DR. OMAR KLOBOCISTA


Address: 220 Victory Blvd, Staten Island, NY 10301-2919
Phone: 8565242531

DR. OMAR KLOBOCISTA (NPI# 1093040115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093040115
Entity Type Individual
Full Name DR. OMAR KLOBOCISTA
Credential M.D.
Practice Address 220 Victory Blvd
Staten Island
NY 10301-2919
Practice Telephone 8565242531
Mailing Telephone 8565242531
Enumeration Date 2009-10-07
Last Update Date 2010-02-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 255828 NY Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine 25MA08645900 NJ Allopathic & Osteopathic Physicians

Office Location

Street Address 220 VICTORY BLVD
City STATEN ISLAND
State NY
Zip Code 10301-2919

Providers in the same location

NPI Name Taxonomy Address Enumeration
1700073954 Mensur E Klobocista Surgery 220 Victory Blvd, Staten Island, NY 10301-2919 2007-10-02
1114314200 Javonne Faison Social Worker 220 Victory Blvd, Staten Island, NY 10301-2919 2015-04-16
1912223280 Victory Medical Group Family Medicine 220 Victory Blvd, Staten Island, NY 10301-2919 2010-04-12

Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1174122980 Richmond Health Partners Ipa LLC Family Medicine 1161 Victory Blvd, Staten Island, NY 10301-3621 2020-10-22
1083137970 Dian Patricia Grandison Family Medicine 25 Beekman St, Staten Island, NY 10302-2006 2017-07-21
1184092314 Girgis Md Pllc Family Medicine 1332a Rockland Ave, Staten Island, NY 10314-4944 2015-09-03
1790163996 Tamara Anna Marie Saukin Md PC Family Medicine 1920 Richmond Rd, Staten Island, NY 10306-2551 2015-05-08
1629474283 Rani Medical, PC Family Medicine 3350 Victory Blvd, Unit #a, Staten Island, NY 10314-6700 2014-11-10
1861735656 Liudmila A Skudnov Family Medicine 1000 Targee St Apt 4t, Staten Island, NY 10304-4472 2013-04-01
1952664351 Biana Volfinzon Family Medicine 187 Arbutus Ave, Staten Island, NY 10312-4500 2012-06-20
1548534324 Ming Yeung Chung Family Medicine 56 Jenna Ln, Staten Island, NY 10304-1322 2012-02-27
1619110707 Joaquin C Gutierrez Jr. Family Medicine 124 Getz Ave, Staten Island, NY 10312-2114 2009-04-20
1588823025 Zoya Koroleva Family Medicine 11 Ralph Pl Ste 112, Staten Island, NY 10304-4408 2008-06-09
Find all providers in STATEN ISLAND

Competitor

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City STATEN ISLAND
Zip Code 10301

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Dataset Information

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.

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