MRS. JACKELINE BOBADILLA (NPI# 1306373642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306373642 |
| Entity Type | Individual |
| Full Name | MRS. JACKELINE BOBADILLA |
| Credential | PA-C |
| Practice Address |
519 Broadway Staten Island NY 10310-2822 |
| Mailing Address |
273 Jewett Ave # B Staten Island NY 10302-2631 |
| Practice Telephone | 7184475437 |
| Practice Fax Number | 7189829008 |
| Mailing Telephone | 3475474001 |
| Enumeration Date | 2017-05-17 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 020736 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
519 BROADWAY |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588976823 | Margaret Louise Palazzolo | Occupational Therapist | 519 Broadway, Staten Island, NY 10310-2845 | 2010-07-01 |
| 1225357866 | Denise Oiestad | Physical Therapist | 519 Broadway, Staten Island, NY 10310-2845 | 2010-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| Find all providers in zip 10310 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396384228 | Zvi Eckstein, Md PC | Pediatrics | 1460 Victory Blvd Ste D, Staten Island, NY 10301-3914 | 2019-12-23 |
| 1497250914 | Hina Fatima | Pediatrics | 355 Bard Ave Rm 314, Staten Island, NY 10310-1699 | 2018-03-27 |
| 1629439427 | Pm Pediatrics of Staten Island | Pediatrics | 2407 Richmond Ave, Staten Island, NY 10314-3906 | 2016-03-08 |
| 1376960831 | Wing Sze Leung | Pediatrics | 165 Vanderbilt Avenue, Staten Island, NY 10304 | 2014-03-23 |
| 1245579226 | Shivani S Shah | Pediatrics | 135 Canal St Ste 200, Staten Island, NY 10304 | 2013-02-11 |
| 1376882084 | Attilio Antonio Avidano | Pediatrics | 89 Wirt Ave, Staten Island, NY 10309-4225 | 2013-02-01 |
| 1154604239 | Chavivan Dharapak | Pediatrics | 290 Ridgecrest Ave, Staten Island, NY 10312-5134 | 2011-09-24 |
| 1649551995 | Rumana Rahman | Pediatrics | 2066 Richmond Ave Fl 1, Staten Island, NY 10314-3960 | 2011-08-31 |
| 1922325232 | Nilufar Begum Maniky | Pediatrics | 245 Granite Ave, Staten Island, NY 10303-2605 | 2010-04-26 |
| 1790015899 | Anees Shareef | Pediatrics | 120 Goff Ave, Staten Island, NY 10309-2801 | 2010-01-12 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10310 |
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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.