MISS FIONA EAPEN (NPI# 1710112289) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710112289 |
| Entity Type | Individual |
| Full Name | MISS FIONA EAPEN |
| Credential | RPA-C |
| Practice Address |
30 S Central Ave Ste 201 Valley Stream NY 11580-5437 |
| Mailing Address |
266 Merrick Rd Ste 201 Lynbrook NY 11563-2640 |
| Practice Telephone | 5167918664 |
| Mailing Telephone | 5165994242 |
| Mailing Fax Number | 5165994449 |
| Enumeration Date | 2009-05-27 |
| Last Update Date | 2019-03-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | NY | Physician Assistants & Advanced Practice Nursing Providers | |
| Y | 363A00000X | Physician Assistant | 010511 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21008 Northern Blvd, Suite 2, Bayside, NY 113613211 | 7182248200 |
| Street Address |
30 S CENTRAL AVE STE 201 |
| City | VALLEY STREAM |
| State | NY |
| Zip Code | 11580-5437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174726228 | Michelle A. Renzi | Physician Assistant | 30 S Central Ave Ste 201, Valley Stream, NY 11580-5437 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942807276 | Jason Diana Lmsw | Clinic/Center | 50 West Hawthorne Ave 2nd Floor, Valley Stream, NY 11580 | 2020-10-09 |
| 1346853033 | R.l. Physical Therapy | Physical Therapist | 1676 Putney Road, Valley Stream, NY 11580 | 2020-08-24 |
| 1427523869 | Jessica Doyle | Social Worker | 5-11 Pflug Pl, Valley Stream, NY 11580 | 2018-10-12 |
| 1013491026 | Syeda Afshan Firdous | Licensed Practical Nurse | 13 Cleaveland St, Valley Stream, NY 11580 | 2018-09-17 |
| 1700377934 | Jisha Merin Mathew | Nurse Practitioner | 1835 Oliver Ave, Apt 4, Valley Stream, NY 11580 | 2018-05-23 |
| 1669970273 | Terrice Bell | Social Worker | 50 W Hawthorne Avenue, Valley Streams, NY 11580 | 2018-01-29 |
| 1659883718 | Rita M. Fowler | Registered Nurse | 33 West Hawthorne Ave. Suite 31, New York Health Care, Valley Stream, NY 11580 | 2017-10-30 |
| 1881104768 | Sharon Stephenson | Peer Specialist | 51 Foster Avenue, North Valley Stream, Valley Stream, NY 11580 | 2017-10-05 |
| 1356850200 | Barry Henderson | Case Manager/Care Coordinator | 23 Marlow Road, Valley Stream, NY 11580 | 2017-09-22 |
| 1922526565 | Aneta Kaczmarski | Physical Therapy Assistant | 299 North Corona Ave, Valley Stream, NY 11580 | 2017-09-05 |
| Find all providers in zip 11580 | ||||
| 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 |
|---|---|---|---|---|
| 1124599188 | Gina Maria Marotto | Physician Assistant | 189 Cedar St, Valley Stream, NY 11580-4907 | 2018-12-16 |
| 1689177354 | Haram Gondal | Physician Assistant | 15 Blossom Row, Valley Stream, NY 11580-2509 | 2018-03-08 |
| 1417353483 | Nicole Purdy | Physician Assistant | 117 Ann St, Valley Stream, NY 11580-2701 | 2014-11-18 |
| 1134412729 | Karen Mermelstein | Physician Assistant | 714 University St, Valley Stream, NY 11581-3518 | 2011-05-16 |
| 1841595097 | Alexander Jason Wicker | Physician Assistant | 133 E Merrick Rd, Valley Stream, NY 11580-5900 | 2011-01-20 |
| 1174726228 | Michelle A. Renzi | Physician Assistant | 30 S Central Ave Ste 201, Valley Stream, NY 11580-5437 | 2007-06-07 |
| 1376153700 | Mei L Lu | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-07-31 |
| 1508484858 | Virghinya Ridwan | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2020-07-13 |
| 1073162913 | Nicholas Crozier | Physician Assistant | 900 Franklin Ave, Valley Stream, NY 11580-2145 | 2019-09-04 |
| 1811543739 | Giovanni Pinello | Physician Assistant | 125 Franklin Ave, Valley Stream, NY 11580-2165 | 2019-08-15 |
| Find all providers in VALLEY STREAM | ||||
| City | VALLEY STREAM |
| Zip Code | 11580 |
Please comment or provide details below to improve the information on MISS FIONA EAPEN.
| 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.