SAMUEL JOHN HALAJIAN (NPI# 1538726229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538726229 |
| Entity Type | Individual |
| Full Name | SAMUEL JOHN HALAJIAN |
| Credential | PA-C |
| Practice Address |
79 Glenridge Rd Glenville NY 12302-4528 |
| Practice Telephone | 5189528240 |
| Mailing Telephone | 5189528240 |
| Enumeration Date | 2019-05-29 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
024547 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
79 GLENRIDGE RD |
| City | GLENVILLE |
| State | NY |
| Zip Code | 12302-4528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083645535 | Christopher J Rizzo | Internal Medicine | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2006-07-05 |
| 1801235155 | Elizabeth Magliocca | Registered Nurse | 79 Glenridge Rd, Cottage #1, Glenville, NY 12302-4523 | 2013-06-20 |
| 1093158453 | Kristen Rizzuto | Counselor | 79 Glenridge Rd, Cottage #1, Glenville, NY 12302-4523 | 2013-04-16 |
| 1043515380 | Nicole Lifite | Registered Nurse | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2011-01-18 |
| 1073829578 | Patricia Anne Pulver | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2010-08-23 |
| 1588843569 | Mirabelle Beck | Nurse Practitioner | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2007-10-26 |
| 1336339969 | Conifer Park, Inc. | Clinic/Center | 79 Glenridge Rd, Cottage #1, Glenville, NY 12302-4523 | 2007-07-30 |
| 1336344258 | Matthew Levine | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2007-06-20 |
| 1740364215 | Timothy Donnelly | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2006-10-24 |
| 1518057272 | Danesh Irani | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2006-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921973 | Maria Magnoua Castaneda | Case Manager/Care Coordinator | 701 Carnbridge Manor Dr., Scotia, NY 12302 | 2020-08-05 |
| 1184050353 | Empire Vision Centers, Inc | Eyewear Supplier (Equipment, not the service) | 10 Glenridge Rd Store#1, Glenville, NY 12302 | 2013-09-19 |
| 1265773212 | Caroline M Lupi | Licensed Practical Nurse | 19 Glenridge Rd Ste E, Glenville, NY 12302 | 2013-03-14 |
| 1477805844 | Kinum Chiropractic PC | Chiropractor | 201glen Ave., Scotia, NY 12302 | 2012-10-10 |
| 1558686444 | Marsha M Tulloch | Licensed Practical Nurse | 125 Mohawk Ave, Gentle Home Health Care, Scotia, NY 12302 | 2010-04-02 |
| 1841515988 | Maureen K. Hansen | Licensed Practical Nurse | 109 Mohawk Ave., Gentle Home Health Care, Inc., Scotia, NY 12302 | 2010-04-01 |
| 1275858425 | Flora Lynn Worden | Licensed Practical Nurse | 109 Mohawk Ave, Scotia, NY 12302 | 2010-03-31 |
| 1255654943 | Kevin Daniel Valade | Pharmacist | 257 Saratoga Rd., Glenville, NY 12302 | 2010-03-09 |
| 1356574149 | Ann Elizabeth Helbling | Community Health Worker | 419 Weatherwax Road, Glenville, NY 12302 | 2009-08-27 |
| 1689811317 | Roger Guy Singer | Chiropractor | 353 Saratoga Road, Scotia, NY 12302 | 2009-01-16 |
| Find all providers in zip 12302 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801892948 | James Allen Martin | Physician Assistant | 133 Saratoga Rd, Glenville, NY 12302-4108 | 2005-06-23 |
| 1831616853 | Alicia Marie Wilson | Physician Assistant | 201 Fci Ln, Glenville, WV 26351-9500 | 2017-08-30 |
| 1922467828 | Reemaben Patel | Physician Assistant | 115 Saratoga Rd, Suite 110, Glenville, NY 12302-4211 | 2016-02-19 |
| 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 |
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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.