SHANNON REA (NPI# 1497994958) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497994958 |
| Entity Type | Individual |
| Full Name | SHANNON REA |
| Practice Address |
2223 Forest Ave Staten Island NY 10310 |
| Mailing Address |
343 101st St Apt. 6f Brooklyn NY 11209-8240 |
| Practice Telephone | 2129475770 |
| Mailing Telephone | 6317905396 |
| Enumeration Date | 2009-02-06 |
| Last Update Date | 2010-03-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171W00000X | Contractor | 0071081 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154766202 | Shannon Lorraine Rea | Dentist | 8476 Simmond St Ste 5700, Usa Dental Activity, Fort George G Meade, MD 20755-7084 | 2013-05-02 |
| Street Address |
2223 FOREST AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| Find all providers in zip 10310 | ||||
| Taxonomy Code | 171W00000X |
| Grouping | Other Service Providers |
| Classification | Contractor |
| A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering). |
| Notes: Source: Websters New World Dictionary of the American Language, Second College Edition, William Collins + World Publishing Co., Inc., New York: 1974, p. 308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184274664 | Ann Marie Nieves | Contractor | 8 Sprague Ave, Staten Island, NY 10307-1930 | 2019-09-16 |
| 1871011304 | Falcon Medical Inc | Contractor | 46a Grissom Ave, Staten Island, NY 10314-4974 | 2017-09-05 |
| 1265815393 | Cheryl Lynn Sanders | Contractor | 50 Turf Rd, Staten Island, NY 10314-6015 | 2015-07-07 |
| 1922354513 | Joann Visone | Contractor | 105 Mills Avenue, 2nd Floor, Staten Island, NY 10305 | 2012-08-01 |
| 1811218357 | Ellen Kliger | Contractor | 457 Amherst Ave, Staten Island, NY 10306-4503 | 2010-06-18 |
| 1376872234 | Mildred Janette Azrak | Contractor | 138 Commodore Dr, Staten Island, NY 10309-3983 | 2009-12-23 |
| 1700012044 | Angela M Swainson | Contractor | 50 Raily Ct, Staten Island, NY 10312-1677 | 2009-06-01 |
| 1568603470 | Alexandra E Kelleher | Contractor | 1535 Richmond Ave, Staten Island, NY 10314-1520 | 2009-03-23 |
| 1750532040 | Magdy Aziz | Contractor | 30 Roosevelt Ave, Staten Island, NY 10314-4122 | 2008-10-04 |
| 1417159088 | Mohamed Y Elsaidy | Contractor | 309 Bedford Ave, Staten Island, NY 10306-5127 | 2007-06-04 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10310 |
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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.