MR. ADAM FELLINE (NPI# 1720408990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720408990 |
| Entity Type | Individual |
| Full Name | MR. ADAM FELLINE |
| Practice Address |
475 Seaview Ave Staten Island NY 10305-3436 |
| Mailing Address |
367 Main St Staten Island NY 10307-1725 |
| Practice Telephone | 7182269877 |
| Mailing Telephone | 6462705152 |
| Enumeration Date | 2014-04-25 |
| Last Update Date | 2014-04-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 3902000000X | NY | Dental Providers |
| Street Address |
475 SEAVIEW AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611537 | Than Than Aye | Anesthesiology | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2005-06-30 |
| 1780285346 | Daphne Andrea Duran | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-11-02 |
| 1912505595 | Jennifer Ann Holtzbach | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-10-15 |
| 1649877564 | Michelle Ramsaroop | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-10-04 |
| 1174130694 | Juda Zurndorfer | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-09-29 |
| 1780299362 | Lorenzo Brown | Registered Nurse | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-09-10 |
| 1780294959 | Valerie Jioia | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-08-03 |
| 1679199368 | Madison Lynn Robbins | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-18 |
| 1598389678 | Brianna Nichole Hines | Student in an Organized Health Care Education/Training Program | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-03 |
| 1912521279 | Christina Valerio | Registered Nurse | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790088 | Pamela A Michelotti | Dentist | 1003 Richmond Ave Ste A, Staten Island, NY 10314-1584 | 2020-11-04 |
| 1356847297 | Mina Farid | Dentist | 12 Yucca Dr, Staten Island, NY 10312-1634 | 2018-03-31 |
| 1760935167 | Joseph Anthony Giovinazzo | Dentist | 247 Richmond Hill Rd, Staten Island, NY 10314-5904 | 2016-08-02 |
| 1508228131 | Mark Genco | Dentist | 418 Saint Marks Pl, Staten Island, NY 10301-2434 | 2016-03-23 |
| 1336553536 | Ishtjot Saini | Dentist | 211 Richmond Hill Rd Ste 2b, Staten Island, NY 10314-5905 | 2014-06-16 |
| 1508279506 | Ryan Barrett | Dentist | 59 Reading Ave, Staten Island, NY 10312-2043 | 2014-06-06 |
| 1023449196 | Barry Mandell | Dentist | 104 Russek Dr, Staten Island, NY 10312-1630 | 2013-11-27 |
| 1447690136 | Om G Chainani | Dentist | 205 Port Richmond Ave, Staten Island, NY 10302-1311 | 2013-06-27 |
| 1821435223 | Andrea P Divernieri | Dentist | 22 Hilltop Ter, Staten Island, NY 10304-1109 | 2013-05-27 |
| 1104103340 | Randy Gulkis | Dentist | 15 1st St, Staten Island, NY 10306-2201 | 2011-11-15 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.