TIFFANY MATHIS (NPI# 1669940623) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669940623 |
| Entity Type | Individual |
| Full Name | TIFFANY MATHIS |
| Practice Address |
3767 Richmond Ave Staten Island NY 10312-3827 |
| Mailing Address |
322 Manhattan St Staten Island NY 10307-1807 |
| Practice Telephone | 7189670359 |
| Mailing Telephone | 6463218628 |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2018-11-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184977530 | Tiffany E Mathis | Registered Nurse | 15675 Ambaum Blvd Sw, Burien, WA 98166-2523 | 2012-10-23 |
| Street Address |
3767 RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-3827 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134221484 | Ilya Elliot Vayner | Pediatrics | 3767 Richmond Ave, Staten Island, NY 10312-3827 | 2006-09-05 |
| 1841899945 | Hayley Di-ann Livingston | Speech-Language Pathologist | 3767 Richmond Ave, Staten Island, NY 10312-3827 | 2020-10-20 |
| 1568060309 | Briana Turano | Speech-Language Pathologist | 3767 Richmond Ave, Staten Island, NY 10312-3827 | 2020-10-14 |
| 1417555293 | Rose Ann Bonamo | Speech-Language Pathologist | 3767 Richmond Ave, Staten Island, NY 10312-3827 | 2020-10-13 |
| 1710584164 | Luke Schiele | Occupational Therapist | 3767 Richmond Ave, Staten Island, NY 10312-3827 | 2020-10-07 |
| 1962017426 | Erica Learning | Speech-Language Pathologist | 3767 Richmond Ave, Staten Island, NY 10312-3827 | 2020-09-11 |
| 1245845874 | Jaclyn Savino | Speech-Language Pathologist | 3767 Richmond Ave, Staten Island, NY 10312-3827 | 2020-09-10 |
| 1053922179 | Lubna Z Kased | Speech-Language Pathologist | 3767 Richmond Ave, Staten Island, NY 10312-3827 | 2020-08-12 |
| 1639797459 | Francesca M Costanza | Speech-Language Pathologist | 3767 Richmond Ave, Staten Island, NY 10312-3827 | 2020-07-08 |
| 1669098380 | Amanda Orsini | Speech-Language Pathologist | 3767 Richmond Ave, Staten Island, NY 10312-3827 | 2020-06-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448489 | Nicholas Ruggiero | Student in an Organized Health Care Education/Training Program | 136 Brook Ave, Staten Island, NY 10306-4420 | 2020-05-10 |
| 1740802024 | Matthew Mathai | Student in an Organized Health Care Education/Training Program | 242 Livingston Ave, Staten Island, NY 10314-6932 | 2020-05-10 |
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1497374680 | Bachar Botrus | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Department of Medicine Villa Bldg 1st Fl, Staten Island, NY 10310-1664 | 2020-04-08 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1053950352 | Victoria Lamberti | Student in an Organized Health Care Education/Training Program | 469 Lamont Ave, Staten Island, NY 10312-2817 | 2020-01-03 |
| 1376181412 | Rayutte Blazer | Student in an Organized Health Care Education/Training Program | 146 Rupert Ave, Staten Island, NY 10314-5051 | 2019-12-19 |
| 1457999070 | Sara I Genova | Student in an Organized Health Care Education/Training Program | 670 Manor Rd, Staten Island, NY 10314-4525 | 2019-12-13 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
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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.