MS. SALLEE REYNOLDS MATHEWS (NPI# 1619584612) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619584612 |
| Entity Type | Individual |
| Full Name | MS. SALLEE REYNOLDS MATHEWS |
| Credential | PA-C |
| Practice Address |
600 E 233rd St Bronx NY 10466-2604 |
| Mailing Address |
346 E 238th St Bronx NY 10470-1807 |
| Practice Telephone | 7189209000 |
| Mailing Telephone | 8586999254 |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
600 E 233RD ST |
| City | BRONX |
| State | NY |
| Zip Code | 10466-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410470 | Eric G Walter | Podiatrist | 600 E 233rd St, Suite 3, Bronx, NY 10466-2604 | 2005-07-09 |
| 1326646621 | Sum Yi Elena Lai | Dietitian, Registered | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-10-09 |
| 1477150191 | Nicole Vasaturo | Physician Assistant | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-10-06 |
| 1730795956 | Latisha Powell | Nurse Practitioner | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-09-22 |
| 1043825045 | Kareem Hill | Nurse Practitioner | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-09-15 |
| 1407460348 | Chany Damian Ozuna | Student in an Organized Health Care Education/Training Program | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-09-08 |
| 1457979940 | Caroline Mikolajczyk | Physician Assistant | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-07-10 |
| 1679194591 | Bai Yi King | Pharmacist | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-05-01 |
| 1528695350 | Shwe Synn | Student in an Organized Health Care Education/Training Program | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-03-23 |
| 1659907897 | Dillon Maye | Physical Therapist | 600 E 233rd St, Bronx, NY 10466-2604 | 2020-03-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063039964 | Gisha Cherappuram | Nurse Practitioner | 4334 White Plains Rd, The Bronx, NY 10466 | 2020-06-26 |
| 1518582980 | Robbie Veriker | Student in an Organized Health Care Education/Training Program | 600 E 233rd St., The Bronx, NY 10466 | 2020-06-11 |
| 1568002756 | Edenwald Pharmacy Inc. | Pharmacy | 4137 Laconia Ave, Bronx, NY 10466 | 2020-01-15 |
| 1407499361 | Shanell Smith | Licensed Practical Nurse | 772 E 223rd St, Bronx, NY 10466 | 2019-10-23 |
| 1386115087 | Grmawit Wolde | Licensed Practical Nurse | 512 W 134 #23, Bronx, NM 10466 | 2018-12-07 |
| 1346710431 | Nereid Rx Corp | Pharmacy | 4396 White Plains Rd, Bronx, NY 10466 | 2018-11-30 |
| 1285102137 | Purple Dove Community Care Agency | Home Health | 728 East 233 Street, Bronx, NY 10466 | 2018-11-08 |
| 1174098305 | Jamila Berma | Assistant Behavior Analyst | 4222 Monticello.ave, Bronx, NY 10466 | 2018-10-03 |
| 1659869477 | Bunche Consulting LLC | Specialist | 2015 Pitmanavenue, Bronx, NY 10466 | 2018-04-26 |
| 1275050122 | Dahlia T Williams | Home Health Aide | 1060 East 229 St., Bronx, NY 10466 | 2017-08-22 |
| Find all providers in zip 10466 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629574348 | Viresh Ramnarayan | Physician Assistant | 1970 E Tremont Ave Apt 5c, Bronx, NY 10462-5658 | 2018-04-02 |
| 1871948620 | Klementina Koci | Physician Assistant | 3400 Bainbridge Ave Fl Map33, Bronx, NY 10467-2404 | 2016-04-29 |
| 1134503931 | Lindsay Averill | Physician Assistant | 1400 Pelham Pkwy S Ste 1213, Bronx, NY 10461 | 2015-07-13 |
| 1942693486 | Oumou Drame | Physician Assistant | 785 Courtlandt Ave Apt 15c, Bronx, NY 10451-4324 | 2015-03-09 |
| 1477734804 | Dimitra Mitsianis | Physician Assistant | 234 Eugenio Maria De Hostos 149th St, Department of Surgery, Bronx, NY 10451-5504 | 2007-11-14 |
| 1518151885 | Brenda Jean Vecchione | Physician Assistant | 3rd Ave & 183 St., Bronx, NY 10457 | 2007-08-30 |
| 1467597369 | Kwabena Ntiamoah | Physician Assistant | 1276 Fulton Ave. Bronx Lebanon Hospital, Dept. of Psychiatry, 1276 Fulton Ave, Bronx, NY 10456 | 2007-02-20 |
| 1851443311 | Svetlana Tovt | Physician Assistant | 234 E149 Street, Room 6-20, Bronx, NY 10706 | 2007-01-17 |
| 1649335274 | Andrew Walter Douglas | Physician Assistant | 3rd Ave and 183rd Str, Bronx, NY 10457-2594 | 2006-12-26 |
| 1316553803 | Hazera Hussain | Physician Assistant | 111 E 210th St, Bronx, NY 10467-2401 | 2020-09-20 |
| Find all providers in BRONX | ||||
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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.