JACQUELINE YAA OWUSUA MINASSO (NPI# 1407122674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407122674 |
| Entity Type | Individual |
| Full Name | JACQUELINE YAA OWUSUA MINASSO |
| Credential | M.D. |
| Practice Address |
1991 Marcus Ave Suite 300 New Hyde Park NY 11042-2123 |
| Mailing Address |
1991 Marcus Avenue Department of Dermatology Suite 300 New Hyde Park NY 11042 |
| Practice Telephone | 5167193376 |
| Practice Fax Number | 5163218514 |
| Mailing Telephone | 3474680665 |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 286880 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 345 Saint Paul Pl, Mercy Medical Center, Department of Medicine, 7th Floor, Baltimore, MD 212022123 | 4103329694 |
| Street Address |
1991 MARCUS AVE SUITE 300 |
| City | NEW HYDE PARK |
| State | NY |
| Zip Code | 11042-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871260 | Advanced Cardiovascular Diagnostics, Pllc | Internal Medicine | 410 Lakeville Road Suite 209, New Hyde Park, NY 11042 | 2020-11-02 |
| 1568093771 | Global Slp Ot Pt & Psychological Services, Pllc | Physical Therapist | 1979 Marcus Avenue - Suite 204, Attn: Jon Polish, Lake Success, NY 11042 | 2020-01-28 |
| 1730745761 | Miriam Korbman | Psychologist | 2001 Marcus Ave Suite E128, Lake Success, NY 11042 | 2019-05-15 |
| 1306402409 | Swachi Jain | Student in an Organized Health Care Education/Training Program | Northwell Health Pathology, 6 - Ohio Drive, Suite 202, Lake Success, NY 11042 | 2019-05-14 |
| 1215407432 | Samara Carly Badash | Physical Therapist | Brookville Center for Children's Services, 1983 Marcus Avenue, Suite E100, New Hyde Park, NY 11042 | 2018-11-30 |
| 1720578578 | Nidhi Kataria | Student in an Organized Health Care Education/Training Program | Department of Pathology and Laboratory Medicine, Northw, 6 Ohio Drive, Suite 202, Lake Success, NY 11042 | 2018-05-17 |
| 1558870162 | Rosemary Elizabeth Fine | Nurse Practitioner | 1999 Marcus Ave Ste 306, New Hyde Park, NY 11042 | 2017-09-26 |
| 1255861159 | Nicole Renee Cohen | Speech-Language Pathologist | 1893 Marcus Ave, C118, New Hyde Park, NY 11042 | 2017-06-14 |
| 1366807943 | Molly Rubinoff | Nurse Practitioner | 1215 One Hollow Lane, #301, New Hyde Park, NY 11042 | 2015-12-23 |
| 1255701959 | Prohealth Dental Pllc | Dentist | 1 Pro Health Plz, Suite 115, New Hyde Park, NY 11042 | 2015-10-07 |
| Find all providers in zip 11042 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902337298 | Anna Marie Sonstegard | Dermatology | 26901 76th Ave, New Hyde Park, NY 11040-1433 | 2017-03-27 |
| 1881058634 | Reshmi Kapoor | Dermatology | 1991 Marcus Ave Ste 300, New Hyde Park, NY 11042-2058 | 2016-04-07 |
| 1912362260 | Northwell Dermatology | Dermatology | 1991 Marcus Ave, New Hyde Park, NY 11042-2057 | 2015-12-30 |
| 1962897595 | Jacob Berman | Dermatology | 1991 Marcus Ave, Suite 300, New Hyde Park, NY 11042-2057 | 2015-03-31 |
| 1477999886 | Shelly Rivas | Dermatology | 1991 Marcus Ave Ste 300, New Hyde Park, NY 11042-2058 | 2013-05-13 |
| 1750693404 | Nika Finelt | Dermatology | 1991 Marcus Ave, Suite 300, New Hyde Park, NY 11042-2057 | 2010-07-10 |
| 1912105958 | Victoria Sharon | Dermatology | 1991 Marcus Ave, Suite 300, New Hyde Park, NY 11042-2057 | 2007-07-10 |
| 1134201460 | Advanced Dermatology PC | Dermatology | 6 Lowell Ave, New Hyde Park, NY 11040 | 2006-10-19 |
| 1568563567 | Mimi G Bansal X | Dermatology | 2001 Marcus Ave, Suite N218, New Hyde Park, NY 11042-1011 | 2006-09-25 |
| 1265461537 | Norma Jeanette Montiel | Dermatology | 3 Delaware Dr, 4 Proheath Plaza, New Hyde Park, NY 11042-1116 | 2006-06-30 |
| Find all providers in NEW HYDE PARK | ||||
| City | NEW HYDE PARK |
| Zip Code | 11042 |
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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.