MS. DE ANGELA T MINTER (NPI# 1609144088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609144088 |
| Entity Type | Individual |
| Full Name | MS. DE ANGELA T MINTER |
| Credential | PA |
| Practice Address |
30 Broad St Fl 45 New York NY 10004-2942 |
| Mailing Address |
1 Embarcadero Ctr Ste 1900 San Francisco CA 94111-3723 |
| Practice Telephone | 2125300630 |
| Mailing Telephone | 4156586791 |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2020-06-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 024979 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | PA22020 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
30 BROAD ST FL 45 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10004-2942 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225144702 | Holly Martin Martyn | Physician Assistant | 30 Broad St Fl 45, New York, NY 10004-2942 | 2006-08-21 |
| 1063889541 | Mozhgan Erfanian Sabaee | Specialist | 30 Broad St Fl 45, New York, NY 10004 | 2015-08-31 |
| 1659754638 | Katelin Reaney- Perrotti | Physician Assistant | 30 Broad St Fl 45, New York, NY 10004-2942 | 2015-07-08 |
| 1861888018 | Daniela Fanto | Family Medicine | 30 Broad St Fl 45, New York, NY 10004-2942 | 2015-04-14 |
| 1144627449 | Victoria Degregorio | Nurse Practitioner | 30 Broad St Fl 45, New York, NY 10004 | 2014-12-02 |
| 1285036152 | Annie Chan | Registered Nurse | 30 Broad St Fl 45, New York, NY 10004-2942 | 2014-09-22 |
| 1013318757 | Chance Turner | Nurse Practitioner | 30 Broad St Fl 45, New York, NY 10004 | 2014-09-12 |
| 1144661760 | Kimberly Dianne Callender | Nurse Practitioner | 30 Broad St Fl 45, New York, NY 10004-2942 | 2013-07-11 |
| 1952667560 | Isabel Walls | Physician Assistant | 30 Broad St Fl 45, New York, NY 10004-2942 | 2012-04-09 |
| 1619246071 | Erica Ragan Matluck | Registered Nurse | 30 Broad St Fl 45, New York, NY 10004-2942 | 2011-12-14 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467920405 | Doris Virginia Acuna | Occupational Therapy Assistant | One Whitehall St., 9th Floor, New York, NY 10004 | 2018-11-07 |
| 1942799770 | Kylie M Becker | Speech-Language Pathologist | 7 Beaver St, New York, NY 10004 | 2018-05-07 |
| 1215458708 | Louisa Long-hei Chan | Registered Nurse | 125 Broad St # 3, New York, NY 10004 | 2017-07-05 |
| 1255861449 | Melyssa Astorga | Dentist | 11 Broadway Lbby 5, New York, NY 10004 | 2017-06-19 |
| 1912439381 | Lisa Hairston | Nurse Practitioner | 55 Broad St. 21st Floor, New York, NY 10004 | 2017-04-03 |
| 1487017042 | Dana Lynn Zwiebel | Dentist | 27 Whitehall St Fl 6, New York, NY 10004 | 2016-03-31 |
| 1942549233 | Thea Barbara Mccallion | Acupuncturist | 80 Broad Street, Suite 1401, New York, NY 10004 | 2013-02-06 |
| 1437448073 | Steven Lloyd Soignet | Internal Medicine | 55 Broad St., Suite 1840, New York, NY 10004 | 2011-04-05 |
| 1730478371 | James Bernard Dougherty Jr. | Internal Medicine | 55 Broad Street Suite 1840, Arcus Group, New York, NY 10004 | 2011-04-05 |
| 1114167871 | Alexis Pastera Penaflorida | Physical Medicine & Rehabilitation | 55 Broad Street, Suite #15f Downtown Spine Sports & Orthopedic Rehabili, New York, NY 10004 | 2009-02-20 |
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| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442852 | Connor King | Physician Assistant | 25 W 16th St, New York, NY 10011-6364 | 2020-09-18 |
| 1043826084 | Stephen Roa | Physician Assistant | 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 | 2020-09-16 |
| 1710592951 | Krishna Patel | Physician Assistant | 425 W 59th St Ste 4f, New York, NY 10019-8022 | 2020-09-14 |
| 1235744764 | Jennifer Thien Trang Vu | Physician Assistant | 550 W 45th St Apt 233, New York, NY 10036-3771 | 2020-09-11 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1952928459 | Judy Phung | Physician Assistant | 1 Pace Plz, New York, NY 10038-1502 | 2020-06-30 |
| 1417579871 | Mary Elizabeth Walsh | Physician Assistant | 1790 Broadway Fl 8, New York, NY 10019-1412 | 2020-05-08 |
| 1134748874 | Andrew Nitz | Physician Assistant | 50 W 34th St Apt 20b6, New York, NY 10001-3092 | 2020-04-13 |
| 1134758691 | Morgan Ammori | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-06 |
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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.