DANESH IRANI (NPI# 1518057272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518057272 |
| Entity Type | Individual |
| Full Name | DANESH IRANI |
| Practice Address |
79 Glenridge Rd Glenville NY 12302-4523 |
| Mailing Address |
Po Box 31094 Hartford CT 06150-1094 |
| Practice Telephone | 5189528142 |
| Practice Fax Number | 5189528109 |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2007-12-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0047471 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02636299 | 05 |
| Street Address |
79 GLENRIDGE RD |
| City | GLENVILLE |
| State | NY |
| Zip Code | 12302-4523 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083645535 | Christopher J Rizzo | Internal Medicine | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2006-07-05 |
| 1538726229 | Samuel John Halajian | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4528 | 2019-05-29 |
| 1801235155 | Elizabeth Magliocca | Registered Nurse | 79 Glenridge Rd, Cottage #1, Glenville, NY 12302-4523 | 2013-06-20 |
| 1093158453 | Kristen Rizzuto | Counselor | 79 Glenridge Rd, Cottage #1, Glenville, NY 12302-4523 | 2013-04-16 |
| 1043515380 | Nicole Lifite | Registered Nurse | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2011-01-18 |
| 1073829578 | Patricia Anne Pulver | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2010-08-23 |
| 1588843569 | Mirabelle Beck | Nurse Practitioner | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2007-10-26 |
| 1336339969 | Conifer Park, Inc. | Clinic/Center | 79 Glenridge Rd, Cottage #1, Glenville, NY 12302-4523 | 2007-07-30 |
| 1336344258 | Matthew Levine | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2007-06-20 |
| 1740364215 | Timothy Donnelly | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2006-10-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921973 | Maria Magnoua Castaneda | Case Manager/Care Coordinator | 701 Carnbridge Manor Dr., Scotia, NY 12302 | 2020-08-05 |
| 1184050353 | Empire Vision Centers, Inc | Eyewear Supplier (Equipment, not the service) | 10 Glenridge Rd Store#1, Glenville, NY 12302 | 2013-09-19 |
| 1265773212 | Caroline M Lupi | Licensed Practical Nurse | 19 Glenridge Rd Ste E, Glenville, NY 12302 | 2013-03-14 |
| 1477805844 | Kinum Chiropractic PC | Chiropractor | 201glen Ave., Scotia, NY 12302 | 2012-10-10 |
| 1558686444 | Marsha M Tulloch | Licensed Practical Nurse | 125 Mohawk Ave, Gentle Home Health Care, Scotia, NY 12302 | 2010-04-02 |
| 1841515988 | Maureen K. Hansen | Licensed Practical Nurse | 109 Mohawk Ave., Gentle Home Health Care, Inc., Scotia, NY 12302 | 2010-04-01 |
| 1275858425 | Flora Lynn Worden | Licensed Practical Nurse | 109 Mohawk Ave, Scotia, NY 12302 | 2010-03-31 |
| 1255654943 | Kevin Daniel Valade | Pharmacist | 257 Saratoga Rd., Glenville, NY 12302 | 2010-03-09 |
| 1356574149 | Ann Elizabeth Helbling | Community Health Worker | 419 Weatherwax Road, Glenville, NY 12302 | 2009-08-27 |
| 1689811317 | Roger Guy Singer | Chiropractor | 353 Saratoga Road, Scotia, NY 12302 | 2009-01-16 |
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| 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 |
|---|---|---|---|---|
| 1104474162 | Samantha M Phillips | Physician Assistant | 115 Saratoga Rd Ste 110, Glenville, NY 12302-4210 | 2019-09-03 |
| 1174161541 | Caitlin Taylor | Physician Assistant | 115 Saratoga Rd Ste 110, Glenville, NY 12302-4210 | 2019-12-17 |
| 1073851598 | Betty A Barr | Physician Assistant | 921 Mineral Rd Ste 101, Glenville, WV 26351-1342 | 2013-01-17 |
| 1073829578 | Patricia Anne Pulver | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2010-08-23 |
| 1336344258 | Matthew Levine | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2007-06-20 |
| 1740364215 | Timothy Donnelly | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2006-10-24 |
| 1659461317 | Beth Brownell | Physician Assistant | 79 Glenridge Rd, Glenville, NY 12302-4523 | 2006-10-13 |
| 1578513115 | Mark D. Suarez | Physician Assistant | 809 Mineral Rd, Glenville, WV 26351-1385 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821026 | Victoria Yunaev | Physician Assistant | 7203 166th St, Fresh Meadows, NY 11365-3237 | 2020-11-05 |
| 1811598857 | Brittany Christine Androsko | Physician Assistant | 1769 Union St Fl 2, Niskayuna, NY 12309-6311 | 2020-11-05 |
| 1164023172 | Betina Charlotte Apostol Nuguid | Physician Assistant | 1730 Central Park Ave Ste 3p, Yonkers, NY 10710-4905 | 2020-11-05 |
| 1023619129 | Anna Leigh Vonck | Physician Assistant | 2 Executive Park Dr Ste 2, Albany, NY 12203-3700 | 2020-11-04 |
| 1952902256 | Billy Phuoctan Truong | Physician Assistant | 8832 18th Ave, Brooklyn, NY 11214-6002 | 2020-11-03 |
| 1205437621 | Jason Patrick Feak | Physician Assistant | 6338 Falls Blvd, Chittenango, NY 13037-8799 | 2020-11-03 |
| 1437750742 | Drew James Mitchell | Physician Assistant | 58 Old Bedford Rd, Goldens Bridge, NY 10526-1000 | 2020-11-03 |
| 1306446125 | Julie Mcphillips | Physician Assistant | 961 W Kaisertown Rd, Montgomery, NY 12549-2317 | 2020-10-30 |
| 1487254330 | Thomas J Nagel | Physician Assistant | 57 Montgomery Road, Fort Montgomery, NY 10922 | 2020-10-29 |
| 1700486560 | Jayanti Rao | Physician Assistant | 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 | 2020-10-29 |
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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.