MR. DAVE AMARASENA


Address: 745 Tysens Ln, Staten Island, NY 10306-5621
Phone: 7186673234

MR. DAVE AMARASENA (NPI# 1831713163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1831713163
Entity Type Individual
Full Name MR. DAVE AMARASENA
Credential NP
Practice Address 745 Tysens Ln
Staten Island
NY 10306-5621
Practice Telephone 7186673234
Mailing Telephone 7186673234
Enumeration Date 2020-06-02
Last Update Date 2020-06-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
F345844-01 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 745 TYSENS LN
City STATEN ISLAND
State NY
Zip Code 10306-5621

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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1215542923 Margaret Chifong Tam Nurse Practitioner 85 Venice Avenue, Staten Island, NY 10304 2020-09-10
1215540638 Shanna Hinckson Nurse Practitioner 53 Tillman St, Staten Island, NY 10314-5680 2020-08-25
1104438548 Amanda Power Nurse Practitioner 64 Lovell Ave, Staten Island, NY 10314-4969 2020-08-18
1497367817 Darya Olekhnovich Nurse Practitioner 25 Navesink Pl, Staten Island, NY 10306-5622 2020-08-18
1194335372 Kimberly Sage Nurse Practitioner 36 Carly Ct, Staten Island, NY 10309-2735 2020-08-03
1932718855 Christine Louise Lutrario Nurse Practitioner 293 Edinboro Rd, Staten Island, NY 10306-1204 2020-07-27
1447877592 Mirena Khaimova Nurse Practitioner 302 Getz Ave, Staten Island, NY 10312-2433 2020-07-05
1063039220 Hima Girish Nurse Practitioner 64 Galloway Ave, Staten Island, NY 10302-2528 2020-07-02
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Competitor

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City STATEN ISLAND
Zip Code 10306

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Dataset Information

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.

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