HENRY ALIX MOMBELEUR (NPI# 1902057227) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902057227 |
| Entity Type | Individual |
| Full Name | HENRY ALIX MOMBELEUR |
| Other Name | HENRY ALIX MOMBELEUR |
| Credential | PA |
| Practice Address |
26 Avenue A New York NY 10009-7601 |
| Practice Telephone | 2124202078 |
| Practice Fax Number | 2129826990 |
| Mailing Telephone | 2124202078 |
| Mailing Fax Number | 2129826990 |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 004034-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
004034-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
26 AVENUE A |
| City | NEW YORK |
| State | NY |
| Zip Code | 10009-7601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215050273 | Bruno Recupero | Family Medicine | 26 Avenue A, New York, NY 10009-7601 | 2007-04-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609484492 | Manhattan Facial Plastic Surgery and Ear Nose & Throat Professional Co | Otolaryngology | 400 East 20th Street Ste 3f, New York, NY 10009 | 2020-07-17 |
| 1407418379 | Housing Works Services, Inc. | Clinic/Center | 743- East 9th Street, Omh Department, New York, NY 10009 | 2019-07-01 |
| 1083187728 | Catherine Ngai | Physical Therapist | 63 Avenue A, New York, NY 10009 | 2019-01-05 |
| 1194203273 | Seif Abobakr Mohamed Eldib | Pharmacist | 221 East 2nd Street, Apt 2f, New York, NY 10009 | 2018-08-01 |
| 1912496365 | Jeremy Ying | Student in an Organized Health Care Education/Training Program | Fierman Hall, Room 9f02, 317 East 17th St, New York, NY 10009 | 2018-05-01 |
| 1750895041 | Shane Health and Strength Physical Therapy LLC | Physical Medicine & Rehabilitation | 280 E 10th St, New York, NY 10009 | 2017-11-22 |
| 1639605892 | Ramonita Garcia | Specialist | 523 East 14 Street Apt. 6g, New York, NY 10009 | 2017-05-10 |
| 1699212308 | Christina Crowder | Physical Therapist | 435 East 12th Street Apt 6, New York, NY 10009 | 2017-01-20 |
| 1528514841 | Katey Bernard | Specialist | 655 East 14th Street, Apt. Me, New York, NY 10009 | 2016-08-28 |
| 1255884474 | Ashley Long | Behavioral Analyst | 521 E 12th St Apt Gfe, New York, NY 10009 | 2016-07-25 |
| Find all providers in zip 10009 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442852 | Connor King | Physician Assistant | 25 W 16th St, New York, NY 10011-6364 | 2020-09-18 |
| 1043826084 | Stephen Roa | Physician Assistant | 1345 Avenue of The Americas Fl 8, New York, NY 10105-0018 | 2020-09-16 |
| 1710592951 | Krishna Patel | Physician Assistant | 425 W 59th St Ste 4f, New York, NY 10019-8022 | 2020-09-14 |
| 1235744764 | Jennifer Thien Trang Vu | Physician Assistant | 550 W 45th St Apt 233, New York, NY 10036-3771 | 2020-09-11 |
| 1609480987 | Kimberly Ann Oppenheim | Physician Assistant | 525 E. 68th Street. Box# 325, Inpatient Oncology Pa Service, New York, NY 10065 | 2020-09-03 |
| 1043829252 | Bridget Maginity | Physician Assistant | 1283 York Ave 14th Floor, New York, NY 10065 | 2020-07-24 |
| 1952928459 | Judy Phung | Physician Assistant | 1 Pace Plz, New York, NY 10038-1502 | 2020-06-30 |
| 1417579871 | Mary Elizabeth Walsh | Physician Assistant | 1790 Broadway Fl 8, New York, NY 10019-1412 | 2020-05-08 |
| 1134748874 | Andrew Nitz | Physician Assistant | 50 W 34th St Apt 20b6, New York, NY 10001-3092 | 2020-04-13 |
| 1134758691 | Morgan Ammori | Physician Assistant | 570 Lexington Ave Fl 9, New York, NY 10022-6710 | 2020-04-06 |
| Find all providers in NEW YORK | ||||
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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.