JACLYN L MANNION (NPI# 1932575578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932575578 |
| Entity Type | Individual |
| Full Name | JACLYN L MANNION |
| Credential | PA-C |
| Practice Address |
111 Amsterdam Ave New York NY 10023-7410 |
| Practice Telephone | 5166807538 |
| Mailing Telephone | 5166807538 |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2016-10-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
018929 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
111 AMSTERDAM AVE |
| City | NEW YORK |
| State | NY |
| Zip Code | 10023-7410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629068218 | Srinivasa Edara | Internal Medicine | 111 Amsterdam Ave, New York, NY 10023-7410 | 2005-10-25 |
| 1760019749 | Madelin Fenianos | Student in an Organized Health Care Education/Training Program | 111 Amsterdam Ave, New York, NY 10023-7410 | 2020-03-27 |
| 1548782261 | Fahad Naseer Khan | Student in an Organized Health Care Education/Training Program | 111 Amsterdam Ave, New York, NY 10027 | 2017-07-14 |
| 1942681622 | Hayley Chestnut | Physician Assistant | 111 Amsterdam Ave, New York, NY 10023-7410 | 2015-06-17 |
| 1265828107 | Camille Fontaine | Student in an Organized Health Care Education/Training Program | 111 Amsterdam Ave, New York, NY 10023-7410 | 2015-04-07 |
| 1023273828 | Anusha Fernando | Pediatrics | 111 Amsterdam Ave, New York, NY 10023-7410 | 2008-07-22 |
| 1114087434 | Ashoni Arora | Internal Medicine | 111 Amsterdam Ave, St Lukes Hosp, Morningside Clinic, New York, NY 10023-7410 | 2006-12-08 |
| 1841244001 | Alice Grabowski | Specialist | 111 Amsterdam Ave, New York, NY 10023-7410 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396353215 | Marian Lisa Stern | Psychologist | 6 West 74th Street, Ny, NY 10023 | 2020-07-16 |
| 1720605652 | Elizabeth Bentley | Social Worker | Institute of Contemporary Psychotherapy, 33 W 60th St. 4th Floor New York, New York, NY 10023 | 2020-06-26 |
| 1164058236 | Dawn Fitzgerald | Registered Nurse | 315 West 70th Street, Suite 1b, New York, NY 10023 | 2020-03-20 |
| 1841849817 | David Charles Tannenbaum | Social Worker | 10 West 74th 1b, Nyc, NY 10023 | 2019-09-11 |
| 1447811211 | United Social Services of The Society for Ethical Culture, Inc. | Community/Behavioral Health | 2 West 64th St., Room 505, New York, NY 10023 | 2019-06-24 |
| 1043875198 | Linda M Stolarz | Social Worker | 140 W 71st, Apt 3 E, New York, NY 10023 | 2019-05-03 |
| 1336609825 | Laurie Faye Schwartz | Counselor | 20 W 64 St, Apt 21a, New York, NY 10023 | 2019-03-21 |
| 1891252706 | Marcia Hochman | Social Worker | The Hallowell Center, 117 West 72nd St. 3rd Floor, Ny, NY 10023 | 2019-02-27 |
| 1629545843 | Roni-sue Allen | Marriage & Family Therapist | 1841 Broadway Suite 325, New York, NY 10023 | 2018-10-25 |
| 1346757291 | Jang Sook Min | Acupuncturist | 134 W 72nd St, New York, NY 10023 | 2018-01-01 |
| Find all providers in zip 10023 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477169654 | Kristen Ariel O'connell | Physician Assistant | 85 John St Apt 7a, New York, NY 10038-2844 | 2020-09-22 |
| 1932737574 | Raheej Choudhary | Physician Assistant | 115 Broadway Rm 1300, New York, NY 10006-1600 | 2020-03-30 |
| 1992354534 | Herless S Sun | Physician Assistant | 506 Lenox Ave # Mlk2-105, New York, NY 10037-1802 | 2019-09-06 |
| 1134773781 | Kristin Goodkin | Physician Assistant | 170 E 108th St Apt 5, New York, NY 10029-3635 | 2019-07-31 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1366965774 | Christy Mcgorman | Physician Assistant | 100 East 77th. St., Lenox Hill Emergency Department, New York, NY 10075 | 2017-07-18 |
| 1891215562 | Steven Kahler | Physician Assistant | 67 Irving Pl Fl 5, New York, NY 10003-2255 | 2017-06-23 |
| 1255881157 | Ross Joseph Morgan IIi | Physician Assistant | 160 E 56th St Fl T12, New York, NY 10022-3609 | 2016-10-04 |
| 1659723021 | Woo Jung Kim | Physician Assistant | 131 W 35th St Ste 700, New York, NY 10001-2111 | 2016-07-08 |
| 1639538317 | Arielle Romm | Physician Assistant | 928 Broadway Ste 204, New York, NY 10010-8162 | 2016-02-23 |
| 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.