DR. ELLIS N SISSKIND (NPI# 1013139849) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013139849 |
| Entity Type | Individual |
| Full Name | DR. ELLIS N SISSKIND |
| Credential | MD |
| Practice Address |
1384 Victory Blvd Staten Island NY 10301 |
| Mailing Address |
103 Scarborough Way Marlboro NJ 07746 |
| Practice Telephone | 7189815900 |
| Practice Fax Number | 7182739589 |
| Mailing Telephone | 7329462512 |
| Mailing Fax Number | 7329462512 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
84328-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00126958 | 05 |
| Street Address |
1384 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437132594 | Christopher Laporta | Obstetrics & Gynecology | 1384 Victory Blvd, Staten Island, NY 10301-3908 | 2005-11-22 |
| 1851300271 | Seetha R Murukutla | Internal Medicine | 1384 Victory Blvd, Staten Island, NY 10301-3908 | 2006-08-05 |
| 1184633513 | Richmond Cancer and Blood Disorders P.C. | Internal Medicine | 1384 Victory Blvd, Staten Island, NY 10301-3908 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417586397 | Maria Duncan | Registered Nurse | Nurse Family Partnership, 358 St. Marks Place, 5th Floor, Staten Island, NY 10301 | 2020-04-03 |
| 1659835569 | Ipark Podiatry P.C. | Podiatrist | 970 Bard Avenue, Staten Island, NY 10301 | 2019-01-24 |
| 1386149789 | Dana Gioia | Specialist | 215 Hart Blvd Apt 5a, Staten Island, NY 10301 | 2018-03-27 |
| 1710404850 | Physical Therapy Unlimited | Preferred Provider Organization | 684 Ocean Terrace, Staten Island, NY 10301 | 2017-08-29 |
| 1356885438 | Jessica Glassman | Social Worker | 10 Dobbs Pl, Staten Island, NY 10301 | 2016-12-08 |
| 1679016372 | Amelia Rella | Speech-Language Pathologist | 60 Foote Ave, Staten Island, NY 10301 | 2016-11-29 |
| 1457714958 | Philip Kaplan | Dentist | 155 Bay Street, Unit C3, Staten Island, NY 10301 | 2016-04-01 |
| 1104284777 | Marie G Joseph | Social Worker | 2381 Hyland Blvd, Staten Island, NY 10301 | 2016-02-10 |
| 1700262565 | Courtney Pryor | Speech-Language Pathologist | 57 Westbury Avenue, Staten Island, NY 10301 | 2015-08-04 |
| 1710377999 | Jessica Maldarelli | Speech-Language Pathologist | 91 Henderson Avenue, Staten Island, NY 10301 | 2015-01-27 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316274061 | Primecare Medical Service PC | Obstetrics & Gynecology | 3371 Richimod Avenue, Staten Island, NY 10312-2025 | 2009-11-17 |
| 1023104676 | Avijit D Mukerji | Obstetrics & Gynecology | 195 College Ave, Gynecology, Staten Island, NY 10314-2364 | 2006-10-04 |
| 1992890271 | Joanna C Pessolano | Obstetrics & Gynecology | 1583 Richmond Ave, Obstetrics and Gynecology, Staten Island, NY 10314-1530 | 2006-10-04 |
| 1720402613 | Tubman Md | Obstetrics & Gynecology | 78 Cromwell Ave, Staten Island, NY 10304-3912 | 2014-02-12 |
| 1194081539 | Susan Khalil | Obstetrics & Gynecology | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2012-04-10 |
| 1073808887 | Orlando Gonzalez, Jr., M.d., P.C. | Obstetrics & Gynecology | 78 Todt Hill Rd, Suite 107, Staten Island, NY 10314-4513 | 2011-06-09 |
| 1316240914 | Richmond Gynecology P.C. | Obstetrics & Gynecology | 539 Castleton Ave, Staten Island, NY 10301-2060 | 2010-12-21 |
| 1205988482 | Ewa Kirpan | Obstetrics & Gynecology | 1145 Targee St, Staten Island, NY 10304 | 2007-01-17 |
| 1528123585 | Orlando Gonzalez Jr. | Obstetrics & Gynecology | 78 Todt Hill Road, Suite 107, Staten Island, NY 10314 | 2006-12-27 |
| 1225123433 | Richard V Grazi | Obstetrics & Gynecology | 355 Bard Ave, Gynecology, Staten Island, NY 10310 | 2006-10-04 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
Please comment or provide details below to improve the information on DR. ELLIS N SISSKIND.
| 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.