FOUNTAIN PULMONARY P.C (NPI# 1902816051) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902816051 |
Entity Type | Organization |
Organization Name | FOUNTAIN PULMONARY P.C |
Practice Address |
800 Manor Rd Suite 3 Staten Island NY 10314-7034 |
Practice Telephone | 3475622753 |
Practice Fax Number | 3472895100 |
Mailing Telephone | 3475622753 |
Mailing Fax Number | 3472895100 |
Enumeration Date | 2006-08-09 |
Last Update Date | 2010-07-16 |
Authorized Official Name | DR. ADEBAMBO DOLAPO OLAJITAN (PRESIDENT) |
Authorized Official Telephone | 3475622753 |
Authorized Official Credential | M.D., FCCP |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
212276 | NY | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NY | 01883816 | 05 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FOUNTAIN PULMONARY P.C. | 800 Manor Rd Ste 3, Staten Island, NY 10314-7030 |
Street Address |
800 MANOR RD SUITE 3 |
City | STATEN ISLAND |
State | NY |
Zip Code | 10314-7034 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598768905 | Adebambo Dolapo Olajitan | Internal Medicine | 800 Manor Rd, Suite #3, Staten Island, NY 10314-7034 | 2005-05-31 |
1952726234 | Chandin Vinekumar Patel | Physical Therapist | 800 Manor Rd, Suite 4, Staten Island, NY 10314-7036 | 2014-02-24 |
1801181029 | Ma Fatima C Isidro | Physical Therapist | 800 Manor Rd, Staten Island, NY 10314-7036 | 2011-06-15 |
1518268523 | John Frederick Martinez | Physical Therapist | 800 Manor Rd, Suite 2, Staten Island, NY 10314-7034 | 2010-11-07 |
1245531250 | Manor Road Physical Therapy PC | Clinic/Center | 800 Manor Rd, Suite 2, Staten Island, NY 10314-7034 | 2010-11-07 |
1053575225 | Richmond Internal Medicine Group, P.C. | Internal Medicine | 800 Manor Rd, Suite 4, Staten Island, NY 10314-7034 | 2008-07-16 |
1942402722 | Filippo S Ragone | Chiropractor | 800 Manor Rd, Suite 2, Staten Island, NY 10314-7034 | 2007-06-04 |
1336368356 | Karen Baez | Specialist | 800 Manor Rd, Staten Island, NY 10314-7034 | 2007-04-25 |
1962588723 | Donaire H Howard | Social Worker | 800 Manor Rd, Professional Suites 2v, Staten Island, NY 10314-7016 | 2006-10-27 |
1477576288 | Sunithi Krishnan | Internal Medicine | 800 Manor Rd, Suite #4, Staten Island, NY 10314-7034 | 2006-07-25 |
Find all providers in the same location |
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 | 207RP1001X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Pulmonary Disease |
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
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 |
---|---|---|---|---|
1184979809 | Ziad Esper | Internal Medicine | 288 Slater Blvd, Staten Island, NY 10305-4046 | 2012-07-18 |
1679732507 | Sara B Ahmed | Internal Medicine | 2905 Hylan Boulevard, Staten Island, NY 10306-4653 | 2008-06-05 |
1629157516 | Medical Practice Associates Pllc | Internal Medicine | 235 Dongan Hills Avenue, Suite 2e, Staten Island, NY 10305 | 2006-11-03 |
1427007905 | Ralph John Ciccone IIi | Internal Medicine | 501 Seaview Avenue, Suite 102, Staten Island, NY 10305 | 2006-05-10 |
1023072709 | Ahmed Aly Abdelfadil | Internal Medicine | 5947 Amboy Rd., 2nd Fl., Staten Island, NY 10309-3118 | 2006-04-12 |
1780673244 | James L Bruno | Internal Medicine | 277 Nelson Ave, Staten Island, NY 10308-3204 | 2005-10-18 |
1598768905 | Adebambo Dolapo Olajitan | Internal Medicine | 800 Manor Rd, Suite #3, Staten Island, NY 10314-7034 | 2005-05-31 |
1790019198 | Metro Sleep Medicine PC | Internal Medicine | 800 Castleton Ave, Staten Island, NY 10310-1819 | 2009-10-01 |
1780895425 | Staten Island Pulmonary Assoc PC | Internal Medicine | 501 Seaview Ave, Suite 102, Staten Island, NY 10305-3400 | 2007-05-24 |
1437184942 | Advanced Pulmonary and Sleep PC | Internal Medicine | 310 Richmond Hill Rd, Staten Island, NY 10314-7585 | 2006-07-12 |
Find all providers in STATEN ISLAND |
City | STATEN ISLAND |
Zip Code | 10314 |
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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.