VICTORY BLVD MEDICAL PROCEDURES PC


Address: 3860 Victory Blvd, Staten Island, NY 10314
Phone: 7183702222

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery Allopathic & Osteopathic Physicians

Office Location

Street Address 3860 VICTORY BLVD
City STATEN ISLAND
State NY
Zip Code 10314

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City STATEN ISLAND
Zip Code 10314

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Dataset Information

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.

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