JESSICA L DE PETRO (NPI# 1558655365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558655365 |
| Entity Type | Individual |
| Full Name | JESSICA L DE PETRO |
| Credential | M.S,, CGC |
| Practice Address |
256 Mason Ave Building B, 2nd Floor Staten Island NY 10305-3408 |
| Practice Telephone | 7182266230 |
| Practice Fax Number | 7182261247 |
| Mailing Telephone | 7182266230 |
| Mailing Fax Number | 7182261247 |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 170300000X | Genetic Counselor, MS | Other Service Providers |
| Street Address |
256 MASON AVE BUILDING B, 2ND FLOOR |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154313542 | Qun Dai | Internal Medicine | 256 Mason Ave, Staten Island, NY 10305-3408 | 2005-08-22 |
| 1215598487 | Amanda R Molloy | Registered Nurse | 256 Mason Ave, Staten Island, NY 10305-3408 | 2019-06-27 |
| 1588103188 | A Personal Touch Garment Corporation | Durable Medical Equipment & Medical Supplies | 256 Mason Ave, 2nd Floor, Building B, Staten Island, NY 10305-3408 | 2017-02-15 |
| 1043689524 | Kathleen Del Duca | Speech-Language Pathologist | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2015-09-15 |
| 1053658815 | Laura Frances Longo | Nurse Practitioner | 256 Mason Ave, Staten Island, NY 10305-3408 | 2013-01-13 |
| 1588965826 | Betty Marie Constant | Nurse Practitioner | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2010-11-03 |
| 1568772861 | Michelle Marie Vanpelt | Registered Nurse | 256 Mason Ave, Staten Island, NY 10305-3408 | 2010-10-20 |
| 1023342003 | Laura Polito | Physician Assistant | 256 Mason Ave, Building B- 2nd Floor, Staten Island, NY 10305-3408 | 2009-09-24 |
| 1588998850 | John Afthinos | Surgery | 256 Mason Ave, Bldg B, Staten Island, NY 10305-3408 | 2009-09-19 |
| 1053546838 | Maria Domante | Physician Assistant | 256 Mason Ave, Building C, Staten Island, NY 10305-3408 | 2009-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 170300000X |
| Grouping | Other Service Providers |
| Classification | Genetic Counselor, MS |
| A masters trained health care provider who collects and interprets genetic family histories; assesses the risk of disease occurrence or recurrence; identifies interventions to manage or ameliorate disease risk; educates about inheritance, testing, management, prevention, ethical issues, resources, and research; and counsels to promote informed choices and adaptation. Certification was established in 1993 by the American Board of Genetic Counseling and prior to that by the American Board of Medical Genetics. Requirements for experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: National Society of Genetic Counselors [7/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487643201 | Deborah Ann Sullivan | Genetic Counselor, MS | 182 Colon Ave, Staten Island, NY 10308-1405 | 2005-10-14 |
| 1477891125 | Molly Frances Wood | Genetic Counselor, MS | 1050 Forest Hill Rd, Staten Island, NY 10314-6356 | 2013-01-30 |
| 1285831032 | Nancy Zellers | Genetic Counselor, MS | 1050 Forest Hill Rd, Staten Island, NY 10314-6356 | 2007-06-27 |
| 1336346188 | Jacquelyn Krogh | Genetic Counselor, MS | 1050 Forest Hill Rd, Staten Island, NY 10314-6356 | 2007-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285242750 | Tiana Grgas | Genetic Counselor, MS | 14 Plymouth Rd, Massapequa, NY 11758-6134 | 2020-07-21 |
| 1679120752 | Carrie Koval-burt | Genetic Counselor, MS | 3959 Broadway # 7n-718, New York, NY 10032-1559 | 2019-08-22 |
| 1417516022 | Erika Brockhoff | Genetic Counselor, MS | 425 W 59th St Fl 4, New York, NY 10019-8022 | 2019-06-07 |
| 1013575802 | Sarah Ellen Reiss | Genetic Counselor, MS | 210 E 68th St Ste 1d, New York, NY 10065-6024 | 2019-06-05 |
| 1518423011 | Emelia Grant | Genetic Counselor, MS | 450 Lakeville Rd Ste M50, New Hyde Park, NY 11042-1118 | 2019-02-20 |
| 1427513399 | Rachel Mara Ratner | Genetic Counselor, MS | 1 Theall Rd Ste 103, Rye, NY 10580-1404 | 2019-02-05 |
| 1700351749 | Catherine Kentros | Genetic Counselor, MS | 523w 156th Apt2c, New York, NY 10032 | 2018-10-05 |
| 1609358381 | Erica Lee Poole | Genetic Counselor, MS | 2200 Northern Blvd Ste 100a, Greenvale, NY 11548-1220 | 2018-08-30 |
| 1205328077 | Leyla Tabanfar | Genetic Counselor, MS | 3959 Broadway # Bhn718, New York, NY 10032-1559 | 2018-06-06 |
| 1437666161 | Andrea L Cantor | Genetic Counselor, MS | 200 33rd St Apt 2, Brooklyn, NY 11232-2110 | 2018-01-03 |
| Find all providers with the same taxonomy | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.