ADVANCE MEDICAL AND DIET SERVICES (NPI# 1861785149) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861785149 |
| Entity Type | Organization |
| Organization Name | ADVANCE MEDICAL AND DIET SERVICES |
| Practice Address |
3930 Richmond Ave Staten Island NY 10312-5104 |
| Practice Telephone | 7186051040 |
| Enumeration Date | 2011-05-19 |
| Last Update Date | 2011-05-19 |
| Authorized Official Name | DR. EUGENE MANCUSO (PRESIDENT) |
| Authorized Official Telephone | 7186051040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 166460 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3930 RICHMOND AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10312-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821064049 | Tager, Lew, Degaetano | Dentist | 3930 Richmond Ave, Staten Island, NY 10312-5100 | 2006-02-27 |
| 1174912083 | Trinity Pain Management of Staten Island, Pllc | Anesthesiology | 3930 Richmond Ave, Suite 101, Staten Island, NY 10312-5104 | 2015-01-15 |
| 1326450081 | Deborah Canavan Smith | Counselor | 3930 Richmond Ave, Suite 104, Staten Island, NY 10312-5104 | 2014-05-28 |
| 1578974564 | Jody Smith | Counselor | 3930 Richmond Ave, Suite 104, Staten Island, NY 10312-5104 | 2014-05-13 |
| 1902217243 | Ruth Lieberman | Counselor | 3930 Richmond Ave, Suite 104, Staten Island, NY 10312 | 2014-05-08 |
| 1356751952 | Christine Minieri | Counselor | 3930 Richmond Ave, Suite 104, Staten Island, NY 10312-5104 | 2014-05-05 |
| 1174878367 | Suhi Hong | Acupuncturist | 3930 Richmond Ave, Suite 200, Staten Island, NY 10312-5104 | 2012-07-13 |
| 1700167442 | Richmond Dental Arts P.C. | Dentist | 3930 Richmond Ave, 1st Floor, Staten Island, NY 10312 | 2011-09-08 |
| 1104143361 | Y A Anesthesia Pain Management Pllc | Pain Medicine | 3930 Richmond Ave, Suite 101, Staten Island, NY 10312-5104 | 2010-04-28 |
| 1396924155 | David Sandler | Dentist | 3930 Richmond Ave, Staten Island, NY 10312-5104 | 2007-10-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1407403876 | Shannen Rogozin | Occupational Therapist | 85 Macon Ave, Staten Island, NY 10312 | 2019-08-21 |
| 1972076107 | Alla Nusonovna Adler | Nurse Practitioner | 76winchester Ave, Staten Island, NY 10312 | 2019-01-10 |
| 1427559145 | Kelly Diefenthaler | Occupational Therapist | 165 Sheldon Avenue, Staten Island, NY 10312 | 2018-02-27 |
| 1316446776 | Maria Kathleen Caras | Counselor | 3930 Richmond Ave, #105, Staten Island, NY 10312 | 2018-02-12 |
| 1487172904 | Melissa Alter | Counselor | 31 Regent Circle, Staten Island, NY 10312 | 2017-09-05 |
| 1821515321 | Paul Abraham Benjamin | Pharmacist | 127 Wainwright Avenue, Staten Island, NY 10312 | 2017-08-24 |
| 1588180277 | Heloisa Vilas Boas | Specialist | 140 Laredo Avenue, Staten Island, NY 10312 | 2017-08-15 |
| 1245778604 | Lisa Marie Cutrona | Speech-Language Pathologist | 536 Wilson Ave., Staten Island, NY 10312 | 2017-02-06 |
| 1922468016 | Salvatrice Gaston | Licensed Practical Nurse | 97 Forest Green, Staten Island, NY 10312 | 2016-03-02 |
| Find all providers in zip 10312 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1083137970 | Dian Patricia Grandison | Family Medicine | 25 Beekman St, Staten Island, NY 10302-2006 | 2017-07-21 |
| 1184092314 | Girgis Md Pllc | Family Medicine | 1332a Rockland Ave, Staten Island, NY 10314-4944 | 2015-09-03 |
| 1790163996 | Tamara Anna Marie Saukin Md PC | Family Medicine | 1920 Richmond Rd, Staten Island, NY 10306-2551 | 2015-05-08 |
| 1629474283 | Rani Medical, PC | Family Medicine | 3350 Victory Blvd, Unit #a, Staten Island, NY 10314-6700 | 2014-11-10 |
| 1861735656 | Liudmila A Skudnov | Family Medicine | 1000 Targee St Apt 4t, Staten Island, NY 10304-4472 | 2013-04-01 |
| 1952664351 | Biana Volfinzon | Family Medicine | 187 Arbutus Ave, Staten Island, NY 10312-4500 | 2012-06-20 |
| 1548534324 | Ming Yeung Chung | Family Medicine | 56 Jenna Ln, Staten Island, NY 10304-1322 | 2012-02-27 |
| 1619110707 | Joaquin C Gutierrez Jr. | Family Medicine | 124 Getz Ave, Staten Island, NY 10312-2114 | 2009-04-20 |
| 1588823025 | Zoya Koroleva | Family Medicine | 11 Ralph Pl Ste 112, Staten Island, NY 10304-4408 | 2008-06-09 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10312 |
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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.