Progressive Medical PLLC
Internal Medicine in Staten Island, New York
1508413097- Practice location
- 455 Jersey St, Staten Island, NY 10301-2976
- Phone
- 718-524-5611
- Fax
- —
- Last updated
- December 23, 2019
Progressive Medical PLLC is a healthcare organization based in Staten Island, NY. Progressive Medical PLLC practices in Staten Island, NY. The NPI Number for Progressive Medical PLLC is 1508413097. The current practice location address for Progressive Medical PLLC is 455 Jersey St, Staten Island, NY 10301-2976 and can be reached out via phone at 718-524-5611.
Provider Profile Details
- NPI Number
- 1508413097
- Provider Name
- Progressive Medical PLLC
- Provider Entity Type
- Organization
- Address
- 455 Jersey St, Staten Island, NY 10301-2976
- Phone Number
- 718-524-5611
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Organization Subpart
- No
- Authorized Official
- Ellis Enabosi, MD · Owner · 973-280-9600
- Provider Enumeration Date
- August 20, 2019
- Last Update Date
- December 23, 2019
- Certification Date
- December 23, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 455 Jersey St
Staten Island, NY 10301-2976 - City
- Staten Island
- State
- New York
- Zip
- 10301-2976
- Phone Number
- 718-524-5611
Provider Business Mailing Address Details
- Address
- 460 N Maple Ave
East Orange, NJ 07017-4674 - City
- East Orange
- State
- NJ
- Zip
- 07017-4674
License Information
- Taxonomy
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Staten Island, NY
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- Dr. Ajantha Rangasamy, MDInternal Medicine · NPI 1194882613
- Dr. Dan J Scarfo, MDInternal Medicine · NPI 1740226158
- Dr. Ellis Enabosi, MDInternal Medicine · NPI 1669866158
- Hassan El Bakkar, MDInternal Medicine · NPI 1881036838
- Mr. Muhammad Rafay Khan Niazi, MDInternal Medicine · NPI 1629633201
Frequently Asked Questions
What is the NPI number of Progressive Medical PLLC?
The NPI number of Progressive Medical PLLC is 1508413097. It was assigned on August 20, 2019 and is currently active in the NPPES registry.
What is the specialty of Progressive Medical PLLC?
Progressive Medical PLLC is registered under the primary taxonomy Internal Medicine (code 207R00000X).
Where does Progressive Medical PLLC practice?
The practice location is 455 Jersey St, Staten Island, NY 10301-2976. The office can be reached at 718-524-5611 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1508413097 directly on the NPPES registry website.