ST VINCENTS MEDICAL CENTER STATEN ISLAND (NPI# 1124168117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124168117 |
| Entity Type | Organization |
| Organization Name | ST VINCENTS MEDICAL CENTER STATEN ISLAND |
| Other Organization Name | MEDICAL ASSOCIATES ST VINCENTS - RICHMOND |
| Practice Address |
355 Bard Ave Staten Island NY 10310-1664 |
| Mailing Address |
Po Box 2003 East Syracuse NY 13057-4503 |
| Practice Telephone | 7188182430 |
| Mailing Telephone | 3154463904 |
| Mailing Fax Number | 3154452936 |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | EDWARD L ARSURA (DEPT CHAIRMAN) |
| Authorized Official Telephone | 7188182430 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| X | 207N00000X | Dermatology | Allopathic & Osteopathic Physicians | ||
| X | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
Allopathic & Osteopathic Physicians | ||
| X | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians | ||
| X | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
Allopathic & Osteopathic Physicians | ||
| X | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
Allopathic & Osteopathic Physicians | ||
| X | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| X | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
Allopathic & Osteopathic Physicians | ||
| X | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01487865 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Associates St Vincents - Richmond | Doing Business As Name - Organization |
| Street Address |
355 BARD AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310-1664 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801875489 | John Louis Ferguson | Anesthesiology | 355 Bard Ave, Staten Island, NY 10310 | 2006-01-12 |
| 1427657824 | Ahmad Jamal Hashmat | Specialist/Technologist, Other | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-10-19 |
| 1437776572 | Mino M. Abdelmessih | Podiatrist | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-07-05 |
| 1639796774 | Mohamad M Anwar | Podiatrist | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-07-05 |
| 1689299331 | Richmond Medical Center | Ambulance | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-06-09 |
| 1750903357 | Natascha Cirignani | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-05-18 |
| 1881215309 | Calli Alexandra Carnavas | Physician Assistant | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-05-06 |
| 1154941516 | Bryan Christopher Nugent | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1699 | 2020-04-25 |
| 1053931717 | Eduardo Cadore Guzzo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Rumc - Department of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-23 |
| 1679192322 | Burhan Riaz | Student in an Organized Health Care Education/Training Program | 355 Bard Ave, Staten Island, NY 10310-1664 | 2020-04-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| Find all providers in zip 10310 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841803293 | Medical Care of Queens Borough PC | Allergy & Immunology | 970 Bard Ave Fl 1, Staten Island, NY 10301-3322 | 2020-08-26 |
| 1457626897 | Melissa Iammatteo | Allergy & Immunology | 351 Douglas Rd, Staten Island, NY 10304 | 2012-03-19 |
| 1306990726 | Shuyung J Wu | Allergy & Immunology | 896 Targee St, Floor 1, Staten Island, NY 10304-4517 | 2007-01-23 |
| 1720366453 | Advanced Allergy & Asthma Family Care Pllc | Allergy & Immunology | 11 Ralph Pl, Suite 305, Staten Island, NY 10304-4401 | 2011-07-29 |
| 1740511740 | Neha Madhok Bhambri | Allergy & Immunology | 11 Ralph Pl, Suite 305, Staten Island, NY 10304-4401 | 2010-01-15 |
| 1861593113 | Staten Island Allergy Office PC | Allergy & Immunology | 11 Ralph Pl, Suite 305, Staten Island, NY 10304-4419 | 2006-09-26 |
| 1104872134 | University Physicians Group P C | Allergy & Immunology | 65 Rose Ave, Staten Island, NY 10306-2246 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361192 | Integrative Medicine of New York, Pllc | Allergy & Immunology | 520 Franklin Ave Ste 230, Garden City, NY 11530-5878 | 2020-06-18 |
| 1225669559 | Reenal Patel Md PC | Allergy & Immunology | 10-17 Jackson Avenue, Long Island City, NY 11101-5986 | 2020-01-27 |
| 1801447388 | Akl Medical PC | Allergy & Immunology | 2626 W State St Ste 205, Olean, NY 14760-1858 | 2019-09-25 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1932618923 | Sheila W Hankin | Allergy & Immunology | 200 S Broadway Ste 104, Tarrytown, NY 10591-4504 | 2017-09-22 |
| 1235653007 | Marc Braunstein Md Pllc | Allergy & Immunology | 540 Green Pl, Woodmere, NY 11598-1923 | 2017-08-02 |
| 1194119305 | Roshini Mullakary | Allergy & Immunology | 1600 Harrison Ave Ste 304, Mamaroneck, NY 10543-3151 | 2015-03-25 |
| 1568868834 | Icahn School of Medicine At Mount Sinai | Allergy & Immunology | 55 West 34th Street, 1st Floor, New York, NY 10016 | 2014-11-13 |
| 1659786440 | Robert Tamayev | Allergy & Immunology | 7949 Myrtle Ave, Glendale, NY 11385-7451 | 2014-06-30 |
| 1518371830 | Sharzad Jasmin Alagheband | Allergy & Immunology | 473 Willis Ave, Williston Park, NY 11596-1725 | 2014-06-14 |
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| City | STATEN ISLAND |
| Zip Code | 10310 |
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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.