DR. HELENA GOTTLIEB (NPI# 1811962681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811962681 |
| Entity Type | Individual |
| Full Name | DR. HELENA GOTTLIEB |
| Credential | M.D. |
| Practice Address |
149 Merrymount St Staten Island NY 10314-4844 |
| Practice Telephone | 7186986503 |
| Practice Fax Number | 7186981230 |
| Mailing Telephone | 7186986503 |
| Mailing Fax Number | 7186981230 |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2007-07-09 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
110554 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01780827 | 05 |
| Street Address |
149 MERRYMOUNT ST |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-4844 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265841894 | E & G Heathcare, N.p. In Family Health P.l.l.c. | Nurse Practitioner | 149 Merrymount St, Staten Island, NY 10314-4844 | 2014-08-07 |
| 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 | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497815773 | Lyudmila Pekarsky | Pediatrics | 356 Delaware Ave, Staten Island, NY 10305-2306 | 2006-12-09 |
| 1396859583 | Joel Irwin Stakofsky | Pediatrics | 209 Steinway Ave, Staten Island, NY 10314-4820 | 2006-08-18 |
| 1437175023 | Melvin David Koplow | Pediatrics | 531 Huguenot Ave, Staten Island, NY 10312-2658 | 2006-07-15 |
| 1801869565 | Ila Sukhadia | Pediatrics | 1235 Arden Ave, Staten Island, NY 10312-4148 | 2006-02-10 |
| 1104897602 | Joseph F Castellano | Pediatrics | 41 Brunswick St, Staten Island, NY 10314-6017 | 2006-02-01 |
| 1942475868 | Sam A. Leuzzi | Pediatrics | 78 Cromwell Ave, Suite B, Staten Island, NY 10304-3933 | 2008-04-23 |
| 1508933029 | Sam A. Leuzzi | Pediatrics | 78 Cromwell Ave, Staten Island, NY 10304-3933 | 2006-11-29 |
| 1497738553 | Grace Matthew | Pediatrics | 375 Seguine Ave, Staten Island, NY 10309-3932 | 2005-11-22 |
| 1285617365 | April Lee | Pediatrics | 242 Mason Ave, Staten Island, NY 10305-3408 | 2005-11-22 |
| 1043293129 | Edward D Mccabe | Pediatrics | 242 Mason Ave, Staten Island, NY 10305-3408 | 2005-11-22 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10314 |
Please comment or provide details below to improve the information on DR. HELENA GOTTLIEB.
| 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.