STEPHEN G SISSELMAN (NPI# 1609948884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609948884 |
| Entity Type | Individual |
| Full Name | STEPHEN G SISSELMAN |
| Credential | DO |
| Practice Address |
627 Broadway Ste 1 Massapequa NY 11758-5031 |
| Mailing Address |
627 Broadway Suite 1 Massapequa NY 11758-5031 |
| Practice Telephone | 5163084040 |
| Mailing Telephone | 5163084040 |
| Mailing Fax Number | 5168046386 |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2017-05-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 216161 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
627 BROADWAY STE 1 |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-5031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104811421 | John Edward Rooney | Allergy & Immunology | 627 Broadway, Massapequa, NY 11758-5031 | 2005-09-13 |
| 1083904494 | Amy L Roberts | Physician Assistant | 627 Broadway, Suite 1, Massapequa, NY 11758-5031 | 2011-04-19 |
| 1730488941 | Mary K Paul | Allergy & Immunology | 627 Broadway, Massapequa, NY 11758 | 2011-03-28 |
| 1851572358 | Sisselman Medical Group, PC | Family Medicine | 627 Broadway, Suite 1, Massapequa, NY 11758-5031 | 2007-11-26 |
| 1629286521 | Donna Marie Carson | Social Worker | 627 Broadway, Massapequa, NY 11758-5031 | 2007-05-21 |
| 1134259716 | Bruce Nyfield | Psychologist | 627 Broadway, Suite 201, Massapequa, NY 11258 | 2007-03-06 |
| 1558405977 | Maryann Leone | Psychologist | 627 Broadway, Suite Maidat, Massapequa, NY 11758-5031 | 2007-02-18 |
| 1437299690 | Bonnie G Weintraub | Social Worker | 627 Broadway, Ste.200, Massapequa, NY 11758-5031 | 2007-02-07 |
| 1194873372 | Barbara Ann Kilgus | Social Worker | 627 Broadway, Suite 200, Massapequa, NY 11758-5031 | 2007-01-06 |
| 1295895480 | Jill Sisselman | Family Medicine | 627 Broadway, Suite 1, Massapequa, NY 11758-5031 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730609827 | Michael Bishai Md, LLC | Internal Medicine | 28 Greatwater Ave, Massapequa, NY 11758-8306 | 2017-06-21 |
| 1548583412 | Bhavna Sehgal | Internal Medicine | 904 N Bay Ave, Massapequa, NY 11758-2580 | 2010-03-08 |
| 1477630747 | Ji Ming Huang | Internal Medicine | 4647 Merrick Road, Massapequa, NY 11758-6021 | 2006-11-01 |
| 1811085392 | Vincent P Anzalone | Internal Medicine | 847 N Broadway, Suite 103, Massapequa, NY 11758-2373 | 2006-10-10 |
| 1871686691 | Mauro D Gasparini | Internal Medicine | 119 New York Avenue, Massapequa, NY 11758-4601 | 2006-10-02 |
| 1053410621 | Michael Falkove | Internal Medicine | 4150 Sunrise Hwy, Massapequa, NY 11758-5303 | 2006-09-21 |
| 1275647166 | Robert E Fogel | Internal Medicine | 896 Broadway, Massapequa, NY 11758 | 2006-08-18 |
| 1205949518 | William Cosmo Padula | Internal Medicine | 5240 Merrick Rd, Ste 2, Massapequa, NY 11758-6207 | 2006-08-17 |
| 1568474146 | Saji Francis | Internal Medicine | 4999 Merrick Rd, Massapequa, NY 11758-6201 | 2006-08-12 |
| 1821028184 | Chetan Malhotra | Internal Medicine | 575 Broadway, Massapequa, NY 11758-5019 | 2006-07-03 |
| Find all providers in MASSAPEQUA | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
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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.