PETER J MICELI MD PC (NPI# 1740532829) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740532829 |
| Entity Type | Organization |
| Organization Name | PETER J MICELI MD PC |
| Practice Address |
1550 Richmond Ave Staten Island NY 10314-1510 |
| Practice Telephone | 7189820480 |
| Mailing Telephone | 7189820480 |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-11-20 |
| Authorized Official Name | DR. PETER JOSEPH MICELI (PRESIDENT) |
| Authorized Official Telephone | 7189820480 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
| Street Address |
1550 RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-1510 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710989470 | Jeffrey David Schiller | Ophthalmology | 1550 Richmond Ave, Suite 208, Staten Island, NY 10314-1578 | 2005-08-12 |
| 1164890752 | Romina Calascione | Physician Assistant | 1550 Richmond Ave, Staten Island, NY 10314-1510 | 2015-09-13 |
| 1568891372 | Jeremy Sommer | Physician Assistant | 1550 Richmond Ave, Staten Island, NY 10314-1510 | 2013-11-02 |
| 1881966182 | Board Certified Internists of Staten Island Pllc | Internal Medicine | 1550 Richmond Ave, Suite 202, Staten Island, NY 10314-1510 | 2012-02-01 |
| 1215220769 | Sceusa Lamia Md LLC | Internal Medicine | 1550 Richmond Ave, Staten Island, NY 10314-1510 | 2011-05-17 |
| 1891097242 | Dr. Carl Sceusa M.d. and Dr. James Lamia M.d. | Internal Medicine | 1550 Richmond Ave, Suite 202, Staten Island, NY 10314-1578 | 2010-11-17 |
| 1336381136 | Lisa Ann Shea | Physician Assistant | 1550 Richmond Ave, Suite 207, Staten Island, NY 10314-1578 | 2009-03-25 |
| 1972757672 | John M Pepe Md Pllc | Internal Medicine | 1550 Richmond Ave, Staten Island, NY 10314-1578 | 2008-11-07 |
| 1891887543 | Patricia C Mccormack | Dermatology | 1550 Richmond Ave, Staten Island, NY 10314-1578 | 2006-09-29 |
| 1568554806 | Matthew Palombini | Internal Medicine | 1550 Richmond Ave, Suite 205, Staten Island, NY 10314 | 2006-09-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245542000 | Homere Al Moutran | Otolaryngology | 501 Seaview Ave Ste 202, Staten Island, NY 10305-3400 | 2010-07-09 |
| 1619039815 | Clovelakes Ent PC | Otolaryngology | 1414 Victory Blvd, Staten Island, NY 10301 | 2006-12-14 |
| 1063420958 | Helen Hyosun Kim | Otolaryngology | 1414 Victory Boulevard, Staten Island, NY 10301 | 2006-08-04 |
| 1407817562 | John P Dodaro | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2006-03-29 |
| 1336122548 | Bartolomeo Vincent Castellano | Otolaryngology | 2052 Richmond Rd, 1c, Staten Island, NY 10306-2548 | 2005-11-22 |
| 1275927154 | Michael Amato | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2015-03-27 |
| 1295026037 | Ansley Morgan Roche | Otolaryngology | 501 Seaview Ave Ste 202, Staten Island, NY 10305-3400 | 2011-04-27 |
| 1518132943 | Shawn Christopher Ciecko | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2008-04-27 |
| 1487701777 | Peter Joseph Miceli | Otolaryngology | 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 | 2007-01-05 |
| 1306907753 | Kenneth Wooh | Otolaryngology | 256 Mason Ave, Staten Island, NY 10305-3408 | 2006-12-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
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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.