IDA LI (NPI# 1649625831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649625831 |
| Entity Type | Individual |
| Full Name | IDA LI |
| Credential | MD |
| Practice Address |
475 Seaview Ave # 2261548 Staten Island NY 10305-3436 |
| Mailing Address |
80 Bay Street Lndg Apt 5l Staten Island NY 10301-2548 |
| Practice Telephone | 7182261548 |
| Practice Fax Number | 7182268447 |
| Mailing Telephone | 9176078589 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2019-01-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 295551 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
475 SEAVIEW AVE # 2261548 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101517 | Gina Sinchi | Specialist | 120 Hylan Blvd Suite 9b1, Staten Island, NY 10305 | 2020-10-15 |
| 1003436783 | Ali Kassem | Student in an Organized Health Care Education/Training Program | 475 Seaview University, Staten Island, New York, Staten Island University Hospital, Department of Intern, Staten Island, Nyc, NY 10305 | 2020-04-22 |
| 1174183982 | Mohammad Ass'ad Alshami | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Ht-257(back), Staten Island-nyc, NY 10305 | 2019-06-14 |
| 1639632508 | Abdullah Jahangir | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue Staten Island, Staten Island Univers, New York City, NY 10305 | 2019-04-09 |
| 1922593813 | Ifeyinwa Mary Asuzu | Student in an Organized Health Care Education/Training Program | 1 Edgewater Plaza Staten Island, New York, NY 10305 | 2018-06-25 |
| 1700377652 | Celeste Jude Chow | Speech-Language Pathologist | 841 Father Capodanno Blvd, Staten Island, NY 10305 | 2018-05-27 |
| 1972094878 | Mahmoud Shadi | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue; Staten Island Univeristy Hospital, Staten Island, NY 10305 | 2018-05-25 |
| 1396235131 | Samyak Hiteshkumar Dhruv | Student in an Organized Health Care Education/Training Program | 475 Seaview Avenue, Staten Island, NY 10305 | 2018-05-17 |
| 1720583404 | Michele Corrado | Nurse Practitioner | 27 Xenia St, Staten Island, NY 10305 | 2018-03-26 |
| 1861995912 | Erika Renick | Dietitian, Registered | 256 Mason Avenue, Building C - 3rd Floor, Staten Island, NY 10305 | 2018-03-15 |
| Find all providers in zip 10305 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851707152 | Basil M Joseph | Emergency Medicine | 59 Croak Ave, Staten Island, NY 10314-5679 | 2014-07-08 |
| 1730523069 | Eugene Vortsman | Emergency Medicine | 963 W Fingerboard Rd, Staten Island, NY 10304-4413 | 2013-04-17 |
| 1184990293 | Candice Cruz | Emergency Medicine | 663 W Fingerboard Rd, Apt 2, Staten Island, NY 10305-2633 | 2012-03-23 |
| 1801113766 | Susan K Philip | Emergency Medicine | 45 Little Clove Road, Staten Island, NY 10314 | 2010-04-30 |
| 1730347949 | Sanath Dharmasena | Emergency Medicine | 1290 Forest Hill Rd, Staten Island, NY 10314-6368 | 2008-05-26 |
| 1811169691 | Paul Joseph Barbara | Emergency Medicine | 475 Seaview Avenue Staten Island University Hospital, Dept of Emergency Medicine, Staten Island, NY 10305 | 2008-04-01 |
| 1083633820 | Avraham Jason Schreiber | Emergency Medicine | 2960 Victory Blvd, Staten Island, NY 10314-6605 | 2006-07-19 |
| 1780602177 | Jonathan Villaroman Reyes | Emergency Medicine | 244 Buel Avenue, Staten Island, NY 10305 | 2006-07-17 |
| 1932145869 | Leila De Almeida | Emergency Medicine | 61 Venus Ln, Staten Island, NY 10314-5964 | 2006-06-20 |
| 1710963293 | Victor Newman | Emergency Medicine | 475 Seaview Avenue, Staten Island, NY 10305 | 2005-12-16 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
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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.