DR. SIMONA PETKOVIC (NPI# 1891780813) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891780813 |
| Entity Type | Individual |
| Full Name | DR. SIMONA PETKOVIC |
| Credential | M.D. |
| Practice Address |
91 Tompkins Ave St Elizabeth Ann's Health Care and Rehab. Center Staten Island NY 10304-2601 |
| Mailing Address |
700 Victory Blvd Apt 10 N Staten Island NY 10301-3554 |
| Practice Telephone | 7188762494 |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 233162 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
91 TOMPKINS AVE ST ELIZABETH ANN'S HEALTH CARE AND REHAB. CENTER |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10304-2601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770578064 | Sisters of Charity Health Care Systems Nh Inc | Skilled Nursing Facility | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2005-09-13 |
| 1912546953 | Henry Sayre | Psychologist | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2019-12-21 |
| 1205347960 | Victoria Felix | Psychologist | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2017-10-19 |
| 1396275319 | Natalie Williams | Licensed Practical Nurse | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2017-06-13 |
| 1538599402 | Antonii Carmon | Licensed Practical Nurse | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2013-11-13 |
| 1396003182 | Sv Operating Three LLC | Internal Medicine | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2012-04-30 |
| 1346507373 | Sv Operating Three LLC | Clinic/Center | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2012-04-16 |
| 1376813238 | Sv Operating Three LLC | Skilled Nursing Facility | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2012-01-10 |
| 1477692515 | Michelle Ling | Nurse Practitioner | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2007-02-05 |
| 1457348831 | Enriqueta Cu Leong | Family Medicine | 91 Tompkins Ave, Staten Island, NY 10304-2601 | 2005-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215542923 | Margaret Chifong Tam | Nurse Practitioner | 85 Venice Avenue, Staten Island, NY 10304 | 2020-09-10 |
| 1598397788 | Alexandria & Akea's Playhouse, Inc. | Day Training, Developmentally Disabled Services | 1864 Clove Road, Staten Island, NY 10304 | 2020-02-06 |
| 1548746811 | Bryant Edward Pearson | Technician/Technologist | 664 Bay Street, Staten Island, NY 10304 | 2018-07-19 |
| 1366941668 | Safwat Attia Youssef | Orthopaedic Surgery | 25 Sunrise Terrace, Staten Island, New York, NY 10304 | 2018-02-02 |
| 1699294090 | Kate Lynn Chimienti | Specialist/Technologist | 52 Smith Ter Fl1, Staten Island, NY 10304 | 2017-09-17 |
| 1881117315 | Fun Speech Therapy, P.C. | Early Intervention Provider Agency | 367 St Pauls Ave., Staten Island, NY 10304 | 2017-07-17 |
| 1720517097 | Senada Pelinkovic | Speech-Language Pathologist | 29 Remsen St, Staten Island, NY 10304 | 2017-06-08 |
| 1760927255 | Kpannah Moore | Licensed Practical Nurse | 492 Vanderbilt Avenue, Staten Island, NY 10304 | 2016-12-20 |
| 1689116592 | Rena Li | Registered Nurse | 30 Celebration Lane, Staten Island, NY 10304 | 2016-11-09 |
| 1407304835 | Esther Mitnick | Counselor | 285 Vanderbilt Avenue, State Island, NY 10304 | 2016-09-14 |
| Find all providers in zip 10304 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700404720 | Medical Doctor Milena Kolesnikova PC | Internal Medicine | 586 Midland Ave Ste B, Staten Island, NY 10306-5903 | 2020-07-07 |
| 1962913459 | Vaithilingam Arulthasan Md PC | Internal Medicine | 57 Andes Pl, Staten Island, NY 10314-5524 | 2017-10-24 |
| 1306384839 | Nazar Sharak | Internal Medicine | 7 Father Capodanno Blvd, Staten Island, NY 10305-4801 | 2017-02-03 |
| 1326494485 | Syed Shahab Kazmi | Internal Medicine | 355 Bard Ave Dept of Medicine Villa Building, 1st Floor, Staten Island, NY 10310-1664 | 2016-05-09 |
| 1114380383 | Crown Neurology, P.C. | Internal Medicine | 1181 Woodrow Rd, Staten Island, NY 10309-1723 | 2016-04-04 |
| 1114386265 | Maryline Shang Nformi | Internal Medicine | 355 Bard Avenue, Dep't of Medicine Villa B'dg 1st Floor, Staten Island, NY 10310-1664 | 2016-02-17 |
| 1639557382 | Charles Sineri | Internal Medicine | 104 Nashville St, Staten Island, NY 10307-1325 | 2015-05-14 |
| 1669866158 | Ellis Enabosi | Internal Medicine | 455 Jersey St, Staten Island, NY 10301-2976 | 2015-03-24 |
| 1780086363 | Prr Diagnostic Medicine PC | Internal Medicine | 1265 Clove Rd, Staten Island, NY 10301-4339 | 2014-09-25 |
| 1689088403 | Ashraf Saad Dwal | Internal Medicine | 355 Bard Ave Dept Of, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2014-06-19 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10304 |
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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.