East Side Medical, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

200008 Issued in NY

Legal business name

EAST SIDE MEDICAL, P.C.

Practice address

132 E 76TH St
Suite 2G
New York, NY 10021-2850

Phone

(212) 794-0833

NPI assigned

Oct 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jusuf Zlatanic, MDNPI 1821189804

Title

Owner

Phone

(212) 794-0833

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Jusuf Zlatanic, M.D.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1821189804
  Medicare reassignment Care Compare group NPD Authorized official
• Mukul Arya, M.D.

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1043290513
  Medicare reassignment Care Compare group NPD
• Donelle Leslie Cummings, M.D.

  • Gastroenterology Physician
  • New York, NY
  • NPI 1649539552
  Medicare reassignment Care Compare group NPD
• Ryan Christopher Desjean, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
  • NPI 1750541686
  Medicare reassignment Care Compare group NPD
• Samuel Wahl, MD

  • Anatomic Pathology Physician
  • New York, NY
  • NPI 1710959093
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1191974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1992993430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 E 76TH ST OFC 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212850",
            "telephone_number": "212-794-0833",
            "fax_number": "212-794-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 E 76TH ST",
            "address_2": "SUITE 2G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212850",
            "telephone_number": "212-794-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST SIDE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-10",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "ZLATANIC",
        "authorized_official_first_name": "JUSUF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-794-0833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "200008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Side Foot Care PC
• East Side Gastroenterology, P.C.
• East Side Medical & Cardiovascular Associates, P.C.
• East Side Medical and Diagnostics Services, PC
• East Side Medical Radiology PLLC
• East Side Oncology Associates PLLC Dba American Infusion Center
• East Side Pediatric Dental
• East Side Pharmacy, Inc
• East Side Podiatric Surgical Suite P.C.
• East Side Primary Medical Care, P.C.

• Internal Medicine Physician in New York, NY
• Providers in New York, 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 Oct 31, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.