DR. PAUL K ENNIN (NPI# 1194785659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194785659 |
| Entity Type | Individual |
| Full Name | DR. PAUL K ENNIN |
| Credential | M.D |
| Practice Address |
145 E 18th St Brooklyn NY 11226-4307 |
| Practice Telephone | 7184623642 |
| Practice Fax Number | 7183855104 |
| Mailing Telephone | 7184623642 |
| Mailing Fax Number | 7183855104 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 160004 | NY | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00855743 | 05 |
| Street Address |
145 E 18TH ST |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11226-4307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457996241 | Kofi Adomako | Clinical Nurse Specialist | 145 E 18th St, Brooklyn, NY 11226-4362 | 2019-11-15 |
| 1205320934 | Boah & Boah M.d P.c | General Practice | 145 E 18th St, Brooklyn, NY 11226-4362 | 2018-06-16 |
| 1639473762 | William O Boah Md LLP | Pediatrics | 145 E 18th St, Brooklyn, NY 11226-4307 | 2011-01-04 |
| 1093910432 | Akua F. Boah | Internal Medicine | 145 E 18th St, Brooklyn, NY 11226-4362 | 2007-06-17 |
| 1811087570 | William O Boah | Pediatrics | 145 E 18th St, Brooklyn, NY 11226-4362 | 2006-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1528691698 | Lu Ding | Social Worker | 2417 Albemarle Road, Unit 10d, Brooklyn, NY 11226 | 2020-02-18 |
| 1073089348 | Tiina Treasure | Social Worker | 2414 Church Ave, Brooklyn, NY 11226 | 2018-10-15 |
| 1508344490 | Natasha Samantha Hescott | Dietitian, Registered | 261 Lenox Rd Apt 6a, Brooklyn, NY 11226 | 2018-08-01 |
| 1265921977 | Janice Tom-george | Social Worker | 1818 Newkirk Ave Apt 4m, Brooklyn, NY 11226 | 2018-05-08 |
| 1336641299 | Millennia Ruth Lytle | Nutritionist | 135 Clarkson Ave, F8, Brooklyn, NY 11226 | 2018-03-06 |
| 1619495991 | Cassandra Wong | Physician Assistant | 163 Veronica Pl Apt 1r, Brooklyn, NY 11226 | 2017-09-06 |
| 1164940128 | Nz Pharmacy Inc | Pharmacy | 1296 Nostrand Ave, Brooklyn, NY 11226 | 2017-08-30 |
| 1497282412 | Shella St Ima | Licensed Practical Nurse | 45 E 25th St Fl 1, Brooklyn, NY 11226 | 2017-05-22 |
| 1174068209 | Tracey-ann Treadwell | Registered Nurse | 448 East 26th St., Apt 8, Brooklyn, NY 11226 | 2016-12-28 |
| Find all providers in zip 11226 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639099 | Munisa Mukhamatkulova | Specialist | 1133 E 73rd St, Brooklyn, NY 11234-5409 | 2020-11-06 |
| 1699376251 | Ilona Gamer | Specialist | 2525 E 23rd St, Brooklyn, NY 11235-2505 | 2020-11-02 |
| 1043818545 | Doris Gonzalez-rivera | Specialist | 5610 Avenue T, Brooklyn, NY 11234-4724 | 2020-10-15 |
| 1023625936 | Chaya R Zaetz | Specialist | 797 Maple St, Brooklyn, NY 11203-1312 | 2020-09-24 |
| 1801402060 | Discover Licensed Behavior Analyst Pllc | Specialist | 1350 55th St, Brooklyn, NY 11219-4213 | 2020-09-22 |
| 1114533320 | Yocheved Gershonowitz | Specialist | 1694 E 7th St, Brooklyn, NY 11223-2216 | 2020-09-22 |
| 1992311260 | Sherry A Valentine | Specialist | 1937 Bay Ridge Ave Apt 3r, Brooklyn, NY 11204-4546 | 2020-09-21 |
| 1609481670 | Celina Stolpen | Specialist | 2527 E 27th St, Brooklyn, NY 11235-2016 | 2020-09-15 |
| 1386259760 | Elina Khamish | Specialist | 155 Oceana Dr E Apt 3g, Brooklyn, NY 11235-6684 | 2020-09-11 |
| 1053925263 | Michelle Shneyder | Specialist | 2111 Voorhies Ave, Brooklyn, NY 11235-2817 | 2020-09-04 |
| Find all providers in BROOKLYN | ||||
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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.