PRINCY MARY PAULOSE


Address: 1050 Clove Rd, Staten Island, NY 10301-3627
Phone: 7188166440

PRINCY MARY PAULOSE (NPI# 1609267707) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609267707
Entity Type Individual
Full Name PRINCY MARY PAULOSE
Credential PA-C
Practice Address 1050 Clove Rd
Staten Island
NY 10301-3627
Mailing Address 55 Water St Fl 12
New York
NY 10041-0004
Practice Telephone 7188166440
Practice Fax Number 7184202718
Mailing Telephone 6466802888
Mailing Fax Number 5165425556
Enumeration Date 2015-02-10
Last Update Date 2017-11-10
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
018390-1 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 1050 CLOVE RD
City STATEN ISLAND
State NY
Zip Code 10301-3627

Providers in the same location

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
1518344365 Mirjeta Abazaga Optometrist 1050 Clove Rd, Staten Island, NY 10301-3627 2015-04-30
1336532126 Shirley Vincent Nurse Practitioner 1050 Clove Rd, Staten Island, NY 10301-3627 2015-03-18
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457985517 Fina Vitale Physician Assistant 61 Littlefield Ave, Staten Island, NY 10312-6509 2020-02-27
1154709210 Diana Deluca Physician Assistant 55 Johanna Ln, Staten Island, NY 10309-3632 2015-05-09
1881081784 Aminata Dieng Physician Assistant 141 Parkhill Av Apt 4w, Staten Island, NY 10304-3402 2015-04-20
1134517071 Michael Migliorini Physician Assistant 416 Mcclean Ave, Staten Island, NY 10305-3610 2014-12-30
1629353180 Anna Litvin Physician Assistant 3913 Richmond Ave., Staten Island, NY 10312 2011-10-17
1487942645 Rachel Tova Steinberg Physician Assistant 1012 Westwood Ave, Staten Island, NY 10314-4242 2011-07-20
1245539949 Austin Epstein Physician Assistant 305 Seguine Ave Apt 1, Staten Island, NY 10309-3712 2011-03-21
1275843807 Marlena Ludwika Burek Physician Assistant 23 Laforge Ave, 2, Staten Island, NY 10302-1634 2010-10-17
1811207962 Marie Nicole Caragiulo Physician Assistant 176 Lovelace Ave, Staten Island, NY 10312-3208 2010-10-07
1831421999 Krishma Patel Physician Assistant 45 Little Clove Rd, Staten Island, NY 10301-4306 2010-01-31
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Competitor

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City STATEN ISLAND
Zip Code 10301

Improve Information

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Dataset Information

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.

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