MARCELINA MEDRANO (NPI# 1083673677) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083673677 |
| Entity Type | Individual |
| Full Name | MARCELINA MEDRANO |
| Credential | MD |
| Practice Address |
1050 Clove Rd Staten Island NY 10301-3627 |
| Practice Telephone | 7188166440 |
| Practice Fax Number | 7188163611 |
| Mailing Telephone | 7188166440 |
| Mailing Fax Number | 7188163611 |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 111919 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00202093 | 05 |
| Street Address |
1050 CLOVE RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152681 | Alma Janet Olivos-asarian | Ophthalmology | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2005-08-24 |
| 1609399344 | Jean Ellen Tepelmann | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2017-07-25 |
| 1912445644 | Barbara A Casuso | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2017-02-01 |
| 1063954113 | Advantagecare Physicians PC | Family Medicine | 1050 Clove Rd, Ucc, Staten Island, NY 10301-3627 | 2016-11-07 |
| 1144678954 | Staten Island Physician Practice PC | Family Medicine | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2016-06-02 |
| 1801275375 | Peter De Cesare | Respiratory Therapist, Registered | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-05-29 |
| 1518344365 | Mirjeta Abazaga | Optometrist | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-04-30 |
| 1336532126 | Shirley Vincent | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-03-18 |
| 1609267707 | Princy Mary Paulose | Physician Assistant | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-02-10 |
| 1992102644 | Danielle Decesare | Physician Assistant | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2014-11-24 |
| Find all providers in the same location | ||||
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384228 | Zvi Eckstein, Md PC | Pediatrics | 1460 Victory Blvd Ste D, Staten Island, NY 10301-3914 | 2019-12-23 |
| 1497250914 | Hina Fatima | Pediatrics | 355 Bard Ave Rm 314, Staten Island, NY 10310-1699 | 2018-03-27 |
| 1629439427 | Pm Pediatrics of Staten Island | Pediatrics | 2407 Richmond Ave, Staten Island, NY 10314-3906 | 2016-03-08 |
| 1376960831 | Wing Sze Leung | Pediatrics | 165 Vanderbilt Avenue, Staten Island, NY 10304 | 2014-03-23 |
| 1245579226 | Shivani S Shah | Pediatrics | 135 Canal St Ste 200, Staten Island, NY 10304 | 2013-02-11 |
| 1376882084 | Attilio Antonio Avidano | Pediatrics | 89 Wirt Ave, Staten Island, NY 10309-4225 | 2013-02-01 |
| 1154604239 | Chavivan Dharapak | Pediatrics | 290 Ridgecrest Ave, Staten Island, NY 10312-5134 | 2011-09-24 |
| 1649551995 | Rumana Rahman | Pediatrics | 2066 Richmond Ave Fl 1, Staten Island, NY 10314-3960 | 2011-08-31 |
| 1922325232 | Nilufar Begum Maniky | Pediatrics | 245 Granite Ave, Staten Island, NY 10303-2605 | 2010-04-26 |
| 1790015899 | Anees Shareef | Pediatrics | 120 Goff Ave, Staten Island, NY 10309-2801 | 2010-01-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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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.