DR. ALUKO OSAFO JERVIS (NPI# 1982769477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982769477 |
| Entity Type | Individual |
| Full Name | DR. ALUKO OSAFO JERVIS |
| Credential | D.P.M |
| Practice Address |
295 Myrtle Ave Staten Island NY 10310-2332 |
| Practice Telephone | 7187206866 |
| Practice Fax Number | 7187206931 |
| Mailing Telephone | 7182732984 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2019-02-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0131X |
Podiatrist Specialization: Foot Surgery |
N006185-1 | NY | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE NUMBER | N006185-1 | 01 |
| Street Address |
295 MYRTLE AVE |
| City | STATEN ISLAND |
| State | NY |
| Zip Code | 10310-2332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710506027 | Sini Bijoy | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-16 |
| 1497374243 | Isabelle Mulango | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dep't of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-12 |
| 1174152839 | Yvonne Hanna | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Depatment of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-05 |
| 1588293591 | Muhammad Shaheryar Haider | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine, Villa Bldg 1st Floor, Staten Island, NY 10310 | 2020-04-02 |
| 1427602846 | Mc Queen and Otuyelu Lcsw Wellness | Social Worker | 941 Forest Avenue, Staten Island, NY 10310 | 2019-07-25 |
| 1780240333 | Zeinab Mohammed Kaleemullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue Department of Psychiatry, Staten Island, NY 10310 | 2019-05-18 |
| 1164086229 | Francine Fane Foo | Student in an Organized Health Care Education/Training Program | 355 Bard Ave., Depart of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-24 |
| 1528621893 | Francis Njukeng Atemnkeng | Student in an Organized Health Care Education/Training Program | 355 Bard Ave Dept of Medicine Villa Bldg, 1st Floor, Staten Island, NY 10310 | 2019-04-22 |
| 1467015966 | Anum Humayun | Student in an Organized Health Care Education/Training Program | 355 Bard Ave. Dept of Medicine Villa Bldg 1st Floor, Staten Island, NY 10310 | 2019-04-19 |
| 1760951842 | Syed M Faizaan Zabiullah | Student in an Organized Health Care Education/Training Program | 355 Bard Avenue, Department of Medicine, Villa Building, 1st Floor,staten Island, New York, NY 10310 | 2018-11-18 |
| Find all providers in zip 10310 | ||||
| Taxonomy Code | 213ES0131X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760709505 | Richmond Podiatry Associates | Podiatrist | 4243 Richmond Ave., Staten Island, NY 10312-6238 | 2010-05-03 |
| 1295903144 | Steven Gregory Karasik | Podiatrist | 100 Seaview Ave, Staten Island, NY 10304-2836 | 2008-02-13 |
| 1144319864 | Anthony D Olivieri | Podiatrist | 3371 Richmond Ave, Staten Island, NY 10312-2025 | 2006-10-12 |
| 1952344673 | Stephen Smirlock | Podiatrist | 1025 Armstrong Ave, Staten Island, NY 10308-1210 | 2006-06-13 |
| 1184699795 | Gary Bartholomew Gugliada | Podiatrist | 89 Cromwell Ave, Staten Island, NY 10304-3944 | 2006-02-18 |
| 1174505630 | Ravi Kaizer Kamble | Podiatrist | 2338 Richmond Rd, Staten Island, NY 10306-2346 | 2005-11-18 |
| 1861876328 | Christal D Charbonnet, Dpm P.C. | Podiatrist | 4243 Richmond Ave, 1st Floor, Staten Island, NY 10312-6221 | 2015-07-15 |
| 1780811471 | Christal D Charbonnet | Podiatrist | 4243 Richmond Ave, Richmond Podiatry, Staten Island, NY 10312-6221 | 2009-06-19 |
| 1356576961 | Luis H. Mora | Podiatrist | 2749 Hylan Blvd, Staten Island, NY 10306-4656 | 2009-05-27 |
| 1871755256 | Lee Andrew Reiter | Podiatrist | 1534 Victory Blvd, Staten Island, NY 10314-3548 | 2008-06-27 |
| Find all providers in STATEN ISLAND | ||||
| City | STATEN ISLAND |
| Zip Code | 10310 |
Please comment or provide details below to improve the information on DR. ALUKO OSAFO JERVIS.
| 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.