MS. MAGNIM KISSAO (NPI# 1982261145) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1982261145 |
Entity Type | Individual |
Full Name | MS. MAGNIM KISSAO |
Credential | PA-C |
Practice Address |
60 Hamilton Ave Apt 2e Staten Island NY 10301-1843 |
Practice Telephone | 3472476962 |
Mailing Telephone | 3472476962 |
Enumeration Date | 2019-05-23 |
Last Update Date | 2019-05-23 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
023041 | NY | Allopathic & Osteopathic Physicians |
Street Address |
60 HAMILTON AVE APT 2E |
City | STATEN ISLAND |
State | NY |
Zip Code | 10301-1843 |
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 | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427595099 | Hari Gnanasekeram, PC | Internal Medicine | 405 Armstrong Ave, Staten Island, NY 10308-2629 | 2017-01-20 |
1073859203 | Ny Cardio Care Pllc | Internal Medicine | 1112 South Ave Ste A, Staten Island, NY 10314-3410 | 2012-12-16 |
1275832677 | Shivani Verma | Internal Medicine | 1332 Rockland Ave, Staten Island, NY 10314-4928 | 2011-03-24 |
1902127814 | Francesco Rotatori | Internal Medicine | 1058 Forest Ave, Staten Island, NY 10310-2419 | 2010-06-15 |
1366624744 | Mumtaz Jafri | Internal Medicine | 1366 Victory Blvd Ste B, Staten Island, NY 10301-3907 | 2007-11-28 |
1508927013 | Antonio Caracta | Internal Medicine | 491 Bard Ave, Staten Island, NY 10310-2103 | 2006-12-12 |
1417031949 | Abdul Wadood Ansari | Internal Medicine | 74 Ocean Ter, Staten Island, NY 10314-5650 | 2006-10-24 |
1114972718 | Andrew C Przybyla | Internal Medicine | 5 Crafton Ave, Staten Island, NY 10314 | 2006-05-23 |
1760457113 | Ayman E. Farid | Internal Medicine | 5091 Amboy Road, Staten Island, NY 10312 | 2006-02-21 |
1083696686 | Staten Island Heart P.C. | Internal Medicine | 501 Seaview Ave., Ste 300, Staten Island, NY 10305-3436 | 2005-11-18 |
Find all providers in STATEN ISLAND |
City | STATEN ISLAND |
Zip Code | 10301 |
Please comment or provide details below to improve the information on MS. MAGNIM KISSAO.
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.