Danielle Marie Zick (NPI# 1407197130, PAC ID# 4587805874) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1407197130 |
| PAC ID by PECOS | 4587805874 |
| Professional Enrollment ID | I20130730000051 |
| Full Name | Danielle Marie Zick |
| Organization Legal Name | PORT EMERGENCY MEDICAL SERVICES PC |
| Address |
200 Belle Terre Rd Port Jefferson NY 11777-1928 |
| Phone Number | 2406862300 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 1456376177 |
| Number of Group Practice Members | 16 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330246 | ST CHARLES HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 | 2406862300 | PORT EMERGENCY MEDICAL SERVICES PC |
| Organization Legal Name | PORT EMERGENCY MEDICAL SERVICES PC |
| Physicians | 12 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Loretta Didwell | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Farhad Mohammad Gazi | Emergency Medicine | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Igor Lizogubenko | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Matthew Delph | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Christopher M Dandona | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Andrew C Mapley | Emergency Medicine | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Matthew Vetrano | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Michelle C Mellina | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Thomas J Heinisch | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Joseph E Garber | Emergency Medicine | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Street Address |
200 BELLE TERRE RD |
| City | PORT JEFFERSON |
| State | NY |
| Zip | 11777-1928 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Martin Ockert | Certified Registered Nurse Anesthetist (crna) | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Joan White | Physician Assistant | Samaritan Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Patricia A. Redmond-trotta | Certified Registered Nurse Anesthetist (crna) | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Frederick R Lehman | Anesthesiology | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Loretta Didwell | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Farhad Mohammad Gazi | Emergency Medicine | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Pankti R Patel | General Surgery | Long Island Minimally Invasive Surgery PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Igor Lizogubenko | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Muhammad I. Choudry | Anesthesiology | Long Island Anesthesia Physicians LLP | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Matthew Delph | Physician Assistant | Port Emergency Medical Services PC | 200 Belle Terre Rd, Port Jefferson, NY 11777-1928 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Andrea S Coladner | Physical Medicine and Rehabilitation | 6 Cove Ln, Port Jefferson, NY 11777-1103 | |
| Toni Derman | Clinical Social Worker | 33 Landing Lane, Port Jefferson, NY 11777-1106 | |
| Gabrielle Lofaso | Psychologist, Clinical | 20 Crooked Oak Rd, Port Jefferson, NY 11777-1120 | |
| Ronald Fein | Clinical Social Worker | 19 Waterview Dr, Port Jefferson, NY 11777-1169 | |
| Constance E Schoenberg | Psychologist, Clinical | 201 E Broadway, Port Jefferson, NY 11777-1248 | |
| Marguerite F Metzendorf | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
| Dorothy M Lilly | Clinical Social Worker | 14 E Broadway, Suite 3, Port Jefferson, NY 11777-1400 | |
| Guy Anthony Koutouvidis | Clinical Social Worker | 14 E Broadway, Suite 2, Port Jefferson, NY 11777-1400 | |
| Sharon Lyn Zariello | Clinical Social Worker | 14 E Broadway, Port Jefferson, NY 11777-1400 | |
| Susan Prechtl-loper | Physical Therapy | 117 Oakwood Rd, Port Jefferson, NY 11777-1422 | |
| Find all physicians in zip 11777 | |||
| City | PORT JEFFERSON |
| Zip Code | 11777 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PORT JEFFERSON + PHYSICIAN ASSISTANT |
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| 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.