MRS. JESSICA ANN RIEPE (NPI# 1760667323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760667323 |
| Entity Type | Individual |
| Full Name | MRS. JESSICA ANN RIEPE |
| Credential | P.A. |
| Practice Address |
1366 Victory Blvd Staten Island NY 10301-3907 |
| Practice Telephone | 7189442835 |
| Practice Fax Number | 7184424073 |
| Mailing Telephone | 7184428351 |
| Mailing Fax Number | 7184424073 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2011-12-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 009143-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1366 VICTORY BLVD |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10301-3907 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740285238 | Nicolas C Lansigan Jr. | Surgery | 1366 Victory Blvd, Richmond Surgical Associates Pllc, Staten Island, NY 10301-3907 | 2005-06-20 |
| 1457683179 | Jaudat H Khan | Internal Medicine | 1366 Victory Blvd, Staten Island, NY 10301-3907 | 2010-02-05 |
| 1689817363 | Lina Leykina | Internal Medicine | 1366 Victory Blvd, Suite A, Staten Island, NY 10301-3907 | 2009-04-11 |
| 1003067091 | Samala R Swamy, Md, PC | Internal Medicine | 1366 Victory Blvd, Suite B, Staten Island, NY 10301-3907 | 2008-10-08 |
| 1831386424 | Philip Edward Otterbeck | Internal Medicine | 1366 Victory Blvd, Suite A, Staten Island, NY 10301-3907 | 2007-09-27 |
| 1720203607 | Jessica Crespo | Physician Assistant | 1366 Victory Blvd, Suite B, Staten Island, NY 10301-3907 | 2007-04-16 |
| 1558416776 | Bhavesh Gala | Internal Medicine | 1366 Victory Blvd, Ste B, Staten Island, NY 10301-3907 | 2007-01-25 |
| 1861415580 | Zahir H Rahman | Internal Medicine | 1366 Victory Blvd, Suite B, Staten Island, NY 10301-3907 | 2006-07-25 |
| 1679517270 | Knickerbocker Dialysis Inc | Clinic/Center | 1366 Victory Blvd, Staten Island, NY 10301-3907 | 2006-06-15 |
| 1447227509 | Samala Rama Swamy | Specialist | 1366 Victory Blvd, Suite B, Staten Island, NY 10301-3907 | 2006-03-07 |
| 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 | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033716238 | Alena Rakhman | Physician Assistant | 4118 Amboy Rd, Staten Island, NY 10308-2318 | 2020-10-01 |
| 1518574078 | Dana Marie Tedesco | Physician Assistant | 403 Kissel Ave, Staten Island, NY 10301-2600 | 2020-09-29 |
| 1275155277 | Nicole Deluzio | Physician Assistant | 332 Brighton St, Staten Island, NY 10307-1708 | 2020-05-12 |
| 1497377667 | Alexandra Ferro | Physician Assistant | 150 Colon Ave, Staten Island, NY 10308-1405 | 2020-05-11 |
| 1083236434 | Marisa Dimare | Physician Assistant | 700 Jewett Ave, Staten Island, NY 10314-2808 | 2020-05-08 |
| 1861013625 | Danielle Alexandra Crespo | Physician Assistant | 8 Reading Ave, Staten Island, NY 10312-2021 | 2020-05-04 |
| 1194359257 | Brandon J Rego | Physician Assistant | 224 Slater Blvd, Staten Island, NY 10305-3241 | 2020-02-27 |
| 1447897210 | Anthony Joseph Lazzaro | Physician Assistant | 14 Luna Cir, Staten Island, NY 10312-6047 | 2019-11-29 |
| 1770127664 | Jocelyn Philip | Physician Assistant | 158 Livingston Ave, Staten Island, NY 10314-5131 | 2019-11-04 |
| 1295379303 | Dhiwya Alex | Physician Assistant | 61 Delafield Pl, Staten Island, NY 10310-1675 | 2019-10-31 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10301 |
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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.