NICHOLAS DEFAZIO (NPI# 1245887421) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245887421 |
| Entity Type | Individual |
| Full Name | NICHOLAS DEFAZIO |
| Practice Address |
358 Saint Marks Pl Staten Island NY 10301-2417 |
| Practice Telephone | 7187273303 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578170403 | Nicholas Daniel Defazio | Counselor | 1951 S Gettysburg Ave, Dayton, OH 45417-4160 | 2020-09-24 |
| Street Address |
358 SAINT MARKS PL |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-2417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477701761 | Jack D Abramson | Social Worker | 358 Saint Marks Pl, Staten Island, NY 10301-2417 | 2008-08-29 |
| 1669087276 | Kellie Anne Gainey | Counselor | 358 Saint Marks Pl, Staten Island, NY 10301-2417 | 2020-09-10 |
| 1144844515 | Armina Kadriovski | Behavioral Analyst | 358 Saint Marks Pl, Staten Island, NY 10301-2417 | 2020-06-02 |
| 1801410287 | Susan Scarangello | Behavioral Analyst | 358 Saint Marks Pl, Staten Island, NY 10301-2417 | 2020-06-02 |
| 1124675996 | Alexxis Lugo | Student in an Organized Health Care Education/Training Program | 358 Saint Marks Pl, Staten Island, NY 10301-2417 | 2019-08-26 |
| 1376190470 | Sara Elizabeth Daly | Counselor | 358 Saint Marks Pl, Staten Island, NY 10301-2417 | 2019-08-22 |
| 1124514195 | Emely Marie Martinez | Student in an Organized Health Care Education/Training Program | 358 Saint Marks Pl, 4th-5th Floors, Staten Island, NY 10301-2417 | 2018-07-02 |
| 1952891459 | Stephanie Maria Culotta | Social Worker | 358 Saint Marks Pl, Staten Island, NY 10301-2417 | 2018-05-10 |
| 1780102830 | Maria Dron | Student in an Organized Health Care Education/Training Program | 358 Saint Marks Pl, Staten Island, NY 10301-2417 | 2017-09-08 |
| 1417475609 | Ambria Latham | Student in an Organized Health Care Education/Training Program | 358 Saint Marks Pl, Staten Island, NY 10301-2417 | 2017-09-07 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 10301 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104448489 | Nicholas Ruggiero | Student in an Organized Health Care Education/Training Program | 136 Brook Ave, Staten Island, NY 10306-4420 | 2020-05-10 |
| 1740802024 | Matthew Mathai | Student in an Organized Health Care Education/Training Program | 242 Livingston Ave, Staten Island, NY 10314-6932 | 2020-05-10 |
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1497374680 | Bachar Botrus | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Department of Medicine Villa Bldg 1st Fl, Staten Island, NY 10310-1664 | 2020-04-08 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1053950352 | Victoria Lamberti | Student in an Organized Health Care Education/Training Program | 469 Lamont Ave, Staten Island, NY 10312-2817 | 2020-01-03 |
| 1376181412 | Rayutte Blazer | Student in an Organized Health Care Education/Training Program | 146 Rupert Ave, Staten Island, NY 10314-5051 | 2019-12-19 |
| 1457999070 | Sara I Genova | Student in an Organized Health Care Education/Training Program | 670 Manor Rd, Staten Island, NY 10314-4525 | 2019-12-13 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
Please comment or provide details below to improve the information on NICHOLAS DEFAZIO.
| 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.