PRANVERA DERVISHI (NPI# 1053713164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053713164 |
Entity Type | Individual |
Full Name | PRANVERA DERVISHI |
Credential | PA |
Practice Address |
1334 Astor Ave Pvh 2nd Floor Bronx NY 10469-5832 |
Practice Telephone | 6467032048 |
Mailing Telephone | 6467032048 |
Enumeration Date | 2014-09-19 |
Last Update Date | 2014-09-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
018011 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1334 ASTOR AVE PVH 2ND FLOOR |
City | BRONX |
State | NY |
Zip Code | 10469-5832 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427670884 | Morris Park Rehabilitation and Nursing Center LLC | Skilled Nursing Facility | 1235 Pelham Parkway North, Bronx, NY 10469 | 2020-05-08 |
1437705720 | Wafaa Khoury | Behavioral Analyst | Important Steps,inc, 2447 Eastchester Road, Bronx, NY 10469 | 2019-08-13 |
1033775432 | Sally Mendoza | Licensed Practical Nurse | 2506 Woodhul Ave, Bronx, NY 10469 | 2019-05-13 |
1215495221 | Fasilat Ibrahim | Registered Nurse | 1117 Adee St, Bronx, NY 10469 | 2019-03-08 |
1467922096 | Patience Marku Kitcher | Registered Nurse | 954 East 211 Street, Bronx, NY 10469 | 2018-11-27 |
1316422546 | Leon Anibal Guzman | Registered Nurse | 3230 Paulding Ave 1fl, New York, NY 10469 | 2018-10-03 |
1205328358 | Yesenia A. Arias | Case Manager/Care Coordinator | 1501 Astor Ave., Suite 1a, Bronx, NY 10469 | 2018-06-05 |
1720578719 | Kimberly Carrion Alicea | Psychologist | 2323 Eastchester Rd #27, Bronx, NY 10469 | 2018-05-15 |
1235627993 | Kayon Donaldson | Nurse Practitioner | 2904 Yates Ave, Bronx, NY 10469 | 2018-04-27 |
1699280404 | Joyce Wallace | Specialist | 2825-2 Ely Avenue, Bronx, NY 10469 | 2017-12-04 |
Find all providers in zip 10469 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568006682 | Walces Castelly | Physician Assistant | 860 Grand Concourse Apt 1l, Bronx, NY 10451-2815 | 2019-10-31 |
1447815949 | Shadman Emrose Noshin | Physician Assistant | 2843 Dudley Ave Fl 2, Bronx, NY 10461-5609 | 2019-05-09 |
1275024952 | Barbara Hoffman | Physician Assistant | 1017 Burke Ave, Bronx, NY 10469-3803 | 2018-05-29 |
1154791473 | Edelmys Suncar | Physician Assistant | 1150 Webster Ave, Bronx, NY 10456-5205 | 2015-09-29 |
1083096697 | Victoria Owusuaa | Physician Assistant | 2334 Tiebout Ave, Apt # 4e, Bronx, NY 10458-7310 | 2015-06-19 |
1093102865 | Rlb Alternative Care Inc | Physician Assistant | 574 E 170th St, C/o Ricardo L. Baez, Bronx, NY 10456-2304 | 2015-04-20 |
1235532078 | Ethan Searles | Physician Assistant | 91 Poplar Ave, Bronx, NY 10465-3943 | 2014-10-08 |
1588934814 | Melinda Jimenez | Physician Assistant | 2306 Walton Ave, Bronx, NY 10468-7102 | 2012-01-03 |
1194094300 | Ayisha Munawar | Physician Assistant | 285 E 171st St, Bronx, NY 10457-8939 | 2011-12-16 |
1629365994 | Demetri N Bartley | Physician Assistant | 1804 Bogart Ave Fl 2, Bronx, NY 10462-3702 | 2011-07-07 |
Find all providers in BRONX |
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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.