Rena Shabalova (NPI# 1134449085, PAC ID# 4486957776) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1134449085 |
| PAC ID by PECOS | 4486957776 |
| Professional Enrollment ID | I20161018000973 |
| Full Name | Rena Shabalova |
| Organization Legal Name | RADIOLOGY ADVANTAGE NEW JERSEY PA |
| Address |
15 Maple Ave Warwick NY 10990-1028 |
| Phone Number | 9146662220 |
| Gender | F |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 2008 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1153649686 |
| Number of Group Practice Members | 117 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330286 | GOOD SAMARITAN HOSPITAL MEDICAL CENTER |
| 330401 | ST CATHERINE OF SIENA HOSPITAL |
| 330246 | ST CHARLES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 760 Parkside Ave, Brooklyn, NY 11226-1786 | 9177519093 | RADIOLOGY ADVANTAGE NEW JERSEY PA |
| 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 9146662220 | RADIOLOGY ADVANTAGE NEW JERSEY PA |
| 50 Route 25a, Smithtown, NY 11787-1348 | 9146662220 | RADIOLOGY ADVANTAGE NEW JERSEY PA |
| 15 Maple Ave, Warwick, NY 10990-1028 | 9146662220 | RADIOLOGY ADVANTAGE NEW JERSEY PA |
| 1000 Montauk Hwy, West Islip, NY 11795-4927 | 9146662220 | RADIOLOGY ADVANTAGE NEW JERSEY PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_225_overall | Radiology: Reminder System for Screening Mammograms | 100% |
| Organization Legal Name | RADIOLOGY ADVANTAGE NEW JERSEY PA |
| Physicians | 67 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Lee Ward | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 2462 San Pietro Cir, Palm Beach Gardens, FL 33410-2970 |
| Rebecca Ann Flores | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 8916 Jodhpur, Fair Oaks Ranch, TX 78015-4298 |
| Scott A Werden | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 1345 Lillian Ave, Sunnyvale, CA 94087-3523 |
| Paul M Sherman | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 8060 Colonial Woods, Boerne, TX 78015-4992 |
| Rob Allen Reed | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 4495 Stony River Dr, Bloomfield Hills, MI 48301-3655 |
| Sarah Schwitzer | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Young S Song | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 1221 Chersonese Round, Mount Pleasant, SC 29464-9545 |
| Mahyar Ghanaat | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Gary D Kronfeld | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 865 Stone St, Rahway, NJ 07065-2742 |
| William Kainzbauer | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 327 Beach 19th St, Far Rockaway, NY 11691-4423 |
| Street Address |
15 MAPLE AVE |
| City | WARWICK |
| State | NY |
| Zip | 10990-1028 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Schwitzer | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Laura Ioachim | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Russ F Saypoff | Interventional Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Alan J Boykin | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Kristopher P Korsakoff | Gastroenterology | Bon Secours Charity Health System Medical Group, P.C. | 15 Maple Ave, Warwick, NY 10990-1028 |
| Wei Nie | Certified Registered Nurse Anesthetist (crna) | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Lori A Anderson | Pathology | Orange Pathology Associates, PC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Rami Irfan Farhat | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Ming C Chiou | Anesthesiology | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Amy Lebrun | Nurse Practitioner | Hospitalist Medicine Physicians of New York Pllc | 15 Maple Ave, Warwick, NY 10990-1028 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shuang-ping Wang | Internal Medicine | Horizon Medical Group PC | 5 Grand St, Warwick, NY 10990-1007 |
| Ralph J Alvarez | Internal Medicine | 9 Grand St, Warwick, NY 10990-1007 | |
| Calvin Hargis | Chiropractic | 40 Maple Ave, Warwick, NY 10990-1025 | |
| Jacob Geier | Certified Registered Nurse Anesthetist (crna) | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Elizabeth Kao | Anesthesiology | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Elise H Shreck | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Maria Vissicchio | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Scott M Goldhaber | Anesthesiology | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Bert R Heyligers | Diagnostic Radiology | Radiology Advantage New Jersey Pa | 15 Maple Ave, Warwick, NY 10990-1028 |
| Manish G Patel | Anesthesiology | Warwick Anesthesia Group LLC | 15 Maple Ave, Warwick, NY 10990-1028 |
| Find all physicians in zip 10990 | |||
| City | WARWICK |
| Zip Code | 10990 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | WARWICK + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Rena Shabalova.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.