DR. SUSAN KHALIL (NPI# 1194081539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194081539 |
| Entity Type | Individual |
| Full Name | DR. SUSAN KHALIL |
| Credential | MD |
| Practice Address |
475 Seaview Ave Staten Island NY 10305-3436 |
| Practice Telephone | 7182268074 |
| Mailing Telephone | 7182268074 |
| Enumeration Date | 2012-04-10 |
| Last Update Date | 2017-08-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
272782 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
475 SEAVIEW AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611537 | Than Than Aye | Anesthesiology | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2005-06-30 |
| 1780285346 | Daphne Andrea Duran | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-11-02 |
| 1912505595 | Jennifer Ann Holtzbach | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-10-15 |
| 1649877564 | Michelle Ramsaroop | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-10-04 |
| 1174130694 | Juda Zurndorfer | Nurse Practitioner | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-09-29 |
| 1780299362 | Lorenzo Brown | Registered Nurse | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-09-10 |
| 1780294959 | Valerie Jioia | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-08-03 |
| 1679199368 | Madison Lynn Robbins | Physician Assistant | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-18 |
| 1598389678 | Brianna Nichole Hines | Student in an Organized Health Care Education/Training Program | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-03 |
| 1912521279 | Christina Valerio | Registered Nurse | 475 Seaview Ave, Staten Island, NY 10305-3436 | 2020-06-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316274061 | Primecare Medical Service PC | Obstetrics & Gynecology | 3371 Richimod Avenue, Staten Island, NY 10312-2025 | 2009-11-17 |
| 1023104676 | Avijit D Mukerji | Obstetrics & Gynecology | 195 College Ave, Gynecology, Staten Island, NY 10314-2364 | 2006-10-04 |
| 1992890271 | Joanna C Pessolano | Obstetrics & Gynecology | 1583 Richmond Ave, Obstetrics and Gynecology, Staten Island, NY 10314-1530 | 2006-10-04 |
| 1720402613 | Tubman Md | Obstetrics & Gynecology | 78 Cromwell Ave, Staten Island, NY 10304-3912 | 2014-02-12 |
| 1073808887 | Orlando Gonzalez, Jr., M.d., P.C. | Obstetrics & Gynecology | 78 Todt Hill Rd, Suite 107, Staten Island, NY 10314-4513 | 2011-06-09 |
| 1316240914 | Richmond Gynecology P.C. | Obstetrics & Gynecology | 539 Castleton Ave, Staten Island, NY 10301-2060 | 2010-12-21 |
| 1013139849 | Ellis N Sisskind | Obstetrics & Gynecology | 1384 Victory Blvd, Staten Island, NY 10301 | 2007-05-02 |
| 1205988482 | Ewa Kirpan | Obstetrics & Gynecology | 1145 Targee St, Staten Island, NY 10304 | 2007-01-17 |
| 1528123585 | Orlando Gonzalez Jr. | Obstetrics & Gynecology | 78 Todt Hill Road, Suite 107, Staten Island, NY 10314 | 2006-12-27 |
| 1225123433 | Richard V Grazi | Obstetrics & Gynecology | 355 Bard Ave, Gynecology, Staten Island, NY 10310 | 2006-10-04 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.