NIA BRAITHWAITE


Address: 1688 Victory Blvd, Staten Island, NY 10314-3547
Phone: 7188154111

NIA BRAITHWAITE (NPI# 1982188256) 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) 1982188256
Entity Type Individual
Full Name NIA BRAITHWAITE
Practice Address 1688 Victory Blvd
Staten Island
NY 10314-3547
Mailing Address 45 Saint Felix St
Brooklyn
NY 11217-1205
Practice Telephone 7188154111
Enumeration Date 2018-09-21
Last Update Date 2018-09-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program NY Student, Health Care

Office Location

Street Address 1688 VICTORY BLVD
City STATEN ISLAND
State NY
Zip Code 10314-3547

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578645735 Marina Chernyak Social Worker 1688 Victory Blvd, Staten Island, NY 10314-3533 2006-10-19
1508490889 Shannon Rick Social Worker 1688 Victory Blvd, Staten Island, NY 10314-3547 2020-02-26
1255881918 Alexa Accardi Counselor 1688 Victory Blvd, Staten Island, NY 10314-3547 2016-10-06
1770030660 Vanessa Barulich Counselor 1688 Victory Blvd, Staten Island, NY 10314-3547 2016-09-08
1194272138 Amanda Jill Cloninger Social Worker 1688 Victory Blvd, Staten Island, NY 10314-3547 2016-09-07
1790230282 Jeffrey Whitney Counselor 1688 Victory Blvd, Staten Island, NY 10314-3547 2016-08-24
1124403241 Janice Kowalski Social Worker 1688 Victory Blvd, Staten Island, NY 10314-3547 2015-07-30
1346626488 George Vega Counselor 1688 Victory Blvd, Staten Island, NY 10314-3547 2015-07-30
1790102051 Bridge Back To Life Center, Inc. Social Worker 1688 Victory Blvd, Staten Island, NY 10314-3547 2014-03-25
1811235716 Dennis Meagher Counselor 1688 Victory Blvd, Staten Island, NY 10314-3547 2013-01-28
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1104448489 Nicholas Ruggiero Student in an Organized Health Care Education/Training Program 136 Brook Ave, Staten Island, NY 10306-4420 2020-05-10
1740802024 Matthew Mathai Student in an Organized Health Care Education/Training Program 242 Livingston Ave, Staten Island, NY 10314-6932 2020-05-10
1710506027 Sini Bijoy Student in an Organized Health Care Education/Training Program 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 2020-04-16
1497374243 Isabelle Mulango Student in an Organized Health Care Education/Training Program 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 2020-04-12
1497374680 Bachar Botrus Student in an Organized Health Care Education/Training Program 355 Bard Ave Department of Medicine Villa Bldg 1st Fl, Staten Island, NY 10310-1664 2020-04-08
1174152839 Yvonne Hanna Student in an Organized Health Care Education/Training Program 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 2020-04-05
1588293591 Muhammad Shaheryar Haider Student in an Organized Health Care Education/Training Program 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 2020-04-02
1053950352 Victoria Lamberti Student in an Organized Health Care Education/Training Program 469 Lamont Ave, Staten Island, NY 10312-2817 2020-01-03
1376181412 Rayutte Blazer Student in an Organized Health Care Education/Training Program 146 Rupert Ave, Staten Island, NY 10314-5051 2019-12-19
1457999070 Sara I Genova Student in an Organized Health Care Education/Training Program 670 Manor Rd, Staten Island, NY 10314-4525 2019-12-13
Find all providers in STATEN ISLAND

Competitor

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City STATEN ISLAND
Zip Code 10314

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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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