SEAVIEW SKIN CANCER SURGERY, LLC (NPI# 1407133440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407133440 |
| Entity Type | Organization |
| Organization Name | SEAVIEW SKIN CANCER SURGERY, LLC |
| Practice Address |
256 Mason Ave # C Third Floor Staten Island NY 10305-3408 |
| Practice Telephone | 7182261251 |
| Practice Fax Number | 7182261252 |
| Mailing Telephone | 7182261251 |
| Mailing Fax Number | 7182261252 |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |
| Authorized Official Name | DR. TINA PELORO (MOHS SURGEON) |
| Authorized Official Telephone | 7329952967 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
201613-1 | NY | Ambulatory Health Care Facilities |
| Street Address |
256 MASON AVE # C THIRD FLOOR |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801868187 | Nathaniel Holmes | Surgery | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2006-02-02 |
| 1346688413 | Scarlett Alcudia | Nurse Practitioner | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2013-06-11 |
| 1609137769 | Karen Goode | Case Manager/Care Coordinator | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2012-06-06 |
| 1316217763 | Staten Island Oral & Maxillofacial Surgery | Dentist | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2012-01-03 |
| 1104117076 | Allison Edwards | Social Worker | 256 Mason Ave # C, Department of Rehab Medicine, Pediatric Rehab, Staten Island, NY 10305-3408 | 2011-04-27 |
| 1265732317 | Olga Motorina | Nurse Practitioner | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2010-10-22 |
| 1790091858 | Sandra Valerie Jensen-kanner | Social Worker | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2010-08-27 |
| 1346552155 | Michelle Rosalie Val-baskin | Speech-Language Pathologist | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2010-07-09 |
| 1255643466 | Angela Dimeglio | Speech-Language Pathologist | 256 Mason Ave # C, Staten Island, NY 10305-3408 | 2010-07-06 |
| 1346551744 | Nancy J Davis | Occupational Therapist | 256 Mason Ave # C, Pediatric Rehab 1st Floor, Staten Island, NY 10305-3408 | 2010-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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| 1780943845 | Elena Sanders, Md, P.C. | Clinic/Center | 400 Seaview Ave, Staten Island, NY 10305-2216 | 2012-05-10 |
| 1255663001 | Nanette Alexander-thomas Md | Clinic/Center | 682 Forest Ave, Staten Island, NY 10310-2507 | 2010-02-04 |
| 1396900940 | Elaine Shnitkind Md P.C. | Clinic/Center | 3710 Richmond Ave, Staten Island, NY 10312-3865 | 2008-07-23 |
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| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.