ADLEY RABOY


Address: 1460 Victory Blvd, Staten Island, NY 10301-3914
Phone: 7182738100

ADLEY RABOY (NPI# 1144221474) 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) 1144221474
Entity Type Individual
Full Name ADLEY RABOY
Credential M.D.
Practice Address 1460 Victory Blvd
Staten Island
NY 10301-3914
Practice Telephone 7182738100
Practice Fax Number 7188760370
Mailing Telephone 7182738100
Mailing Fax Number 7188760370
Enumeration Date 2005-08-09
Last Update Date 2007-07-08
NPI Deactivation Date 03/23/2006
NPI Reactivation Date 2006-03-29
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208800000X Urology 168222 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 01227825 05

Office Location

Street Address 1460 VICTORY BLVD
City STATEN ISLAND
State NY
Zip Code 10301-3914

Providers in the same location

NPI Name Taxonomy Address Enumeration
1366906588 University Physicians Group Endocrinology Pllc Internal Medicine 1460 Victory Blvd, Staten Island, NY 10301-3914 2019-01-23
1437632338 Aimee Patrice Marin Nurse Practitioner 1460 Victory Blvd, Staten Island, NY 10301-3914 2018-09-07
1871931121 Jerome Vincent Giovinazzo Internal Medicine 1460 Victory Blvd, Staten Island, NY 10301-3914 2013-06-10
1457576787 Staten Island Urological Associates Urology 1460 Victory Blvd, Staten Island, NY 10301 2007-04-13
1164546610 Opthalmology Assoc of Statien Island Dba Bridge Opticians Durable Medical Equipment & Medical Supplies 1460 Victory Blvd, Staten Island, NY 10301-3914 2007-03-19
1114065281 Ophthalmology Associates of Staten Island PC Specialist 1460 Victory Blvd, Staten Island, NY 10301-3914 2007-02-02
1225120272 Zvi M Eckstein Pediatrics 1460 Victory Blvd, Suite D, Staten Island, NY 10301-3914 2006-09-28
1154387157 Fredric Marks Surgery 1460 Victory Blvd, Staten Island, NY 10301 2006-04-26
1164405577 Marci Kliesch Dietitian, Registered 1460 Victory Blvd, Staten Island, NY 10301-3914 2005-11-21
1811982812 Jeffrey Rothman Internal Medicine 1460 Victory Blvd, Staten Island, NY 10301-3914 2005-09-15
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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 208800000X
Grouping Allopathic & Osteopathic Physicians
Classification Urology

Taxonomy Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Urology, 2007. http://www.abu.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Urology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558620369 Daniel Sagalovich Urology 900 South Ave Ste 103, Staten Island, NY 10314-3428 2012-05-14
1336312909 David Stanley Friedman Urology 2 President St, Staten Island, NY 10314-4120 2008-04-03
1104808997 Jeffrey Allan Lessing Urology 78 Todt Hill Rd, Staten Island, NY 10314-4528 2005-11-16
1205829892 Michael Anthony Savino Urology 375 Seguine Ave, Staten Island, NY 10309-3932 2005-08-29
1568746014 Luis G. Miranda, M.d., P.C. Urology 11 Ralph Pl, Suite 202, Staten Island, NY 10304-4401 2011-10-03
1891942157 Todt Hill Urologic Group, P.c Urology 78 Todt Hill Rd, Suite 112, Staten Island, NY 10314-4528 2008-08-19
1457576787 Staten Island Urological Associates Urology 1460 Victory Blvd, Staten Island, NY 10301 2007-04-13
1679697312 Mark Horowitz Md Pediatric Urology Pllc Urology 256 Mason Ave, Staten Island, NY 10305 2007-03-19
1457417297 Nicholas Theodore Karanikolas Urology 900 South Ave, Staten Island, NY 10314-3418 2006-12-28
1598858748 Ronald Scott Krantz Urology 78 Todt Hill Rd, Staten Island, NY 10314-4528 2006-10-02
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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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