GEORGES M PRINCIVIL (NPI# 1598295883) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598295883 |
| Entity Type | Individual |
| Full Name | GEORGES M PRINCIVIL |
| Credential | PA |
| Practice Address |
812 Forest Ave Staten Island NY 10310-2446 |
| Mailing Address |
1087 E Jersey St Apt C2 Elizabeth NJ 07201-2550 |
| Practice Telephone | 7185719196 |
| Mailing Telephone | 9089370535 |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2020-08-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 023465 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363A00000X | Physician Assistant | 25MP00434900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
25MP00434900 | NJ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
812 FOREST AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310-2446 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821399254 | Boris Natenzon | Pharmacist | 812 Forest Ave, Staten Island, NY 10310-2446 | 2010-11-17 |
| 1588208805 | City Medical of Upper East Side, Pllc | Clinic/Center | 812 Forest Ave, Staten Island, NY 10310-2446 | 2019-10-30 |
| 1982140083 | Cvs Albany, L.L.C. | Durable Medical Equipment & Medical Supplies | 812 Forest Ave, Staten Island, NY 10310-2446 | 2017-01-12 |
| 1114301538 | Jesse Lawton Goldberg | Pharmacist | 812 Forest Ave, Staten Island, NY 10310-2446 | 2015-07-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| Find all providers in zip 10310 | ||||
| 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 |
|---|---|---|---|---|
| 1033716238 | Alena Rakhman | Physician Assistant | 4118 Amboy Rd, Staten Island, NY 10308-2318 | 2020-10-01 |
| 1518574078 | Dana Marie Tedesco | Physician Assistant | 403 Kissel Ave, Staten Island, NY 10301-2600 | 2020-09-29 |
| 1275155277 | Nicole Deluzio | Physician Assistant | 332 Brighton St, Staten Island, NY 10307-1708 | 2020-05-12 |
| 1497377667 | Alexandra Ferro | Physician Assistant | 150 Colon Ave, Staten Island, NY 10308-1405 | 2020-05-11 |
| 1083236434 | Marisa Dimare | Physician Assistant | 700 Jewett Ave, Staten Island, NY 10314-2808 | 2020-05-08 |
| 1861013625 | Danielle Alexandra Crespo | Physician Assistant | 8 Reading Ave, Staten Island, NY 10312-2021 | 2020-05-04 |
| 1194359257 | Brandon J Rego | Physician Assistant | 224 Slater Blvd, Staten Island, NY 10305-3241 | 2020-02-27 |
| 1447897210 | Anthony Joseph Lazzaro | Physician Assistant | 14 Luna Cir, Staten Island, NY 10312-6047 | 2019-11-29 |
| 1770127664 | Jocelyn Philip | Physician Assistant | 158 Livingston Ave, Staten Island, NY 10314-5131 | 2019-11-04 |
| 1295379303 | Dhiwya Alex | Physician Assistant | 61 Delafield Pl, Staten Island, NY 10310-1675 | 2019-10-31 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10310 |
Please comment or provide details below to improve the information on GEORGES M PRINCIVIL.
| 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.