NGNAM JULIENNE TASSA


Address: 280 1st Ave, Bernstein Pavillion, 6th Floor, New York, NY 10009-1834
Phone: 2124202000

NGNAM JULIENNE TASSA (NPI# 1073865887) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073865887
Entity Type Individual
Full Name NGNAM JULIENNE TASSA
Credential PA-C
Practice Address 280 1st Ave
Bernstein Pavillion, 6th Floor
New York
NY 10009-1834
Mailing Address 7250 Parkway Dr
Ste 500
Hanover
MD 21076-1343
Practice Telephone 2124202000
Mailing Telephone 4439490814
Mailing Fax Number 4439490814
Enumeration Date 2012-10-04
Last Update Date 2017-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
015930 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 280 1ST AVE
BERNSTEIN PAVILLION, 6TH FLOOR
City NEW YORK
State NY
Zip Code 10009-1834

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063535862 Karen Sue Sharu Social Worker 280 1st Ave, New York, NY 10009-1834 2007-04-08
1396131793 Caroline Webb Burmon Emergency Medicine 280 1st Ave, New York, NY 10009-1834 2015-04-13
1295078863 Moshe Heching Student in an Organized Health Care Education/Training Program 280 1st Ave, 20 Baird Hall, Room 50, New York, NY 10009-1834 2013-04-02
1538402375 Roshni Naik Allergy & Immunology 280 1st Ave, 20 Baird Hall, Room 50, New York, NY 10009-1834 2013-03-29
1164797551 Parth Makker Internal Medicine 280 1st Ave, New York, NY 10009-1834 2012-03-19
1508046160 Claire Eve Weinberg Counselor 280 1st Ave, New York, NY 10009-1834 2007-11-11

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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

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Competitor

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City NEW YORK
Zip Code 10009

Improve Information

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Dataset Information

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.

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