VINCI MATHEW (NPI# 1073149811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073149811 |
| Entity Type | Individual |
| Full Name | VINCI MATHEW |
| Practice Address |
95 Grand Ave Massapequa NY 11758-4905 |
| Mailing Address |
5 Fairfield Ln New Hyde Park NY 11040-1828 |
| Practice Telephone | 5167997500 |
| Enumeration Date | 2020-03-12 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 024821 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5 Fairfield Ln, New Hyde Park, NY 110401828 | 5163059869 |
| Street Address |
95 GRAND AVE |
| City | MASSAPEQUA |
| State | NY |
| Zip Code | 11758-4905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861465155 | Teresa Farrugia | Psychiatry & Neurology | 95 Grand Ave, Massapequa, NY 11758-4905 | 2006-02-08 |
| 1396948147 | Massapequa Neurologic,pc | Psychiatry & Neurology | 95 Grand Ave, Massapequa, NY 11758-4905 | 2007-06-08 |
| 1194798280 | Tejpreet Singh | Psychiatry & Neurology | 95 Grand Ave, Massapequa, NY 11758-4905 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811535339 | Jamie Leigh Disilvio | Licensed Practical Nurse | 24 Amity Pl., Massapequa, NY 11758 | 2019-12-16 |
| 1548787955 | June H Friedman | Social Worker | 78 North Pine Street, North Massapequa, NY 11758 | 2017-08-25 |
| 1376078568 | Caitlin Bree Kennedy | Acupuncturist | 507 Hicksville Road, Massapequa, NY 11758 | 2017-04-25 |
| 1932645561 | Maria Amato | Specialist | 277 Division Ave, Massapequa, NY 11758 | 2017-01-06 |
| 1164877270 | Marylou Lawson | Early Intervention Provider Agency | 87 N Pine Street, N Massapequa, NY 11758 | 2016-04-26 |
| 1417314196 | Tender Heart Senior Care Corp | In Home Supportive Care | 24 Peconic Dr, Massapequa, NY 11758 | 2016-01-26 |
| 1316328420 | Theresa Mackey | Behavioral Analyst | 19 Oxford Avenue, N. Massapequa, NY 11758 | 2015-06-15 |
| 1932596590 | Bianca Ferrantelli | Specialist | 13 Alhabra Rd, Apt 5, Massapequa, NY 11758 | 2015-04-22 |
| 1245625797 | Medwell Medical PC | Pain Medicine | 1065a North Broadway, Massapequa, NY 11758 | 2015-04-01 |
| 1053703926 | Joseph Sgaglione | Physical Therapist | 503 Wright Drive, Massapequa, NY 11758 | 2015-03-02 |
| Find all providers in zip 11758 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497304778 | Shannon Paige Batt | Physician Assistant | 153 Massachusetts Ave, Massapequa, NY 11758-4111 | 2019-09-09 |
| 1386100303 | Ryan Rommel | Physician Assistant | 662 Franklin Ave, Massapequa, NY 11758-4137 | 2019-02-14 |
| 1588182513 | Michael Guzzardi | Physician Assistant | 56 Margaret Rd, Massapequa, NY 11758-1901 | 2017-08-30 |
| 1942625702 | Kristen Marie Kotak | Physician Assistant | 193 Baltimore Ave, Massapequa, NY 11758-4229 | 2014-03-03 |
| 1083924112 | Matthew Joseph Valvo | Physician Assistant | 22 Harrison Ave, Massapequa, NY 11758-7908 | 2010-10-07 |
| 1831335090 | Erica Harris | Physician Assistant | 4160 Merrick Rd Ste A, Massapequa, NY 11758-6027 | 2008-12-18 |
| 1518184290 | Marie A. Lobuglio | Physician Assistant | 5 South Bay Ave, Massapequa, NY 11758 | 2007-04-20 |
| 1588712699 | Suzanne Nicole Fanelli | Physician Assistant | 18 Swan Dr, Massapequa, NY 11758-7929 | 2007-01-08 |
| 1932185972 | Eric S. Seigel | Physician Assistant | 200 Old Sunrise Hwy, Massapequa, NY 11758-5545 | 2005-12-21 |
| 1104466721 | Julia Kathryn Frangeskos | Physician Assistant | 4150 Sunrise Hwy, Massapequa, NY 11758-5303 | 2020-01-11 |
| Find all providers in MASSAPEQUA | ||||
| City | MASSAPEQUA |
| Zip Code | 11758 |
Please comment or provide details below to improve the information on VINCI MATHEW.
| 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.