Eastern Comprehensive Medical Services, P.C.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

204338 Issued in NY

Legal business name

EASTERN COMPREHENSIVE MEDICAL SERVICES, P.C.

Practice address

196 Canal Street, FL3
New York, NY 10013-4562

Phone

(212) 227-6500

Fax

(212) 889-4987

NPI assigned

May 26, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Xiao-Ke Gao, M.D.NPI 1730136607

Title

President

Phone

(212) 227-6500

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Tax ID family

Eastern Comprehensive Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Eastern Comprehensive Medical Services

  • Specialist
  • Riverside, CT
  • NPI 1295275808
  NPD tax ID

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Xiao-Ke Gao, M.D.

  • Neurology Physician
  • New York, NY
  • NPI 1730136607
  Medicare reassignment Care Compare group NPD Authorized official
• Mary Grace Francisco, PT

  • Physical Therapist
  • New York, NY
  • NPI 1386023018
  Medicare reassignment Care Compare group NPD
• Hyejin Cho, PT

  • Physical Therapist
  • Elmhurst, NY
  • NPI 1386214302
  Medicare reassignment NPD
• Eli Nebres Fontanilla, PT

  • Physical Therapist
  • Laurel, MD
  • NPI 1568686426

  NY

  Medicare reassignment NPD
• Mie Mie Lin, MD

  • Internal Medicine Physician
  • Roosevelt Island, NY
  • NPI 1275657215
  NPD (past)
• George Ian Yu Namoc, P.T.

  • Neurology Physical Therapist
  • New York, NY
  • NPI 1659690402
  NPD (past)
• Yin Yin Win, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1316109002
  NPD (past)
• Navindra Ramdeen, D.O.

  • Internal Medicine Physician
  • Sacramento, CA
  • NPI 1821260985
  NPD (past)
• Ravinder Tikoo, M.D.

  • Neurology Physician
  • North Bergen, NJ
  • NPI 1780713255
  NPD (past)
• Erica Wong, OTR/L

  • Occupational Therapist
  • Richmond, CA
  • NPI 1689099236
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593561600000",
    "number": "1396791752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 SHEEPHILL ROAD",
            "city": "RIVERSIDE",
            "state": "CT",
            "postal_code": "068781120",
            "telephone_number": "212-227-6500",
            "fax_number": "212-889-4987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 CANAL STREET, FL3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134562",
            "telephone_number": "212-227-6500",
            "fax_number": "212-889-4987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN COMPREHENSIVE MEDICAL SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A",
        "authorized_official_last_name": "GAO",
        "authorized_official_first_name": "XIAO-KE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "212-227-6500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "204338",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018224444",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn A East
• Kathleen Easter
• Shannie Marie Easterby, OTR/L
• Faryn-Ashley Easterling
• Eastern Anesthesia PC
• Eastern Health Care Services
• Eastern Healthcare Chiropractic and Acupuncture Services PLLC
• Eastern Healthcare DC PC
• Eastern Medical Consulting PC
• Eastern Scholars LLC

• Neurology Physician in New York, NY
• Providers in New York, NY by specialty
• Neurology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.