Provider Demographics
NPI:1275518862
Name:PASCARU, ADINA (MD)
Entity Type:Individual
Prefix:DR
First Name:ADINA
Middle Name:
Last Name:PASCARU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 NORTHERN BLVD STE 360
Mailing Address - Street 2:
Mailing Address - City:GREAT NECK
Mailing Address - State:NY
Mailing Address - Zip Code:11021-5312
Mailing Address - Country:US
Mailing Address - Phone:516-829-6660
Mailing Address - Fax:516-829-9641
Practice Address - Street 1:833 NORTHERN BLVD
Practice Address - Street 2:SUITE 120
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-5315
Practice Address - Country:US
Practice Address - Phone:516-829-6660
Practice Address - Fax:516-829-9641
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2018-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY144077207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY47-1201363OtherNEW TAX ID
NYAS553OtherOXFORD
NY112633856OtherTAX ID
NY0049269OtherGHI
47-1201363OtherCARDIOLOGY
NY00758489Medicaid
NY00758489Medicaid