Natalia Beridze (NPI# 1700151032, PAC ID# 8022324870) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
| Nation Provider ID (NPI) | 1700151032 |
| PAC ID by PECOS | 8022324870 |
| Professional Enrollment ID | I20150825003938 |
| Full Name | Natalia Beridze |
| Organization Legal Name | BROOKHAVEN HEART PLLC |
| Address |
325 E Main St Suite 120 Patchogue NY 11772-3114 |
| Phone Number | 6316543278 |
| Gender | F |
| Graduation Year | 1999 |
| Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| Group Practice PAC ID | 6305846114 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330141 | BROOKHAVEN MEMORIAL HOSPITAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 325 E Main St, Suite 120, Patchogue, NY 11772-3114 | 6316543278 | BROOKHAVEN HEART PLLC |
| Organization Legal Name | BROOKHAVEN HEART PLLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Satheesh Joseph | Interventional Cardiology | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Saurin Patel | Interventional Cardiology | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Deepu K Alexander | Internal Medicine | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Wasiq Rahman | Cardiovascular Disease (cardiology) | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Adam L Kruger | Cardiovascular Disease (cardiology) | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Bimal Patel | Cardiovascular Disease (cardiology) | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Zohair A Hasan | Cardiovascular Disease (cardiology) | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Stephanie Kelvas | Nurse Practitioner | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Street Address |
325 E MAIN ST SUITE 120 |
| City | PATCHOGUE |
| State | NY |
| Zip | 11772-3114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Satheesh Joseph | Interventional Cardiology | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Tobi J Jeurink | Chiropractic | Jeurink Family Chiropractic and Wellness Center LLC | 325 E Main St, Suite C, Gardner, KS 66030-1305 |
| Saurin Patel | Interventional Cardiology | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Deepu K Alexander | Internal Medicine | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Wasiq Rahman | Cardiovascular Disease (cardiology) | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Adam L Kruger | Cardiovascular Disease (cardiology) | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| William Edward Milford | Clinical Social Worker | 325 E Main St, Suite 3, Smithtown, NY 11787-2922 | |
| Bimal Patel | Cardiovascular Disease (cardiology) | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Zohair A Hasan | Cardiovascular Disease (cardiology) | Brookhaven Heart Pllc | 325 E Main St, Suite 120, Patchogue, NY 11772-3114 |
| Heather Ann Dawkins | Chiropractic | Jeurink Family Chiropractic and Wellness Center LLC | 325 E Main St, Suite C, Gardner, KS 66030-1305 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katherine Horvath | Clinical Social Worker | 18 Woodward Ave, Patchogue, NY 11772-1041 | |
| Shahin F Shaikh | Pulmonary Disease | 90 Medford Ave, Patchogue, NY 11772-1202 | |
| Christine Marie Doucet | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rivkah E Raza | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Andrew S Wang | Family Medicine | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Sam M Fassnacht | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Lyndie A Hughes | Physician Assistant | Patchogue Family Medical Care, PC | 130 Medford Ave, Patchogue, NY 11772-1206 |
| Rose Orlando | Nurse Practitioner | 140 Medford Ave, Patchogue, NY 11772-1208 | |
| Frances P Redarrow | Clinical Social Worker | 20 Medford Ave, Suite 109, Patchogue, NY 11772-1220 | |
| Edward A Beller | Chiropractic | 268 Medford Ave, Patchogue, NY 11772-1221 | |
| Find all physicians in zip 11772 | |||
| City | PATCHOGUE |
| Zip Code | 11772 |
| Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
| City + Specialty | PATCHOGUE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Please comment or provide details below to improve the information on Natalia Beridze.
| 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.