MRS. SHANNON MARIE DIPAOLA (NPI# 1194883066) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194883066 |
| Entity Type | Individual |
| Full Name | MRS. SHANNON MARIE DIPAOLA |
| Other Name | MS. SHANNON MARIE CAHILL |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
259 First St Mineola NY 11501-3957 |
| Mailing Address |
131 Shinnecock Lane East Islip NY 11730 |
| Practice Telephone | 5166630333 |
| Mailing Telephone | 5169674017 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2017-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 011662 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
259 FIRST ST |
| City | MINEOLA |
| State | NY |
| Zip Code | 11501-3957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437655008 | Jessica Tozour | Student in an Organized Health Care Education/Training Program | 259 First St, Mineola, NY 11501 | 2018-04-03 |
| 1942758792 | Cynthia Hope Winkler | Physician Assistant | 259 First St, Winthrop Hospital, Mineola, NY 11501 | 2016-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500350 | Steve Abraham Simon | Student in an Organized Health Care Education/Training Program | 222 Station Plaza, Suite 509, Mineola, NY 11501 | 2020-05-18 |
| 1407478167 | Frederick Milton Bosoy | Student in an Organized Health Care Education/Training Program | 259 1st St, Mineola, Ny 11501, Mineola, NY 11501 | 2020-05-15 |
| 1982226130 | Katelyn Anne Fowler | Counselor | [email protected], 410 East Jericho Tpke, Mineola, NY 11501 | 2020-05-11 |
| 1225667819 | New York Dialysis Services, Inc | Clinic/Center | 1 East Jericho Turnpike, Mineola, NY 11501 | 2020-04-06 |
| 1518500032 | Irina Victoria Kushnareva | Social Worker | 126 Saville Rd, Mineola, NY 11501 | 2019-10-28 |
| 1861046336 | Milagros M Matias | Case Manager/Care Coordinator | 39 E. Jericho Turnpike, Mineola, NY 11501 | 2019-08-01 |
| 1154974244 | Bahram Dabiri | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N., Suite 620 Mineola, Mineola, NY 11501 | 2019-07-18 |
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1598328940 | Ramsha Jabbar | Student in an Organized Health Care Education/Training Program | 222 Station Plaza North, Suite 305, Mineola, NY 11501 | 2019-04-20 |
| 1235628850 | Valentyna Erstenyuk | Student in an Organized Health Care Education/Training Program | 222 Station Plaza N, Suite 611, Mineola, NY 11501 | 2018-05-09 |
| Find all providers in zip 11501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972168748 | Nabeel A. Arain | Physician Assistant | 251 1st St., Mineola, NY 11501 | 2019-05-07 |
| 1609394436 | Jaime Lynn Moyles | Physician Assistant | 200 Old Country Rd Ste 365, Mineola, NY 11501-4240 | 2017-08-31 |
| 1215191580 | Sreedhar P. Sudnagunta | Physician Assistant | 80 E Jericho Tpke, Suite 100, Mineola, NY 11501-3140 | 2008-07-15 |
| 1881865533 | Abo Suyonov | Physician Assistant | 700 Hickville Road, 259 1st Street, Mineola, NY 11501 | 2008-03-20 |
| 1720268097 | Anjli Kakwani | Physician Assistant | Northwell Gohealth Urgent Care, 50 East Jericho Turnpike, Mineola, NY 11501 | 2007-11-05 |
| 1144419292 | Iosif Galibov | Physician Assistant | 222 Station Plz N Ste 428, Mineola, NY 11501-3819 | 2007-10-15 |
| 1003841560 | Tony Phillips | Physician Assistant | 312 N Pacific St, Mineola, TX 75773-1712 | 2006-07-12 |
| 1154941425 | Russell Broming | Physician Assistant | 259 1st St, Mineola, NY 11501-3957 | 2020-04-16 |
| 1700436136 | Stacey Krasnoff | Physician Assistant | 259 1st St, Mineola, NY 11501-3957 | 2019-09-17 |
| 1750931499 | Alexandra Sanfilippo | Physician Assistant | 259 1st St, Mineola, NY 11501-3957 | 2019-09-15 |
| Find all providers in MINEOLA | ||||
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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.