MARINA BYSHOVETS


Address: 164 Admiralty Loop, Staten Island, NY 10309-3964
Phone: 3479029375

MARINA BYSHOVETS (NPI# 1952909012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952909012
Entity Type Individual
Full Name MARINA BYSHOVETS
Practice Address 164 Admiralty Loop
Staten Island
NY 10309-3964
Practice Telephone 3479029375
Mailing Telephone 3479029375
Enumeration Date 2020-10-12
Last Update Date 2020-10-12
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
383190 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 164 ADMIRALTY LOOP
City STATEN ISLAND
State NY
Zip Code 10309-3964

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1902324361 Anthony Orefice Home Health 55 Robin Ct, 1 St Floor, Staten Island, NY 10309 2017-09-06
1770007767 Graceann Cotroneo Specialist 61 Plumtree Lane, 1st Fl, Staten Island, NY 10309 2017-08-01
1477075836 Matthew Jordan Levine Specialist 15 Redwood Loop, Staten Island, NY 10309 2017-07-07
1619339256 Empire Vision Center, Inc. Eyewear Supplier (Equipment, not the service) 205 Bricktown Way, Ste A, Staten Island, NY 10309 2016-03-23
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1811363591 Daniella Aryeh Speech-Language Pathologist 997 Stafford Avenye, Staten Island, NY 10309 2015-08-17
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1295341436 Tatiana Margaret Masone Nurse Practitioner 3142 Victory Blvd, Staten Island, NY 10314-6717 2020-09-22
1750845137 Miriam Gordon Pediatric Np PC Nurse Practitioner 7 Ismay Street, Staten Island, NY 10314 2019-01-30
1326334848 Maria Linda Diaz Nurse Practitioner 105 Hamilton Ave, Staten Island, NY 10301-1610 2011-06-22
1447241534 Carmen Rosa Arroyo Nurse Practitioner 119 Tompkins Ave, Staten Island, NY 10304-2601 2005-10-29
1790772010 Elizabeth Villavicencio Nurse Practitioner 347 Edison St, Staten Island, NY 10306-3034 2005-10-03
1245225531 Mary Margaret Orazem Nurse Practitioner 285kissel Ave, Staten Island, NY 10310 2005-09-13
1568082196 Margaret Ann Azzarelli Nurse Practitioner 98 Forest Rd, Staten Island, NY 10304-2914 2020-04-23
1508252040 Josephine Nancy O'hara Nurse Practitioner 475 Seaview Ave, Staten Island, NY 10305-3436 2015-04-10
1952793747 Dmitry Shindelman Nurse Practitioner 2066 Richmond Ave Fl 1, Staten Island, NY 10314-3960 2015-03-03
1730584574 Alyssa Jensen Nurse Practitioner 2066 Richmond Ave, Staten Island, NY 10314-3916 2014-10-22
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Competitor

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City STATEN ISLAND
Zip Code 10309

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Dataset Information

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.

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