | Walter Ian Lipkin | Internal Medicine | 722 W 168th St Fl 17, New York, NY 10032-3727 | 2020-01-20 |
| 1033776307 | Debra K Strauss Md | Internal Medicine | 11 Medical Park Dr Ste 206, Pomona, NY 10970-3560 | 2019-05-22 |
| 1124590559 | Berman Infectious Disease Consultant PC | Internal Medicine | 25 Carlisle Rd, New Rochelle, NY 10804-3801 | 2018-12-25 |
| 1558838482 | Infectious Disease Consultant of Rockland, P.C. | Internal Medicine | 259 N Middletown Rd Ste 1b, Nanuet, NY 10954-1220 | 2018-10-29 |
| 1528512894 | Cordial Medical, P.C. | Internal Medicine | 100 Broadhollow Rd Ste 106, Farmingdale, NY 11735-4813 | 2016-08-04 |
| 1033508205 | Ayuda Medical, Pllc | Internal Medicine | 54 Sunrise Dr, Lynbrook, NY 11563-2920 | 2015-01-12 |
| 1659777449 | Joseph Michael Feczko | Internal Medicine | 234 E 49th St, New York, NY 10017-1502 | 2014-11-06 |
| 1669873402 | Joel Ackelsberg | Internal Medicine | 4209 28th St # Cn-22a, Long Island City, NY 11101-4130 | 2014-09-11 |
| Find all providers with the same taxonomy | ||||
| City | JACKSON HEIGHTS |
| Zip Code | 11372 |
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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.