DR. JONATHAN S. DEITCH (NPI# 1679551469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679551469 |
| Entity Type | Individual |
| Full Name | DR. JONATHAN S. DEITCH |
| Credential | M.D. |
| Practice Address |
501 Seaview Ave Suite 302 Staten Island NY 10305-3419 |
| Practice Telephone | 7182266800 |
| Practice Fax Number | 7182261295 |
| Mailing Telephone | 7182266800 |
| Mailing Fax Number | 7182261295 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2013-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
194966-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01921764 | 05 |
| Street Address |
501 SEAVIEW AVE SUITE 302 |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10305-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760480404 | Souad Bekheit Saad | Internal Medicine | 501 Seaview Ave, Ste 300, Staten Island, NY 10305-3436 | 2005-07-07 |
| 1194343491 | Desiree West | Nurse Practitioner | 501 Seaview Ave, Staten Island, NY 10305-3419 | 2020-07-13 |
| 1326524984 | Naile Nikovic | Nurse Practitioner | 501 Seaview Ave, Staten Island, NY 10305-3419 | 2018-07-17 |
| 1609303403 | Blerta Saipi | Nurse Practitioner | 501 Seaview Ave, Staten Island, NY 10305-3419 | 2017-05-11 |
| 1831498740 | Cardiovascular Associates of Staten Island LLC | Internal Medicine | 501 Seaview Ave, Suite 100, Staten Island, NY 10305-3419 | 2011-03-17 |
| 1598064669 | Kuldeep Singh | Surgery | 501 Seaview Ave, Suite 302, Staten Island, NY 10305-3419 | 2011-03-15 |
| 1811144124 | Mohammad Moussavi | Psychiatry & Neurology | 501 Seaview Ave, Staten Island, NY 10305-3419 | 2008-08-19 |
| 1528223021 | Jennifer M. Malpeso | Internal Medicine | 501 Seaview Ave, Suite 200, Staten Island, NY 10305-3419 | 2008-07-23 |
| 1346402914 | Yasir El-sherif | Psychiatry & Neurology | 501 Seaview Ave, New York Epilepsy & Neurology, Staten Island, NY 10305-3419 | 2008-06-25 |
| 1194985226 | Edward H Yu | Psychiatry & Neurology | 501 Seaview Ave, Suite 104, Staten Island, NY 10305-3400 | 2008-06-12 |
| Find all providers in the same location | ||||
| 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 | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669864369 | Staten Island Medical of New York, LLC | Surgery | 1975 Hylan Blvd Ste C, Staten Island, NY 10306 | 2015-03-04 |
| 1285812180 | Saqib Zia | Surgery | 501 Seaview Ave Ste 302, Staten Island, NY 10305-3419 | 2008-02-04 |
| 1841255254 | Staten Island Vein Treatment & Practice Pllc | Surgery | 449 Medina St, Unit Id, Staten Island, NY 10306 | 2006-04-19 |
| 1023089141 | Maria Fodera | Surgery | 2235 Clove Rd, Staten Island, NY 10305 | 2006-01-27 |
| 1205815727 | Christos Dean Dossa | Surgery | 2460 Hylan Blvd, Staten Island, NY 10306-3117 | 2006-01-12 |
| 1679550578 | Frank Tarantini | Surgery | 2025 Richmond Ave, Suite 1ll, Staten Island, NY 10314-3937 | 2005-12-30 |
| 1669888277 | Staten Island Medical of New York LLC | Surgery | 1975 Hylan Blvd, Staten Island, NY 10306 | 2014-07-02 |
| 1598064669 | Kuldeep Singh | Surgery | 501 Seaview Ave, Suite 302, Staten Island, NY 10305-3419 | 2011-03-15 |
| 1558450312 | Laser and Varicose Vein Treatment Center of Staten Island | Surgery | 500 Seaview Ave, Ste 240, Staten Island, NY 10305-3403 | 2006-10-12 |
| 1801850920 | Gary Giangola | Surgery | 256 Mason Ave, Building B 2nd Floor, Staten Island, NY 10305-3408 | 2006-04-14 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10305 |
Please comment or provide details below to improve the information on DR. JONATHAN S. DEITCH.
| 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.