MRS. AMY MATTIELLI (NPI# 1013980606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013980606 |
| Entity Type | Individual |
| Full Name | MRS. AMY MATTIELLI |
| Credential | P.A.-C. |
| Practice Address |
2454 Hylan Boulevard Staten Island NY 10306 |
| Mailing Address |
124 Cindy St Old Bridge NJ 08857-3023 |
| Practice Telephone | 7182331300 |
| Practice Fax Number | 7189809728 |
| Mailing Telephone | 7326791248 |
| Enumeration Date | 2006-02-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
006636 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2454 HYLAN BOULEVARD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10306 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134737372 | Nancy Burns | Counselor | 345 Guyon Ave # 14, Staten Island, NY 10306 | 2020-07-14 |
| 1710537642 | Happy Island Senior Center LLC | Clinic/Center | 555 Greeley Ave, Staten Island, NY 10306 | 2019-09-12 |
| 1215580055 | Keann Pender | Counselor | 345 Guyon Ave Rm 14, Staten Island, NY 10306 | 2019-07-22 |
| 1346751435 | Amanda Nicole Lewis | Speech-Language Pathologist | 465 New Dorp Lane, The Richard H. Hungerford School, Staten Island, NY 10306 | 2017-10-17 |
| 1649793142 | Olympia Services Inc | Radiology | 1913 Olympia Blvd., Staten Island, NY 10306 | 2017-07-18 |
| 1265961601 | A & S Educational Technology Inc. | Early Intervention Provider Agency | 99 Sydney Pl, Staten Island, NY 10306 | 2017-06-08 |
| 1124489638 | Prospect Kids, LLC | Early Intervention Provider Agency | 21 Kayla Court, Staten Island, NY 10306 | 2016-03-10 |
| 1124498407 | Tatyana Kateva | Registered Nurse | 1975 Hylan Blvd Suite 1, Staten Island, NY 10306 | 2015-09-30 |
| 1336536275 | Natallia Verbitsky | Occupational Therapist | 165 Twombly Ave, Staten Island, NY 10306 | 2015-04-17 |
| 1922491745 | Evan Ross Cohen | Dentist | 1975 Hylan Blvd., Unit #2, Hylan Dental Arts, Staten Island, NY 10306 | 2015-03-18 |
| Find all providers in zip 10306 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568916120 | Brandon Concepcion | Physician Assistant | 72 Merivale Ln, Staten Island, NY 10304-3859 | 2016-08-11 |
| 1407257090 | Alexa Vetere | Physician Assistant | 56 Weaver St, Staten Island, NY 10312-5406 | 2014-09-15 |
| 1679823652 | Gabrielle Masseria | Physician Assistant | 127 Dogwood Dr, Staten Island, NY 10312-1609 | 2012-09-17 |
| 1295031789 | Sherri A Anderson | Physician Assistant | 256 Mason Ave Bldg B, Staten Island, NY 10305-3408 | 2011-02-01 |
| 1457589921 | Lawrence Meiner | Physician Assistant | 17 Andes Pl, Staten Island, NY 10314-5524 | 2009-06-23 |
| 1124144241 | Patricia M O'keefe | Physician Assistant | 83 Windsor Rd, Staten Island, NY 10314 | 2007-03-21 |
| 1689702292 | Kristy Dyann Lubak | Physician Assistant | 1534 Victory Boulevard, Staten Island, NY 10314 | 2007-03-02 |
| 1558334128 | Philip Salvatore Paterno | Physician Assistant | 4143 Hylan Blvd, Staten Island, NY 10308-3308 | 2006-02-13 |
| 1780294959 | Valerie Jioia | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-08-03 |
| 1679199368 | Madison Lynn Robbins | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-18 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10306 |
Please comment or provide details below to improve the information on MRS. AMY MATTIELLI.
| 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.