DBM Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

209201 Issued in NY

Legal business name

DBM MEDICAL PLLC

Practice address

420 N Broadway
Jericho, NY 11753-2135

Phone

(516) 827-1515

Fax

(516) 342-6505

NPI assigned

Jan 14, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dorit Ben Moha, DONPI 1831288851

Title

President

Phone

(516) 827-1515

Specialties & licenses 1

Addresses

Other names 1

• DBM INTERNISTS LLP Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dorit Ben-Moha, DO

  • Adult Medicine Physician
  • Jericho, NY
  • NPI 1831288851
  Medicare reassignment NPD Authorized official
• Ashish Goel, M.D.

  • Anesthesiology Physician
  • New Hyde Park, NY
  • NPI 1740285964
  NPD (past)
• Melvin Holden, M.D.

  • Pulmonary Disease Physician
  • Plainview, NY
  • NPI 1871568154
  NPD (past)
• Santa Nandi, MD

  • Gastroenterology Physician
  • Hicksville, NY
  • NPI 1679677868
  NPD (past)
• Tudor Narcis Onisei, M.D.

  • Anesthesiology Physician
  • Rego Park, NY
  • NPI 1306912191
  NPD (past)
• Joseph Anthony Restivo, RPH.

  • Pharmacist
  • Plainview, NY
  • NPI 1700169307
  NPD (past)
• Deneen Roessler, M.D.

  • Anesthesiology Physician
  • Mineola, NY
  • NPI 1518930726
  NPD (past)
• Stacy Serebnitsky, M.D.

  • Interventional Pain Medicine Physician
  • Rego Park, NY
  • NPI 1336379817
  NPD (past)

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557964800000",
    "number": "1639409642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532135",
            "telephone_number": "516-827-1515",
            "fax_number": "516-342-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N BROADWAY",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532135",
            "telephone_number": "516-827-1515",
            "fax_number": "516-342-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DBM MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2019-05-16",
        "status": "A",
        "authorized_official_last_name": "BEN MOHA",
        "authorized_official_first_name": "DORIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-827-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBM INTERNISTS LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "DBM INTERNISTS LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Renee Cooke, ANP
• Nestor Luis Cora, LMT
• Cosmoplastic Surgery PLLC
• CVS Albany LLC
• Paulina Czerkas
• Samantha Jenna Debello
• Julia Marie Deedy X, LMSW
• Colleen Dejoseph, LMFT
• Howard M Delman
• Vivian Delman, RD

• Internal Medicine Physician in Jericho, NY
• Providers in Jericho, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.