EDWARD ILYA ANSSARI MOIN (NPI# 1396304408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396304408 |
Entity Type | Individual |
Full Name | EDWARD ILYA ANSSARI MOIN |
Credential | MD |
Practice Address |
10 Union Square East Suite 5b New York NY 10003 |
Practice Telephone | 2128448775 |
Practice Fax Number | 2128446976 |
Mailing Telephone | 2128448775 |
Mailing Fax Number | 2128446976 |
Enumeration Date | 2019-06-12 |
Last Update Date | 2019-06-12 |
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 |
Street Address |
10 UNION SQUARE EAST SUITE 5B |
City | NEW YORK |
State | NY |
Zip Code | 10003 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790775930 | Patricia C Villamena | Internal Medicine | 10 Union Square East, New York, NY 10003-3314 | 2005-10-27 |
1215546627 | Caroline Victoria Welsh | Nurse Practitioner | 10 Union Square East, New York, NY 10003 | 2020-07-31 |
1063983526 | Oxana Romanov | Nurse Practitioner | 10 Union Square East, New York, NY 10003 | 2018-12-10 |
1649641325 | Samantha Su | Pharmacist | 10 Union Square East, 3g, New York, NY 10003 | 2015-10-07 |
1083083604 | Icahn School of Medicine At Mount Sinai | Urology | 10 Union Square East, New York, NY 10003 | 2015-09-24 |
1811366461 | Icahn School of Medicine At Mount Sinai | Psychiatry & Neurology | 10 Union Square East, New York, NY 10003 | 2015-09-24 |
1104295716 | Icahn School of Medicine At Mount Sinai | Surgery | 10 Union Square East, New York, NY 10003 | 2015-09-24 |
1538538210 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 10 Union Square East, New York, NY 10003 | 2015-09-23 |
1063881787 | Icahn School of Medicine At Mount Sinai | Internal Medicine | 10 Union Square East, New York, NY 10003 | 2015-09-23 |
1972972693 | Icahn School of Medicine At Mount Sinai | Orthopaedic Surgery | 10 Union Square East, New York, NY 10003 | 2015-09-23 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
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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 |
---|---|---|---|---|
1740881671 | Celeste Finelli | Student in an Organized Health Care Education/Training Program | 255 W 36th St Rm 201, New York, NY 10018-7700 | 2020-11-06 |
1407457310 | Omri Sulimani | Student in an Organized Health Care Education/Training Program | 1425 Madison Ave Ste L4-60, New York, NY 10029-6514 | 2020-11-06 |
1215537931 | Gloria Helena Gomez Arenas | Student in an Organized Health Care Education/Training Program | 220 East 57th Street, Apt 5c, New York, NY 10022 | 2020-10-30 |
1033719216 | Vanessa Tee-ting Ng | Student in an Organized Health Care Education/Training Program | 1 Park Avenue, Nyu Langone Child Study Center, 7th Floor, New York, NY 10016 | 2020-10-28 |
1457959652 | Marwan Nihad Abdel Rauf Yusuf | Student in an Organized Health Care Education/Training Program | Metropolitan Hospital Center Department of Medicine, 1901, 1 St Avenue, New York, NY 10029 | 2020-10-12 |
1558968537 | Yiyang Zhang | Student in an Organized Health Care Education/Training Program | 1000 10th Ave Fl 2, New York, NY 10019-1147 | 2020-10-03 |
1699372706 | Anna Jane Dare | Student in an Organized Health Care Education/Training Program | 1275 York Avenue Department of Surgery, Memorial Sloan, Kettering Cancer Center, New York, NY 10065 | 2020-10-02 |
1285241018 | Grace A Forrester | Student in an Organized Health Care Education/Training Program | 517 W 121st St Apt 604s, New York, NY 10027-5901 | 2020-09-25 |
1235746199 | Christopher Alexis Perez Lizardo | Student in an Organized Health Care Education/Training Program | 515 W 59th St Apt 29b, New York, NY 10019-1042 | 2020-09-24 |
1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
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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.