TUBMAN MD (NPI# 1720402613) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720402613 |
| Entity Type | Organization |
| Organization Name | TUBMAN MD |
| Practice Address |
78 Cromwell Ave Staten Island NY 10304-3912 |
| Mailing Address |
100 Joline Ave Staten Island NY 10307-2019 |
| Practice Telephone | 7189879175 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2014-02-12 |
| Authorized Official Name | DR. INNA TUBMAN (PHYSICIAN) |
| Authorized Official Telephone | 9178624218 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
240622 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
78 CROMWELL AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-3912 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679529937 | Nkanga Nkanga | Legal Medicine | 78 Cromwell Ave, Staten Island, NY 10304-3933 | 2006-05-26 |
| 1225371354 | Jacqueline Guterman | Obstetrics & Gynecology | 78 Cromwell Ave, Staten Island, NY 10304-3912 | 2013-03-27 |
| 1477865616 | Victory Obstetrics & Gynecology PC | Obstetrics & Gynecology | 78 Cromwell Ave, Suite C, Staten Island, NY 10304-3933 | 2010-07-03 |
| 1942475868 | Sam A. Leuzzi | Pediatrics | 78 Cromwell Ave, Suite B, Staten Island, NY 10304-3933 | 2008-04-23 |
| 1417018623 | Inna Tubman | Obstetrics & Gynecology | 78 Cromwell Ave, Staten Island, NY 10304-3912 | 2006-12-12 |
| 1598826711 | Mary Elizabeth Lisi | Registered Nurse | 78 Cromwell Ave, Staten Island, NY 10304-3933 | 2006-12-12 |
| 1780742643 | John Leo Prue | Obstetrics & Gynecology | 78 Cromwell Ave, Staten Island, NY 10304-3912 | 2006-12-04 |
| 1508933029 | Sam A. Leuzzi | Pediatrics | 78 Cromwell Ave, Staten Island, NY 10304-3933 | 2006-11-29 |
| 1962578757 | Gary Spierer | Obstetrics & Gynecology | 78 Cromwell Ave, Staten Island, NY 10304-3933 | 2006-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316274061 | Primecare Medical Service PC | Obstetrics & Gynecology | 3371 Richimod Avenue, Staten Island, NY 10312-2025 | 2009-11-17 |
| 1023104676 | Avijit D Mukerji | Obstetrics & Gynecology | 195 College Ave, Gynecology, Staten Island, NY 10314-2364 | 2006-10-04 |
| 1992890271 | Joanna C Pessolano | Obstetrics & Gynecology | 1583 Richmond Ave, Obstetrics and Gynecology, Staten Island, NY 10314-1530 | 2006-10-04 |
| 1194081539 | Susan Khalil | Obstetrics & Gynecology | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2012-04-10 |
| 1073808887 | Orlando Gonzalez, Jr., M.d., P.C. | Obstetrics & Gynecology | 78 Todt Hill Rd, Suite 107, Staten Island, NY 10314-4513 | 2011-06-09 |
| 1316240914 | Richmond Gynecology P.C. | Obstetrics & Gynecology | 539 Castleton Ave, Staten Island, NY 10301-2060 | 2010-12-21 |
| 1013139849 | Ellis N Sisskind | Obstetrics & Gynecology | 1384 Victory Blvd, Staten Island, NY 10301 | 2007-05-02 |
| 1205988482 | Ewa Kirpan | Obstetrics & Gynecology | 1145 Targee St, Staten Island, NY 10304 | 2007-01-17 |
| 1528123585 | Orlando Gonzalez Jr. | Obstetrics & Gynecology | 78 Todt Hill Road, Suite 107, Staten Island, NY 10314 | 2006-12-27 |
| 1225123433 | Richard V Grazi | Obstetrics & Gynecology | 355 Bard Ave, Gynecology, Staten Island, NY 10310 | 2006-10-04 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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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.