North Valley Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

198832 Issued in NY

Legal business name

NORTH VALLEY MEDICAL, PC

Practice address

234-32 Merrick Blvd
Rosedale, NY 11422

Phone

(718) 276-4482

Fax

(718) 276-5083

NPI assigned

Jul 5, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Coburn, PANPI 1457342073

Title

Office Manager

Phone

(516) 351-4046

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Dawn Coburn, PA

  • Medical Physician Assistant
  • Rosedale, NY
  • NPI 1457342073
  NPD (past) Authorized official
• Rajen Priyavadan Maniar, MD

  • Cardiovascular Disease Physician
  • Flushing, NY
  • NPI 1982661385
  NPD (past)
• Dima Teitelman, MD

  • Cardiovascular Disease Physician
  • Forest Hills, NY
  • NPI 1548285497
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245196800000",
    "number": "1972701530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25931 148TH DR",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223001",
            "telephone_number": "516-351-4046",
            "fax_number": "718-276-5083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234-32 MERRICK BLVD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "11422",
            "telephone_number": "718-276-4482",
            "fax_number": "718-276-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-05",
        "last_updated": "2009-06-17",
        "status": "A",
        "authorized_official_last_name": "COBURN",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-351-4046",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01617674",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neshama Psychological Services
• Lianne NG
• Karen E Nimmons, RDN
• Jonathan Nnebe, BSN/RN
• Lesley Nnebe
• Emmanuel Nwozuzu
• Lotoya Oakley
• Josny Occessia
• Azizah Odesesan
• Fisayo Ogunyomi, FNP

• Internal Medicine Physician in Rosedale, NY
• Providers in Rosedale, 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 Jun 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.