VICTORY BLVD MEDICAL PROCEDURES PC (NPI# 1568062776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568062776 |
| Entity Type | Organization |
| Organization Name | VICTORY BLVD MEDICAL PROCEDURES PC |
| Practice Address |
3860 Victory Blvd Staten Island NY 10314 |
| Practice Telephone | 7183702222 |
| Mailing Telephone | 7183702222 |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |
| Authorized Official Name | DR. RAMIN MOSTAFAVI (OWNER) |
| Authorized Official Telephone | 7183702222 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3860 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144453671 | David Mostafavi | Ophthalmology | 3860 Victory Blvd, Staten Island, NY 10312 | 2009-09-01 |
| 1912485483 | Noreen Kamal-mostafavi Md Pllc | Obstetrics & Gynecology | 3860 Victory Blvd, Staten Island, NY 10314-6720 | 2018-08-06 |
| 1851540488 | R Mostafavi Md Ophthamologist PC | Ophthalmology | 3860 Victory Blvd, Staten Island, NY 10314-6720 | 2008-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871862557 | Radhey Malhotra | Surgery | 41 Birchard Ave, Staten Island, NY 10314-4138 | 2011-12-24 |
| 1922393495 | Sara Kim | Surgery | 256 Mason Ave Bldg B2nd, Staten Island, NY 10305-3408 | 2011-06-13 |
| 1972833887 | Joseph D Fulco | Surgery | 971 Sinclair Ave, Staten Island, NY 10309-2230 | 2009-12-29 |
| 1558690859 | Aroch Medical PC | Surgery | 1112 South Ave, Staten Island, NY 10314-3410 | 2009-12-15 |
| 1093974271 | Kenneth Michael Testa | Surgery | 124 Mcclean Ave, Staten Island, NY 10305-4614 | 2008-06-03 |
| 1710162193 | Igor Brichkov | Surgery | 264 Greencroft Ave, Staten Island, NY 10308-3247 | 2008-01-04 |
| 1700073954 | Mensur E Klobocista | Surgery | 220 Victory Blvd, Staten Island, NY 10301-2919 | 2007-10-02 |
| 1033324843 | Ireneo Valdes Albano | Surgery | 188 Ocean Ter, Staten Island, NY 10301-4514 | 2007-05-14 |
| 1508931742 | George Kuczabski | Surgery | 2131 Richmond Rd, Staten Island, NY 10306-2574 | 2006-11-22 |
| 1184795569 | Karen E Gibbs | Surgery | 256 Mason Avenue, Bldg B, United Medical Surgical, PC, Staten Island, NY 10305 | 2006-11-10 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on VICTORY BLVD MEDICAL PROCEDURES PC.
| 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.