BRANDON CONCEPCION (NPI# 1568916120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568916120 |
| Entity Type | Individual |
| Full Name | BRANDON CONCEPCION |
| Credential | P.A. |
| Practice Address |
72 Merivale Ln Staten Island NY 10304-3859 |
| Practice Telephone | 3472613075 |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
020006 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
72 MERIVALE LN |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-3859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407257090 | Alexa Vetere | Physician Assistant | 56 Weaver St, Staten Island, NY 10312-5406 | 2014-09-15 |
| 1679823652 | Gabrielle Masseria | Physician Assistant | 127 Dogwood Dr, Staten Island, NY 10312-1609 | 2012-09-17 |
| 1295031789 | Sherri A Anderson | Physician Assistant | 256 Mason Ave Bldg B, Staten Island, NY 10305-3408 | 2011-02-01 |
| 1457589921 | Lawrence Meiner | Physician Assistant | 17 Andes Pl, Staten Island, NY 10314-5524 | 2009-06-23 |
| 1124144241 | Patricia M O'keefe | Physician Assistant | 83 Windsor Rd, Staten Island, NY 10314 | 2007-03-21 |
| 1689702292 | Kristy Dyann Lubak | Physician Assistant | 1534 Victory Boulevard, Staten Island, NY 10314 | 2007-03-02 |
| 1558334128 | Philip Salvatore Paterno | Physician Assistant | 4143 Hylan Blvd, Staten Island, NY 10308-3308 | 2006-02-13 |
| 1013980606 | Amy Mattielli | Physician Assistant | 2454 Hylan Boulevard, Staten Island, NY 10306 | 2006-02-13 |
| 1780294959 | Valerie Jioia | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-08-03 |
| 1679199368 | Madison Lynn Robbins | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-18 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
Please comment or provide details below to improve the information on BRANDON CONCEPCION.
| 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.