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).
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 |
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 |
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 |
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 |
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 | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
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 |
Find all providers in STATEN ISLAND |
City | STATEN ISLAND |
Zip Code | 10301 |
Please comment or provide details below to improve the information on PRINCY MARY PAULOSE.
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.