KIMBERLY PAV (NPI# 1568805935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568805935 |
| Entity Type | Individual |
| Full Name | KIMBERLY PAV |
| Credential | PA |
| Practice Address |
1129 Northern Blvd Manhasset NY 11030-3045 |
| Mailing Address |
32 Sally Ln Plainview NY 11803-1434 |
| Practice Telephone | 5166272121 |
| Mailing Telephone | 5163769744 |
| Enumeration Date | 2013-04-16 |
| Last Update Date | 2013-04-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 8125685 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1129 NORTHERN BLVD |
| City | MANHASSET |
| State | NY |
| Zip Code | 11030-3045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588669519 | Robert N Corriel | Allergy & Immunology | 1129 Northern Blvd, Ste 300, Manhasset, NY 11030-3022 | 2005-06-16 |
| 1508421363 | Neenu Puthusseril | Nurse Practitioner | 1129 Northern Blvd, Manhasset, NY 11030-3045 | 2019-05-07 |
| 1659855930 | Breakthrough Foundations LLC | Behavioral Analyst | 1129 Northern Blvd, Manhasset, NY 11030-3045 | 2018-09-21 |
| 1043754856 | Ignite Health Chiropractic PC | Chiropractor | 1129 Northern Blvd, Suite 404, Manhasset, NY 11030-3045 | 2016-12-13 |
| 1518413772 | Abc Care Inc | Home Health | 1129 Northern Blvd, Suite 404, Manhasset, NY 11030-3045 | 2016-08-28 |
| 1962858266 | Lionrock Behavioral Health, Inc | Community/Behavioral Health | 1129 Northern Blvd, Suite 404, Manhasset, NY 11030 | 2016-05-05 |
| 1720482755 | Dr. Jeffrey H. Markowtiz, D.d.s., P.C. | Dentist | 1129 Northern Blvd, Suite #401, Manhasset, NY 11030-3045 | 2014-10-20 |
| 1811396864 | Andrea Marie Mccloy | Nurse Practitioner | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3045 | 2014-08-15 |
| 1659702686 | Rebecca Sofferman | Physician Assistant | 1129 Northern Blvd, Suite 408, Manhasset, NY 11030-3045 | 2013-12-02 |
| 1053757567 | Mohammad Rasheed | Physician Assistant | 1129 Northern Blvd, Suite 101, Manhasset, NY 11030-3045 | 2013-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831754126 | Diana Fox | Registered Nurse | 330 Community Drive, Manhasset, NY 11030 | 2019-05-02 |
| 1215470257 | Melissa Fackler | Registered Nurse | 1350 Northern Blvd Ste 202, Manhasset, NY 11030 | 2016-11-23 |
| 1821443391 | Sarah Javdan | Family Medicine | 800 Community Dr Ste 206, Manhasset, NY 11030 | 2016-05-03 |
| 1891167458 | Stacie Thaw Lcsw Pllc | Social Worker | 115 Park Ave., Manhasset, NY 11030 | 2015-10-22 |
| 1538547971 | Aarti Kumar | Podiatrist | 535 Plandome Rd # 2, Manhasset, NY 11030 | 2015-05-18 |
| 1073933586 | Rachel Durante | Occupational Therapist | 600 Community Drive, Manhasset, NY 11030 | 2014-04-23 |
| 1831436435 | Anesthesia Care, P.C. | General Practice | 565 Plandome Road, Manhasset, NY 11030 | 2013-01-16 |
| 1821350091 | Sylvia Yoonsun Kim | Pharmacist | 139 Vanderbilt Ave, Manhasset, NY 11030 | 2012-06-13 |
| 1699062588 | Rod Stern | Dentist | 444 Community Dr Ste 201, Manhasset, NY 11030 | 2011-06-30 |
| 1558654798 | Alexandria Pace Kress | Speech-Language Pathologist | 31 Circle Dr, Manhasset, NY 11030 | 2011-05-20 |
| Find all providers in zip 11030 | ||||
| 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 |
|---|---|---|---|---|
| 1902412463 | Tara Shelley | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2020-09-21 |
| 1477167104 | Kirstie Chia | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-09-01 |
| 1588297923 | Affra Husain | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2020-02-13 |
| 1215579081 | Sadaf Jalili | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-10-14 |
| 1174165278 | Dalila Campbell | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-10-10 |
| 1790326486 | Nicole Ashley Tavarez | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-10-03 |
| 1295381242 | Tanbir Samra | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-08-15 |
| 1003462193 | Rebecca Kelly Vicente | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-08-14 |
| 1457907982 | Colleen Mary Lamberson | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3816 | 2019-08-12 |
| 1083269120 | Ali N/a Imran | Physician Assistant | 300 Community Dr, Manhasset, NY 11030-3876 | 2019-08-06 |
| Find all providers in MANHASSET | ||||
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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.