KIM STAPLES (NPI# 1538597463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538597463 |
| Entity Type | Individual |
| Full Name | KIM STAPLES |
| Credential | RPA-C |
| Practice Address |
554 Larkfield Rd Ste 101 East Northport NY 11731-4205 |
| Practice Telephone | 6313869166 |
| Mailing Telephone | 6313689166 |
| Enumeration Date | 2013-11-01 |
| Last Update Date | 2016-05-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
017142 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
554 LARKFIELD RD STE 101 |
| City | EAST NORTHPORT |
| State | NY |
| Zip Code | 11731-4205 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528047719 | Lyudmila Valdman | Pediatrics | 554 Larkfield Rd, Ste 203, East Northport, NY 11731-4205 | 2006-01-16 |
| 1487118139 | Sabina Konrad | Physical Therapist | 554 Larkfield Rd, East Northport, NY 11731-4205 | 2019-01-28 |
| 1861852519 | Aurora Medical LLC | Family Medicine | 554 Larkfield Rd, Suite 10b, East Northport, NY 11731-4205 | 2016-02-23 |
| 1124346887 | Peter Michael Koblan IIi | Dentist | 554 Larkfield Rd, Suite 107, East Northport, NY 11731-4205 | 2010-05-05 |
| 1932431103 | East Northport Medical Care Pllc | Family Medicine | 554 Larkfield Rd, Suite 101, East Northport, NY 11731-4205 | 2010-02-12 |
| 1013151380 | Beth Tipperman | Social Worker | 554 Larkfield Rd, East Northport, NY 11731-4205 | 2009-04-29 |
| 1275778573 | Herbert Nelson Tandy | Physical Therapy Assistant | 554 Larkfield Rd, Suite 207, East Northport, NY 11731-4205 | 2008-12-16 |
| 1902055437 | Erica Blake Person | Physical Therapist | 554 Larkfield Rd, Suite 207, East Northport, NY 11731-4205 | 2008-09-09 |
| 1376701821 | Mary G. Lopez | Nurse Practitioner | 554 Larkfield Rd, Suite 105, East Northport, NY 11731-4205 | 2008-05-30 |
| 1912181587 | Uzma Nasir Physician PC | Anesthesiology | 554 Larkfield Rd, 10a, East Northport, NY 11731-4205 | 2007-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675899 | Deborah Carol Kassan | Physical Therapist | 457 Clay Pitts Road, East Northport, NY 11731 | 2020-09-30 |
| 1952923401 | Angela Marie Trapani | Psychologist | 34 Ashwood Ct, East Northport, NY 11731 | 2020-05-07 |
| 1013492016 | Kim Cooke | Social Worker | 42 Rofay Drive, East Northport, NY 11731 | 2018-09-26 |
| 1588163547 | Christine Catherine Ambrosio | Specialist | 229 Laured Rd East, East Northport, NY 11731 | 2018-02-06 |
| 1043729965 | Gavin Theofield | Social Worker | 418 2nd Avenue W, East Northport, NY 11731 | 2017-09-22 |
| 1518486489 | Brynn Katherine Maxwell | Specialist | 38 Furwood Drive, East Northport, NY 11731 | 2017-09-12 |
| 1598209934 | Clemencia Naruta | Registered Nurse | 413 Second Street, East Northport, NY 11731 | 2016-12-05 |
| 1033669460 | Danielle Franzone | Social Worker | 1 Klaibar Lane, East Northport, NY 11731 | 2016-10-10 |
| 1619323789 | Camille Martin | Registered Nurse | 5 Gildare Drive, East Northport, NY 11731 | 2016-05-09 |
| 1922467331 | Saadia Z Yunus | Marriage & Family Therapist | 554 Larkfield Rd Ste 10i, East Northport, NY 11731 | 2016-02-12 |
| Find all providers in zip 11731 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982007027 | Justine Ann Del Barrio | Physician Assistant | 1912 Jericho Tpke, East Northport, NY 11731-6207 | 2014-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252581 | North Shore Medical Group Pllc | Physician Assistant | 311 Skyview Ter, Syracuse, NY 13219-2835 | 2020-10-12 |
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1699381616 | David Nmn Kao | Physician Assistant | 737 Pleasant Avenue, Westbury, NY 11590-6407 | 2020-09-16 |
| 1043824816 | Elizabeth Keane | Physician Assistant | 25 Hollis Dr, Sound Beach, NY 11789-1629 | 2020-08-31 |
| 1497364111 | Tianna Stephens | Physician Assistant | 165 N Village Ave Ste 5, Rockville Centre, NY 11570-3701 | 2020-07-28 |
| 1124636188 | Shannon Maureen O'connell | Physician Assistant | 270-05 270th Ave, New Hyde Park, NY 11040 | 2020-07-16 |
| 1841818895 | Yanick Dugue | Physician Assistant | 4 Lincoln Ave, New Hyde Park, NY 11040-3125 | 2020-07-07 |
| 1194340505 | Kayleigh Marie Tourt | Physician Assistant | 222 Alexander St Fl 4, Rochester, NY 14607-4039 | 2020-06-11 |
| 1023638509 | Kristina Rajic | Physician Assistant | 7237 66th Dr, Flushing, NY 11379-2111 | 2020-04-24 |
| 1114547791 | Michele Hein | Physician Assistant | 700 Veterans Memorial Hwy, Hauppauge, NY 11788-2952 | 2020-04-23 |
| Find all providers with the same taxonomy | ||||
| City | EAST NORTHPORT |
| Zip Code | 11731 |
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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.