AVERY SILLS (NPI# 1396252862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396252862 |
| Entity Type | Individual |
| Full Name | AVERY SILLS |
| Practice Address |
100 Merrick Rd Ste 128w Rockville Centre NY 11570-4821 |
| Mailing Address |
226 19th St Brooklyn NY 11232-1027 |
| Practice Telephone | 5162259031 |
| Enumeration Date | 2018-01-05 |
| Last Update Date | 2018-01-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 021653 | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 MERRICK RD STE 128W |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-4821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104062553 | Mihai Dimancescu | Neurological Surgery | 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 | 2009-01-06 |
| 1063987428 | Judyta Glover | Physician Assistant | 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 | 2018-10-11 |
| 1881103323 | Jillian Danielle Forte | Physician Assistant | 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 | 2017-09-27 |
| 1801106315 | Jaclyn Noelle Amaru | Physician Assistant | 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 | 2010-10-18 |
| 1235366618 | Marat Avshalumov | Specialist/Technologist, Other | 100 Merrick Rd Ste 128w, Rockville Centre, NY 11570-4821 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| 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 |
|---|---|---|---|---|
| 1720644925 | Olivia Coughlin | Physician Assistant | 83 Sherman Ave, Rockville Centre, NY 11570-3135 | 2019-05-13 |
| 1861974560 | Melissa Milano | Physician Assistant | 100 Merrick Rd Ste 128, Rockville Centre, NY 11570-4821 | 2018-08-30 |
| 1184159865 | Mary Katherine Furlong | Physician Assistant | 427 Morris Ave, Rockville Centre, NY 11570-2040 | 2017-05-01 |
| 1982946976 | Adam Joshua Marchbein | Physician Assistant | 2000 N Village Ave Ste 306, Rockville Centre, NY 11570-1001 | 2013-03-18 |
| 1003836289 | Christine Busching | Physician Assistant | 1000 N.village Avenue, Rockville Centre, NY 11571 | 2006-07-20 |
| 1770511875 | Yohanna A Reyes | Physician Assistant | 1000 North Village Avenue, Rockville Centre, NY 11571 | 2006-06-28 |
| 1700410701 | Jonathan Akilov | Physician Assistant | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2020-02-27 |
| 1619520475 | Samantha Lynn Quaglia | Physician Assistant | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2019-07-22 |
| 1689239758 | Danamarie Feldman | Physician Assistant | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2019-05-04 |
| 1992278980 | Kayley Henz Clark | Physician Assistant | 1000 N Village Ave, Rockville Centre, NY 11570-1000 | 2019-01-02 |
| Find all providers in ROCKVILLE CENTRE | ||||
| City | ROCKVILLE CENTRE |
| Zip Code | 11570 |
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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.