FPA HOSPITAL BASED (NPI# 1841531795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841531795 |
| Entity Type | Organization |
| Organization Name | FPA HOSPITAL BASED |
| Other Organization Name | MOUNT SINAI DERMATOPATHOLOGY SERVICES III |
| Practice Address |
1468 Madison Ave Annenberg 03-08 New York NY 10029-6508 |
| Practice Telephone | 2127317772 |
| Practice Fax Number | 2125347491 |
| Mailing Telephone | 2122416064 |
| Mailing Fax Number | 2122417832 |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2015-03-02 |
| Authorized Official Name | MS. CRYSTAL MACNEILL (VP, CBO DIRECTOR) |
| Authorized Official Telephone | 2122416228 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | FPA HOSPITAL BASED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZD0900X |
Pathology Specialization: Dermatopathology |
CLIA 33D1051889 | NY | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| MOUNT SINAI DERMATOPATHOLOGY SERVICES III | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710324041 | Fpa Hospital Based | Anesthesiology | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6500 | 2013-05-28 |
| 1700223039 | Fpa Hospital Based | Anesthesiology | 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6500 | 2013-05-28 |
| 1942543889 | Fpa Hospital Based | Radiology | 1 Gustave L Levy Pl, New York, NY 10029-6500 | 2013-03-28 |
| 1205179140 | Fpa Hospital Based | Nuclear Medicine | 1 Gustave L Levy Pl, New York, NY 10029-6500 | 2013-03-28 |
| 1487995700 | Fpa Hospital Based | Radiology | 1176 5th Ave, #1235, New York, NY 10029-6503 | 2013-03-12 |
| 1326389826 | Fpa Hospital Based | Pathology | 1 Gustave L Levy Pl, Annenberg 15th Floor, New York, NY 10029-6500 | 2013-03-07 |
| 1962743575 | Fpa Hospital Based | Pathology | 1468 Madison Ave, Annenberg 15-60, New York, NY 10029-6508 | 2013-03-06 |
| 1629319413 | Fpa Hospital Based | Nuclear Medicine | 1 Gustave L Levy Pl, New York, NY 10029-6500 | 2013-03-05 |
| 1427398676 | Fpa Hospital Based | Emergency Medicine | 100th St and Madison Ave, New York, NY 10029-6503 | 2013-02-26 |
| Street Address |
1468 MADISON AVE ANNENBERG 03-08 |
| City | NEW YORK |
| State | NY |
| Zip Code | 10029-6508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619957578 | Maureen F Zakowski | Pathology | 1468 Madison Ave, New York, NY 10029-6508 | 2006-01-18 |
| 1548861685 | Antonia Veronica Lewis | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2020-11-05 |
| 1821697517 | Michelle Elizabeth Wong | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2020-10-22 |
| 1942809645 | Miriam Jason | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2020-10-22 |
| 1528667409 | Mishkina Terrane | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2020-10-21 |
| 1700493939 | Brian Castano | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2020-10-01 |
| 1922615327 | Colin Malloy | Dietitian, Registered | 1468 Madison Ave, New York, NY 10029-6508 | 2020-09-29 |
| 1821602558 | Kerryann Kathryn Donovan | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2020-09-01 |
| 1386256279 | Kimberly Zafra | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2020-08-20 |
| 1295345080 | Sujine Lee | Nurse Practitioner | 1468 Madison Ave, New York, NY 10029-6508 | 2020-08-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316547029 | Erica Marie Mclaughlin | Counselor | 109 E. 115th Street, New York, NY 10029 | 2020-10-30 |
| 1992305601 | Ayan Kumar | Student in an Organized Health Care Education/Training Program | New York Medical College/ Metropolitan Hospital, 1901, First Avenue, New York City, NY 10029 | 2020-10-30 |
| 1538767306 | Noily Noemi Nezbeth | Registered Nurse | 1 Gustav Levy, New York, NY 10029 | 2020-10-14 |
| 1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
| 1225635014 | Alice Liang | Registered Nurse | 35 East 110th St, New York, NY 10029 | 2020-10-05 |
| 1013525724 | Avihai Moscovici | Student in an Organized Health Care Education/Training Program | 1 Gustave L. Levy Pl, New York, New York, NY 10029 | 2020-07-20 |
| 1912523473 | Gayathri Sreenivasan | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, Metropolitan Hospital Center, Department of Pediatrics, New York, NY 10029 | 2020-06-22 |
| 1417572801 | Rachana Borkar | Student in an Organized Health Care Education/Training Program | 1901, 1st Avenue, New York, Metropolitan Hospital Center Department of Int Medicine, New York, NY 10029 | 2020-06-11 |
| 1831713197 | Dania Isabel Antunez | Student in an Organized Health Care Education/Training Program | 1901 1 St Avenue, New York, NY 10029 | 2020-06-02 |
| 1972122323 | Antoine Beayno | Student in an Organized Health Care Education/Training Program | The Mount Sinai Hospital- 1468 Madison Ave, New York City, NY 10029 | 2020-04-15 |
| Find all providers in zip 10029 | ||||
| Taxonomy Code | 207ZD0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Dermatopathology |
| A dermatopathologist is an expert in diagnosing and monitoring diseases of the skin including infectious, immunologic, degenerative, and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings, and smears of skin lesions by means of light microscopy, electron microscopy, and fluorescence microscopy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. A subspecialty certificate was first issued by the ABMS in 1974. ACGME Accredited Residency Program Requirements: None. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659532224 | Garrett Thomas Desman | Pathology | 1233 York Ave Apt 16o, New York, NY 10065-6306 | 2008-06-17 |
| 1316986359 | Mount Sinai School of Medicine | Pathology | 1428 Madison Ave, Atran 610, New York, NY 10029-6508 | 2006-06-05 |
| 1497925127 | Yushan Brittany Chiou | Pathology | 145 E 32nd St, 10th Floor, New York, NY 10016-6055 | 2008-03-10 |
| 1447453469 | Melissa Pulitzer | Pathology | 530 1st Ave, Hcc 7j, New York, NY 10016-6402 | 2007-06-07 |
| 1639382245 | Patrick Oliver Emanuel | Pathology | 1 Gustave L Levy Pl, New York, NY 10029-6500 | 2007-05-08 |
| 1255451910 | Travis Jason Hollmann | Pathology | 1275 York Avenue, Memorial Hospital/ Dept. of Pathology, New York, NY 10065 | 2007-03-29 |
| 1518017086 | Julie Michelle Wu | Pathology | 550 1st Ave, New York, NY 10016-6402 | 2007-01-10 |
| 1073592630 | Joan M Mones | Pathology | 145 E 32nd St, 10th Floor, New York, NY 10016-6055 | 2006-01-12 |
| 1689653164 | Geoffrey J Gottlieb | Pathology | 145 E 32nd St, 10th Floor, New York, NY 10016-6055 | 2006-01-12 |
| 1144209636 | Patricia A Heller | Pathology | 145 E 32nd St, 10th Floor, New York, NY 10016-6055 | 2006-01-12 |
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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.