KENNETH WOOH


Address: 256 Mason Ave, Staten Island, NY 10305-3408
Phone: 7182265921

KENNETH WOOH (NPI# 1306907753) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306907753
Entity Type Individual
Full Name KENNETH WOOH
Credential MD
Practice Address 256 Mason Ave
Staten Island
NY 10305-3408
Mailing Address 1 Edgewater St
Ste 723
Staten Island
NY 10305-4900
Practice Telephone 7182265921
Practice Fax Number 7182266531
Mailing Telephone 7182261047
Mailing Fax Number 7182261039
Enumeration Date 2006-12-12
Last Update Date 2007-07-09
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Y00000X Otolaryngology 128382 NY Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00257754 05

Office Location

Street Address 256 MASON AVE
City STATEN ISLAND
State NY
Zip Code 10305-3408

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154313542 Qun Dai Internal Medicine 256 Mason Ave, Staten Island, NY 10305-3408 2005-08-22
1215598487 Amanda R Molloy Registered Nurse 256 Mason Ave, Staten Island, NY 10305-3408 2019-06-27
1588103188 A Personal Touch Garment Corporation Durable Medical Equipment & Medical Supplies 256 Mason Ave, 2nd Floor, Building B, Staten Island, NY 10305-3408 2017-02-15
1043689524 Kathleen Del Duca Speech-Language Pathologist 256 Mason Ave, Building C, Staten Island, NY 10305-3408 2015-09-15
1053658815 Laura Frances Longo Nurse Practitioner 256 Mason Ave, Staten Island, NY 10305-3408 2013-01-13
1558655365 Jessica L De Petro Genetic Counselor, MS 256 Mason Ave, Building B, 2nd Floor, Staten Island, NY 10305-3408 2011-06-09
1588965826 Betty Marie Constant Nurse Practitioner 256 Mason Ave, Building C, Staten Island, NY 10305-3408 2010-11-03
1568772861 Michelle Marie Vanpelt Registered Nurse 256 Mason Ave, Staten Island, NY 10305-3408 2010-10-20
1023342003 Laura Polito Physician Assistant 256 Mason Ave, Building B- 2nd Floor, Staten Island, NY 10305-3408 2009-09-24
1588998850 John Afthinos Surgery 256 Mason Ave, Bldg B, Staten Island, NY 10305-3408 2009-09-19
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 207Y00000X
Grouping Allopathic & Osteopathic Physicians
Classification Otolaryngology

Taxonomy Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245542000 Homere Al Moutran Otolaryngology 501 Seaview Ave Ste 202, Staten Island, NY 10305-3400 2010-07-09
1619039815 Clovelakes Ent PC Otolaryngology 1414 Victory Blvd, Staten Island, NY 10301 2006-12-14
1063420958 Helen Hyosun Kim Otolaryngology 1414 Victory Boulevard, Staten Island, NY 10301 2006-08-04
1407817562 John P Dodaro Otolaryngology 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 2006-03-29
1336122548 Bartolomeo Vincent Castellano Otolaryngology 2052 Richmond Rd, 1c, Staten Island, NY 10306-2548 2005-11-22
1275927154 Michael Amato Otolaryngology 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 2015-03-27
1740532829 Peter J Miceli Md PC Otolaryngology 1550 Richmond Ave, Staten Island, NY 10314-1510 2012-10-12
1295026037 Ansley Morgan Roche Otolaryngology 501 Seaview Ave Ste 202, Staten Island, NY 10305-3400 2011-04-27
1518132943 Shawn Christopher Ciecko Otolaryngology 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 2008-04-27
1487701777 Peter Joseph Miceli Otolaryngology 1 Teleport Dr Ste 200, Staten Island, NY 10311-1000 2007-01-05
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Competitor

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City STATEN ISLAND
Zip Code 10305

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Dataset Information

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.

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