INNA TUBMAN (NPI# 1417018623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417018623 |
| Entity Type | Individual |
| Full Name | INNA TUBMAN |
| Credential | M.D. |
| Practice Address |
78 Cromwell Ave Staten Island NY 10304-3912 |
| Mailing Address |
100 Joline Avenue Staten Island NY 10307 |
| Practice Telephone | 7189879175 |
| Mailing Telephone | 7189674567 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2014-06-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 240622 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
78 CROMWELL AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679529937 | Nkanga Nkanga | Legal Medicine | 78 Cromwell Ave, Staten Island, NY 10304-3933 | 2006-05-26 |
| 1720402613 | Tubman Md | Obstetrics & Gynecology | 78 Cromwell Ave, Staten Island, NY 10304-3912 | 2014-02-12 |
| 1225371354 | Jacqueline Guterman | Obstetrics & Gynecology | 78 Cromwell Ave, Staten Island, NY 10304-3912 | 2013-03-27 |
| 1477865616 | Victory Obstetrics & Gynecology PC | Obstetrics & Gynecology | 78 Cromwell Ave, Suite C, Staten Island, NY 10304-3933 | 2010-07-03 |
| 1942475868 | Sam A. Leuzzi | Pediatrics | 78 Cromwell Ave, Suite B, Staten Island, NY 10304-3933 | 2008-04-23 |
| 1598826711 | Mary Elizabeth Lisi | Registered Nurse | 78 Cromwell Ave, Staten Island, NY 10304-3933 | 2006-12-12 |
| 1780742643 | John Leo Prue | Obstetrics & Gynecology | 78 Cromwell Ave, Staten Island, NY 10304-3912 | 2006-12-04 |
| 1508933029 | Sam A. Leuzzi | Pediatrics | 78 Cromwell Ave, Staten Island, NY 10304-3933 | 2006-11-29 |
| 1962578757 | Gary Spierer | Obstetrics & Gynecology | 78 Cromwell Ave, Staten Island, NY 10304-3933 | 2006-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540778 | Olga Kheyson Md PC | Obstetrics & Gynecology | 3371 Richmond Ave Ste 1, Staten Island, NY 10312-2025 | 2018-12-28 |
| 1083984496 | Gateway Ob/gyn Associates, P.C. | Obstetrics & Gynecology | 78 Cromwell Avenue, Staten Island, NY 10304 | 2012-01-03 |
| 1457650152 | Bay Medical Care Services Pllc | Obstetrics & Gynecology | 42 Richmond Ter, 1st Floor, Staten Island, NY 10301-1909 | 2011-03-21 |
| 1790015998 | Ellen Viloria Celis | Obstetrics & Gynecology | 100 Bradley Avenue, Staten Island, NY 10314 | 2010-01-11 |
| 1073748018 | Noreen Kamal-mostafavi | Obstetrics & Gynecology | 3860 Victory Blvd Fl 1, Staten Island, NY 10314-6720 | 2009-05-20 |
| 1033252812 | Qurratulain Tabassum Siddiqui | Obstetrics & Gynecology | 61 Rome Ave, Staten Island, NY 10304-4319 | 2007-02-14 |
| 1578602942 | Ilham Alqaisi | Obstetrics & Gynecology | 83 Beebe St, Staten Island, NY 10301-4501 | 2007-02-05 |
| 1295884773 | Pavlides & Benson Ob/gyn Associates, PC | Obstetrics & Gynecology | 2 Teleport Dr, Suite 207, Staten Island, NY 10311-1006 | 2007-01-10 |
| 1700952694 | Marie L. Vartolo M.d.p.c. | Obstetrics & Gynecology | 450 Slosson Ave, Staten Island, NY 10314-5445 | 2006-11-24 |
| 1689696080 | Michael A. Schirripa | Obstetrics & Gynecology | 4855 Hylan Blvd, Staten Island, NY 10312 | 2006-07-24 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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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.