MR. SEBASTIAN VINCENT MARTORANA (NPI# 1548206956) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548206956 |
| Entity Type | Individual |
| Full Name | MR. SEBASTIAN VINCENT MARTORANA |
| Credential | RPA-C |
| Practice Address |
2524 Route 9w Ravena NY 12143-2804 |
| Mailing Address |
711 Troy Schenectady Rd Ste 203 Latham NY 12110-2461 |
| Practice Telephone | 5187567390 |
| Practice Fax Number | 5187568030 |
| Mailing Telephone | 5187823700 |
| Mailing Fax Number | 5187823799 |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-01-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | 010423 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
010423 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MVP HEALTHCARE | 6019223 | 01 |
| NY | FIDELIS | 080821000023 | 01 |
| NY | BSNENY | 000411920002 | 01 |
| NY | 02982492 | 05 | |
| NY | MEDICARE DME | 4937930001 | 01 |
| Street Address |
2524 ROUTE 9W |
| City | RAVENA |
| State | NY |
| Zip Code | 12143-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780678169 | Bryan L Goddard | Family Medicine | 2524 Route 9w, Ravena, NY 12143-2804 | 2005-08-31 |
| 1972957769 | Bryan William Dworsky | Family Medicine | 2524 Route 9w, Ravena, NY 12143-2804 | 2016-04-18 |
| 1396181475 | Richard Anthony Galarza | Physician Assistant | 2524 Route 9w, Ravena, NY 12143-2850 | 2013-05-16 |
| 1205181914 | Ilona Snyder | Nurse Practitioner | 2524 Route 9w, Ravena, NY 12413-2804 | 2012-07-18 |
| 1992880348 | Patrick F Caulfield | Family Medicine | 2524 Route 9w, Ravena, NY 12413 | 2006-10-26 |
| 1770663791 | Richard W Jones | Family Medicine | 2524 Route 9w, Ravena, NY 12143 | 2006-10-16 |
| 1750471132 | Theresa A Sirico | Family Medicine | 2524 Route 9w, Ravena, NY 12143 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851817027 | Bryan Dyer | Pharmacist | Cvs - Faith Plaza, Route 9w, Ravena, NY 12143 | 2017-08-18 |
| 1124475553 | Brynn Saltis | Counselor | 249 Starr Rd., Ravena, NY 12143 | 2016-05-16 |
| 1346502135 | Stephanie Marie D'esposito | Specialist | 22 Wonder-vue Drive, Ravena, NY 12143 | 2012-06-08 |
| 1316224306 | Victoria Elizabeth Tesch | Speech-Language Pathologist | 15 Mountain Rd, Ravena-coeymans-selkirk Central School District, Ravena, NY 12143 | 2011-11-04 |
| 1245513001 | Patricia Lefevre | Registered Nurse | 2025 Rt 9w, Ravena, NY 12143 | 2011-09-27 |
| 1689957425 | Sandra Doane | Registered Nurse | 2025 Rt. 9w, Ravena, NY 12143 | 2011-09-27 |
| 1750604252 | Philip M Gatti | Pharmacist | Faith Plaza, Rt-9w, Ravena, NY 12143 | 2010-03-11 |
| 1043541105 | Brian J Touhey | Pharmacist | Faith Plaza Route 9w, Ravena, NY 12143 | 2010-01-28 |
| 1306016548 | Senior Projects of Ravena,inc | Taxi | 9 Bruno Blouvard, Ravena, NY 12143 | 2008-03-04 |
| 1891973558 | Kevin Michael Mocerine | Pharmacist | Faith Plaza Rt. 9w, Ravena, NY 12143 | 2008-02-05 |
| Find all providers in zip 12143 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| 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 | ||||
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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.