MS. LISA SIGNORILE


Address: 1099 Targee St, Staten Island, NY 10304-4310
Phone: 7184483210

MS. LISA SIGNORILE (NPI# 1780805499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780805499
Entity Type Individual
Full Name MS. LISA SIGNORILE
Credential PA
Practice Address 1099 Targee St
Staten Island
NY 10304-4310
Mailing Address 136 Champlain Ave
Staten Island
NY 10306-4120
Practice Telephone 7184483210
Practice Fax Number 7189676023
Mailing Telephone 7186678552
Enumeration Date 2007-05-01
Last Update Date 2013-03-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 009566 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY DEA NUMBER BF4242246 01

Office Location

Street Address 1099 TARGEE ST
City STATEN ISLAND
State NY
Zip Code 10304-4310

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275524043 Elaina M Caporale Physician Assistant 1099 Targee St, Staten Island, NY 10304-4310 2005-11-02
1710518097 North Shore-lij Cardiovascular Medicine PC Orthopaedic Surgery 1099 Targee St, Staten Island, NY 10304-4310 2020-01-27
1720356850 Irina Richardson Physician Assistant 1099 Targee St, Staten Island, NY 10304-4310 2011-12-04
1922338334 Steven Hsiao-liang Lin Psychiatry & Neurology 1099 Targee St, Staten Island, NY 10304-4310 2010-01-06
1528227857 Lindsay Martino Physician Assistant 1099 Targee St, Staten Island, NY 10304-4310 2008-06-02
1629279633 Ami Raval Neurological Surgery 1099 Targee St, Staten Island, NY 10304 2007-05-29
1013036409 Michael S Hood Physician Assistant 1099 Targee St, Staten Island, NY 10304-4310 2007-03-28
1851475776 Dmitriy Reznik Physician Assistant 1099 Targee St, Staten Island, NY 10304-4310 2006-10-25
1740264332 Healthcare Associates In Medicine PC Anesthesiology 1099 Targee St, Healthcare Associates In Medicine PC, Staten Island, NY 10304-4310 2005-12-06
1295718856 Clare A Beagen-mchugh Physician Assistant 1099 Targee St, Healthcare Associates In Medicine, Staten Island, NY 10304-4310 2005-11-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215542923 Margaret Chifong Tam Nurse Practitioner 85 Venice Avenue, Staten Island, NY 10304 2020-09-10
1598397788 Alexandria & Akea's Playhouse, Inc. Day Training, Developmentally Disabled Services 1864 Clove Road, Staten Island, NY 10304 2020-02-06
1548746811 Bryant Edward Pearson Technician/Technologist 664 Bay Street, Staten Island, NY 10304 2018-07-19
1366941668 Safwat Attia Youssef Orthopaedic Surgery 25 Sunrise Terrace, Staten Island, New York, NY 10304 2018-02-02
1699294090 Kate Lynn Chimienti Specialist/Technologist 52 Smith Ter Fl1, Staten Island, NY 10304 2017-09-17
1881117315 Fun Speech Therapy, P.C. Early Intervention Provider Agency 367 St Pauls Ave., Staten Island, NY 10304 2017-07-17
1720517097 Senada Pelinkovic Speech-Language Pathologist 29 Remsen St, Staten Island, NY 10304 2017-06-08
1760927255 Kpannah Moore Licensed Practical Nurse 492 Vanderbilt Avenue, Staten Island, NY 10304 2016-12-20
1689116592 Rena Li Registered Nurse 30 Celebration Lane, Staten Island, NY 10304 2016-11-09
1407304835 Esther Mitnick Counselor 285 Vanderbilt Avenue, State Island, NY 10304 2016-09-14
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

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.

Providers in the same taxonomy and city

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
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Competitor

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City STATEN ISLAND
Zip Code 10304

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Dataset Information

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.

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