MIRJETA ABAZAGA (NPI# 1518344365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518344365 |
| Entity Type | Individual |
| Full Name | MIRJETA ABAZAGA |
| Credential | O.D. |
| Practice Address |
1050 Clove Rd Staten Island NY 10301-3627 |
| Mailing Address |
55 Water St 12th Floor, Credentialing New York NY 10041-0004 |
| Practice Telephone | 7188166440 |
| Practice Fax Number | 7184202718 |
| Mailing Telephone | 6466802888 |
| Mailing Fax Number | 5165425556 |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2017-02-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | TUV008346 | NY | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | NPI | 1518344365 | 01 |
| Street Address |
1050 CLOVE RD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3627 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538152681 | Alma Janet Olivos-asarian | Ophthalmology | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2005-08-24 |
| 1609399344 | Jean Ellen Tepelmann | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2017-07-25 |
| 1912445644 | Barbara A Casuso | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2017-02-01 |
| 1063954113 | Advantagecare Physicians PC | Family Medicine | 1050 Clove Rd, Ucc, Staten Island, NY 10301-3627 | 2016-11-07 |
| 1144678954 | Staten Island Physician Practice PC | Family Medicine | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2016-06-02 |
| 1801275375 | Peter De Cesare | Respiratory Therapist, Registered | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-05-29 |
| 1336532126 | Shirley Vincent | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-03-18 |
| 1609267707 | Princy Mary Paulose | Physician Assistant | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2015-02-10 |
| 1992102644 | Danielle Decesare | Physician Assistant | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2014-11-24 |
| 1710389390 | Sarah Ahmed | Nurse Practitioner | 1050 Clove Rd, Staten Island, NY 10301-3627 | 2014-09-25 |
| 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 | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770225 | Quality Eye Care Nyc Optometry PC | Optometrist | 1755 Richmond Rd, Staten Island, NY 10306-2558 | 2020-11-02 |
| 1114544954 | Miriam Susan Korik | Optometrist | 107 Boylan St, Staten Island, NY 10312-1421 | 2020-06-27 |
| 1902457112 | Syeda Safura Hussaini | Optometrist | 337 Harold St, Staten Island, NY 10314-4146 | 2019-09-28 |
| 1629635990 | Ioptics Inc | Optometrist | 55 Richmond Ter Ste 350, Staten Island, NY 10301-1950 | 2019-05-22 |
| 1861962144 | Harkirat Singh Saini | Optometrist | 2655 Richmond Ave Ste 1140, Staten Island, NY 10314-5852 | 2018-11-29 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1922597814 | Ayah Ahamed | Optometrist | 86 Lyceum Ct, Staten Island, NY 10310 | 2018-05-07 |
| 1346795796 | Valentina Terentii | Optometrist | 4011 Hylan Blvd Ste A, Staten Island, NY 10308-3301 | 2016-08-15 |
| 1063726859 | Ching Man Tang | Optometrist | 2935 Veterans Rd W Ste D, Staten Island, NY 10309-2514 | 2010-08-04 |
| 1487890554 | Kenneth Horowitz Od | Optometrist | 927 Willowbrook Rd, Staten Island, NY 10314-4274 | 2008-12-19 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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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.