DR. JEANNINE A. VILLELLA (NPI# 1659321982) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659321982 |
| Entity Type | Individual |
| Full Name | DR. JEANNINE A. VILLELLA |
| Credential | D.O. |
| Practice Address |
635 Madison Ave Fl 12 New York NY 10022-1009 |
| Practice Telephone | 2124343770 |
| Practice Fax Number | 2124343775 |
| Mailing Telephone | 2124343770 |
| Mailing Fax Number | 2124343775 |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2016-04-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
218520 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02175991 | 05 |
| Street Address |
635 MADISON AVE FL 12 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10022-1009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952821449 | Alyssa Nicole Costa | Physician Assistant | 635 Madison Ave Fl 12, New York, NY 10022-1009 | 2017-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
| 1629697081 | Mary Kathleen Mcallister | Social Worker | 157 East 57th Street, Apt 7a, New York, NY 10022 | 2020-04-15 |
| 1245878263 | Vishal Patel | Optometrist | Columbia University Laser Vision Center, 880 Third Avenue, New York, NY 10022 | 2019-12-20 |
| 1679116768 | Niteegna Patel | Physical Therapist | 115 East 57th Sreet, Suite 520, New York, NY 10022 | 2019-10-22 |
| 1386298081 | Daniel Tanh, LLC | Community/Behavioral Health | Alma, C/o Daniel Tanh, 515 Madison Avenue, 21st Floor, New York, NY 10022 | 2019-07-31 |
| 1124686548 | Necati Enver | Student in an Organized Health Care Education/Training Program | 880 Third Avenue 3rd Floor, Columbia University Center for Voice and Swallowing, New York, NY 10022 | 2019-05-31 |
| 1134688062 | Queenie K Yeung | Occupational Therapist | 1110 Second Avenue, Suite 302, New York, NY 10022 | 2019-03-19 |
| 1437616968 | Rebekah Wotman | Nurse Practitioner | 121 E 60th Street, Suite 4c, New York, NY 10022 | 2019-02-20 |
| 1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
| 1235616186 | Deborah Badran | Doula | 415 East 52st. #2aa, New York, NY 10022 | 2018-07-24 |
| Find all providers in zip 10022 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447803028 | Dib Sassine | Obstetrics & Gynecology | 1233 York Ave Apt 10q, New York, NY 10065-6342 | 2019-07-22 |
| 1578049417 | Derman Basaran | Obstetrics & Gynecology | 504 E 63rd St Apt 17l, New York, NY 10065-7920 | 2018-07-13 |
| 1740706415 | Benny Brandt | Obstetrics & Gynecology | 1233 York Ave Apt 11o, New York, NY 10065-6342 | 2017-08-15 |
| 1447666862 | Zeitoun Medical Pllc | Obstetrics & Gynecology | 139 E 23rd St Fl 2, New York, NY 10010-3788 | 2014-07-07 |
| 1912265315 | David Gal | Obstetrics & Gynecology | 515 E 79th St Apt 28a, New York, NY 10075-0781 | 2012-04-24 |
| 1902030679 | Melissa Kristen Frey | Obstetrics & Gynecology | 525 E 68th St # 122, New York, NY 10065 | 2009-05-11 |
| 1154581304 | Jennifer J Mueller | Obstetrics & Gynecology | 1275 York Ave Ste H-1310, New York, NY 10065-6007 | 2008-06-11 |
| 1740232941 | Jamal Rahaman | Obstetrics & Gynecology | 1136 5th Ave, Suite 1b, New York, NY 10128-0122 | 2006-05-16 |
| 1699750943 | Elizabeth A Poynor | Obstetrics & Gynecology | 157 E 81st St, New York, NY 10028-1844 | 2005-12-09 |
| 1841284023 | Christina Kwon | Obstetrics & Gynecology | 38 E 32nd St, 9th Floor, New York, NY 10016-5507 | 2005-09-02 |
| Find all providers in NEW YORK | ||||
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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.