LARISSA MAGNESS FOPEANO (NPI# 1326396284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326396284 |
| Entity Type | Individual |
| Full Name | LARISSA MAGNESS FOPEANO |
| Credential | PA |
| Practice Address |
128 Mott St Suite 202 New York NY 10013-5540 |
| Mailing Address |
500 E Main St Ste 212 Branford CT 06405-2937 |
| Practice Telephone | 6463553711 |
| Practice Fax Number | 2123004989 |
| Mailing Telephone | 6463553711 |
| Mailing Fax Number | 2123004989 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2018-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 003036 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363A00000X | Physician Assistant | 015899 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
128 MOTT ST SUITE 202 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10013-5540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508860461 | Daniel H Cheng | Physical Medicine & Rehabilitation | 128 Mott St, Ste 301, New York, NY 10013-5575 | 2005-06-09 |
| 1548613250 | Mee Jeong Ka | Nurse Practitioner | 128 Mott St, Suite 607, New York, NY 10013-5540 | 2016-07-18 |
| 1740637354 | American Pharmacy II Inc | Pharmacy | 128 Mott St, G/f Unit 102b, New York, NY 10013-5540 | 2016-05-24 |
| 1033565221 | Dr.dennis Medical P.C. | Obstetrics & Gynecology | 128 Mott St, Suite 401, New York, NY 10013-5540 | 2016-05-06 |
| 1942687751 | Le Ding | Pediatrics | 128 Mott St, Suite 501, New York, NY 10013-5540 | 2015-04-30 |
| 1952713463 | Richard Myint, D.o., P.C. | Internal Medicine | 128 Mott St, Suite 203, New York, NY 10013-5540 | 2014-06-02 |
| 1669891339 | Lena Tung | Physician Assistant | 128 Mott St, Suite 202, New York, NY 10013-5540 | 2014-04-10 |
| 1679994271 | Spencer T Moy Od Pllc | Optometrist | 128 Mott St, Ste. 303, New York, NY 10013-5540 | 2013-12-27 |
| 1437570256 | Urban Medical Group, Pllc | Internal Medicine | 128 Mott St, Suite 202, New York, NY 10013-5540 | 2013-12-20 |
| 1356685077 | Doris U Tan M D P C | Obstetrics & Gynecology | 128 Mott St, Suite 601, New York, NY 10013-5540 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911547 | Alexander Rances, Do P.C. | Anesthesiology | 123 Lafayette Street, 5th Floor, New York, NY 10013 | 2020-08-07 |
| 1285263806 | Dcw Providers, P.a. | Family Medicine | 394 Broadway 3rd Floor, New York, NY 10013 | 2020-04-06 |
| 1083249411 | Phoebe Richman | Social Worker | 121 Ave of The Americas, New York, NY 10013 | 2020-03-05 |
| 1366087868 | Kelsey C Sjolund | Speech-Language Pathologist | Speak Out New York, 100 Reade Street C/o Gymboree, Tribeca, NY 10013 | 2019-11-08 |
| 1720560717 | Julia I Pema Dolma Gutman | Social Worker | 85 Bayard St, Suite 4, New York, NY 10013 | 2018-09-05 |
| 1881187169 | Markus Burrell | Social Worker | 350 Canal St # 574p, New York, NY 10013 | 2018-06-11 |
| 1659879799 | Shui-fong Chong | Acupuncturist | 139 Centre Street, Suite 315, New York, NY 10013 | 2018-01-23 |
| 1174037758 | Oculus Medical Eye Care PC | Ophthalmology | 139 Centre St Ste 618, New York, NY 10013 | 2017-11-19 |
| 1528570397 | Lauren Haythe | Acupuncturist | 481 Broadway, Suite 3, Manhattan, NY 10013 | 2017-11-01 |
| 1235648395 | William L Jim | Occupational Therapist | 139 Centre St Ste 814, New York, NY 10013 | 2017-09-21 |
| Find all providers in zip 10013 | ||||
| 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 |
|---|---|---|---|---|
| 1205442852 | Connor King | Physician Assistant | 25 W 16th St, New York, NY 10011-6364 | 2020-09-18 |
| 1043826084 | Stephen Roa | Physician Assistant | 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 | 2020-09-16 |
| 1710592951 | Krishna Patel | Physician Assistant | 425 W 59th St Ste 4f, New York, NY 10019-8022 | 2020-09-14 |
| 1235744764 | Jennifer Thien Trang Vu | Physician Assistant | 550 W 45th St Apt 233, New York, NY 10036-3771 | 2020-09-11 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1952928459 | Judy Phung | Physician Assistant | 1 Pace Plz, New York, NY 10038-1502 | 2020-06-30 |
| 1417579871 | Mary Elizabeth Walsh | Physician Assistant | 1790 Broadway Fl 8, New York, NY 10019-1412 | 2020-05-08 |
| 1134748874 | Andrew Nitz | Physician Assistant | 50 W 34th St Apt 20b6, New York, NY 10001-3092 | 2020-04-13 |
| 1134758691 | Morgan Ammori | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-06 |
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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.