MR. OTABEK PULATOV (NPI# 1699276618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699276618 |
| Entity Type | Individual |
| Full Name | MR. OTABEK PULATOV |
| Credential | PA-C |
| Practice Address |
3311 Hylan Blvd Staten Island NY 10306-3611 |
| Mailing Address |
2940 Ocean Parkway 20d Brookyln NY 11235 |
| Practice Telephone | 7186677500 |
| Mailing Telephone | 3475867775 |
| Enumeration Date | 2018-02-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NCCPA ID | 1151097 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1099 Targee St, Staten Island, NY 103044310 | 7184483210 |
| Street Address |
3311 HYLAN BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306-3611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962406306 | John Vito Capotorto | Internal Medicine | 3311 Hylan Blvd, Staten Island, NY 10306 | 2005-06-13 |
| 1780202192 | Sports Physical Therapy Occupational Therapy and Rehabilitation Servic | Occupational Therapist | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2020-07-12 |
| 1821620022 | Bartlomiej Zylewicz | Occupational Therapist | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2020-02-06 |
| 1013548999 | North Shore-lij Cardiovascular Medicine PC | Occupational Therapist | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2020-01-30 |
| 1851773170 | Sissey Kurian | Physician Assistant | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2015-06-23 |
| 1285035006 | Michael Denicola | Orthotic Fitter | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2014-09-11 |
| 1235472986 | Michelle O Twito | Physician Assistant | 3311 Hylan Blvd, Staten Island, NY 10306-3611 | 2013-04-01 |
| 1801061684 | Nakul Mahajan | Anesthesiology | 3311 Hylan Blvd, Staten Island, NY 10306 | 2008-04-23 |
| 1114983434 | Thomas S. Doty | Physician Assistant | 3311 Hylan Blvd, 2nd Floor, Staten Island, NY 10306-3688 | 2006-04-25 |
| 1972584696 | Albert B Accettola Jr. | Orthopaedic Surgery | 3311 Hylan Blvd, Staten Island, NY 10306-3688 | 2005-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457985517 | Fina Vitale | Physician Assistant | 61 Littlefield Ave, Staten Island, NY 10312-6509 | 2020-02-27 |
| 1154709210 | Diana Deluca | Physician Assistant | 55 Johanna Ln, Staten Island, NY 10309-3632 | 2015-05-09 |
| 1881081784 | Aminata Dieng | Physician Assistant | 141 Parkhill Av Apt 4w, Staten Island, NY 10304-3402 | 2015-04-20 |
| 1134517071 | Michael Migliorini | Physician Assistant | 416 Mcclean Ave, Staten Island, NY 10305-3610 | 2014-12-30 |
| 1629353180 | Anna Litvin | Physician Assistant | 3913 Richmond Ave., Staten Island, NY 10312 | 2011-10-17 |
| 1487942645 | Rachel Tova Steinberg | Physician Assistant | 1012 Westwood Ave, Staten Island, NY 10314-4242 | 2011-07-20 |
| 1245539949 | Austin Epstein | Physician Assistant | 305 Seguine Ave Apt 1, Staten Island, NY 10309-3712 | 2011-03-21 |
| 1275843807 | Marlena Ludwika Burek | Physician Assistant | 23 Laforge Ave, 2, Staten Island, NY 10302-1634 | 2010-10-17 |
| 1811207962 | Marie Nicole Caragiulo | Physician Assistant | 176 Lovelace Ave, Staten Island, NY 10312-3208 | 2010-10-07 |
| 1831421999 | Krishma Patel | Physician Assistant | 45 Little Clove Rd, Staten Island, NY 10301-4306 | 2010-01-31 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
Please comment or provide details below to improve the information on MR. OTABEK PULATOV.
| 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.