MRS. AZALESHA ABRAHIM RODRIGUEZ (NPI# 1760700843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760700843 |
| Entity Type | Individual |
| Full Name | MRS. AZALESHA ABRAHIM RODRIGUEZ |
| Other Name | AZALESHA ABRAHIM |
| Credential | M.S. PA-C |
| Practice Address |
1855 Richmond Ave Staten Island NY 10314-3940 |
| Practice Telephone | 7186972212 |
| Mailing Telephone | 7186972212 |
| Enumeration Date | 2010-05-13 |
| Last Update Date | 2017-03-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 25MP00232600 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1855 RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10314-3940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285635565 | Tamara Sibalic-mandic | Internal Medicine | 1855 Richmond Ave, Suite 102, Staten Island, NY 10314-3940 | 2005-08-09 |
| 1538717079 | In Balance Physical Therapy, Pllc | Clinic/Center | 1855 Richmond Ave, Staten Island, NY 10314-3940 | 2019-08-28 |
| 1447732649 | Audiology Services Company Usa, LLC | Audiologist-Hearing Aid Fitter | 1855 Richmond Ave, Staten Island, NY 10314-3940 | 2018-09-04 |
| 1477703130 | Michael Hamlen Campanella | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314 | 2008-09-30 |
| 1033225370 | David M Herzog Md PC | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314-3909 | 2006-08-21 |
| 1205876018 | Richard Rouder, Dpm, PC | Podiatrist | 1855 Richmond Ave, Staten Island, NY 10314-3912 | 2006-06-08 |
| 1174574651 | Gwenn Lentine | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314-3909 | 2006-05-12 |
| 1487618468 | David M Herzog | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314-3909 | 2006-04-14 |
| 1225098866 | Saam A Miller | Obstetrics & Gynecology | 1855 Richmond Ave, Staten Island, NY 10314-3909 | 2006-03-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568076255 | Edward Leccese | Massage Therapist | 77 Renee Place, Staten Island, NY 10314 | 2020-09-01 |
| 1871154633 | Matthew Richard Puliatti | Counselor | 1688 Victory Boulevard, Staten Island, NY 10314 | 2019-06-24 |
| 1750845137 | Miriam Gordon Pediatric Np PC | Nurse Practitioner | 7 Ismay Street, Staten Island, NY 10314 | 2019-01-30 |
| 1003391186 | 2791 Richmond LLC | Dentist | 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 | 2018-09-25 |
| 1477046522 | Miriam A Madry | Optometrist | 569 Woolley Ave, Staten Island, NY 10314 | 2018-06-13 |
| 1174025894 | Staten Island Dentistry P.C. | Clinic/Center | 979 Willowbrook Rd., Staten Island, NY 10314 | 2018-03-08 |
| 1205335023 | Ashley Larsen | Early Intervention Provider Agency | 229 Wellington Ct, Staten Island, NY 10314 | 2018-02-07 |
| 1306369699 | Victoria Ali | Behavior Technician | 228 Melvin Avenue, Staten Island, NY 10314 | 2017-07-19 |
| 1700307360 | Lydia Mora | Specialist | 2025 Richmond Avenue Suite 200, Staten Island, NY 10314 | 2017-07-03 |
| 1366971707 | Lisa Pietracatella | Massage Therapist | 92 Margaretta Court, Staten Island, NY 10314 | 2017-06-08 |
| Find all providers in zip 10314 | ||||
| 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 | 10314 |
Please comment or provide details below to improve the information on MRS. AZALESHA ABRAHIM RODRIGUEZ.
| 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.