MRS. KRISTY SELVAGGI (NPI# 1003034141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003034141 |
| Entity Type | Individual |
| Full Name | MRS. KRISTY SELVAGGI |
| Other Name | MS. KRISTY HELIN |
| Credential | RPAC |
| Practice Address |
1000 Montauk Highway Good Samaritan Hospital West Islip NY 11795 |
| Mailing Address |
23 Acorn Lane Stony Brook NY 11790 |
| Practice Telephone | 6313764444 |
| Mailing Telephone | 6318072568 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2014-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 010787 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1000 MONTAUK HIGHWAY GOOD SAMARITAN HOSPITAL |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356318463 | Maria Vissicchio | Radiology | 1000 Montauk Highway, West Islip, NY 11795 | 2006-03-07 |
| 1033401211 | Good Samaritan Hospital | Clinic/Center | 1000 Montauk Highway, West Islip, NY 11795 | 2011-05-06 |
| 1235391202 | Heather Grooms | Pediatrics | 1000 Montauk Highway, West Islip, NY 11795 | 2008-06-30 |
| 1417153933 | Yunjia Tang | Pathology | 1000 Montauk Highway, West Islip, NY 11795-4927 | 2007-06-22 |
| 1275606485 | Roshni S Samuel | Internal Medicine | 1000 Montauk Highway, Good Samaritan Hospital Medical Center, West Islip, NY 11795-4927 | 2006-11-16 |
| 1356371975 | Steven J Zimmerman | Emergency Medicine | 1000 Montauk Highway, West Islip, NY 11795-2145 | 2006-07-03 |
| 1972544971 | Jeffrey Evan Gropper | Anesthesiology | 1000 Montauk Highway, West Islip, NY 11795 | 2006-06-09 |
| 1568402410 | Radiology Consulting of Long Island Pllc | Radiology | 1000 Montauk Highway, West Islip, NY 11795-4927 | 2006-06-08 |
| 1487694808 | Venkatachalam Venkatachalam | Anesthesiology | 1000 Montauk Highway, Good Samaritan Hosp, West Islip, NY 11795 | 2006-06-07 |
| 1275599961 | Osborne D Williams | Anesthesiology | 1000 Montauk Highway, Good Smaritan Hospital Medical Center, West Islip, NY 11795 | 2006-04-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194238352 | Chelsea Papocchia | Physician Assistant | 341 Martin Dr, West Islip, NY 11795-2003 | 2017-11-09 |
| 1356867808 | Charles Vollmoeller | Physician Assistant | 1111 Montauk Hwy Ste 3, West Islip, NY 11795-4910 | 2017-08-16 |
| 1396287819 | Christopher David Alleva | Physician Assistant | 148 Sunrise Hwy, West Islip, NY 11795-2012 | 2016-11-15 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1316253750 | Gina Marie Beltrami | Physician Assistant | 108 Higbie Lane, West Islip, NY 11795 | 2010-08-23 |
| 1972736429 | Rosemary A. Verow-freitag | Physician Assistant | 556 Montauk Hwy., West Islip, NY 11795-4407 | 2009-09-01 |
| 1730363482 | Steven Matthew Ferrante | Physician Assistant | 367 W 2nd St, West Islip, NY 11795-2430 | 2007-12-18 |
| 1962440834 | Charles Levinson | Physician Assistant | 340 Montauk Hwy, West Islip, NY 11795-4437 | 2006-06-03 |
| 1437762325 | Joanna Frances Tanzman | Physician Assistant | 1111 Montauk Hwy, West Islip, NY 11795-4910 | 2020-08-28 |
| 1922643501 | Amanda Capizzi | Physician Assistant | 786 Montauk Hwy, West Islip, NY 11795-4926 | 2019-11-07 |
| Find all providers in WEST ISLIP | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.