Active NPIIndividual provider

Ms. Santa A Mirabella, RPA-C

Physician Assistant in Staten Island, New York

NPI Number1821237611
Practice location
1504 Richmond Road, Staten Island, NY 10304
Fax
—
Last updated
May 24, 2010

Santa Ann Marie Mirabella is a Physician Assistant based in Staten Island, NY. Santa Ann Marie Mirabella practices in Staten Island, NY and has the professional credentials of RPA-C. The NPI Number for Santa Ann Marie Mirabella is 1821237611 and holds a License No. 005789-1 (NY). The current practice location address for Santa Ann Marie Mirabella is 1504 Richmond Road, Staten Island, NY 10304 and can be reached out via phone at 718-667-0890.

Provider Profile Details

NPI Number
1821237611
Provider Name
Santa Ann Marie Mirabella
Credential
RPA-C
Provider Entity Type
Individual
Gender
Female
Address
1504 Richmond Road, Staten Island, NY 10304
Phone Number
718-667-0890
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Other Names
-- Ann Marie Mirabella, RPA-C (Other Name)
Provider Enumeration Date
February 18, 2009
Last Update Date
May 24, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1504 Richmond Road
Staten Island, NY 10304
Zip
10304
Phone Number
718-667-0890
Staten Island, NY 10304Get directions →

Provider Business Mailing Address Details

Address
23 Wootton Road
Essex Fells, NJ 07021
City
Essex Fells
State
NJ
Zip
07021
Phone Number
917-734-3092

License Information

License Number (1)
005789-1
License State (1)
NY
Taxonomy (1)
Physician Assistant · 363A00000X · Primary
License Number (2)
25mp00063600
License State (2)
NJ
Taxonomy (2)
Physician Assistant · 363A00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Santa A Mirabella, RPA-C?

The NPI number of Ms. Santa A Mirabella, RPA-C is 1821237611. It was assigned on February 18, 2009 and is currently active in the NPPES registry.

What is the specialty of Ms. Santa A Mirabella, RPA-C?

Ms. Santa A Mirabella, RPA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NY under license number 005789-1.

Where does Ms. Santa A Mirabella, RPA-C practice?

The practice location is 1504 Richmond Road, Staten Island, NY 10304. The office can be reached at 718-667-0890 (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 1821237611 directly on the NPPES registry website.

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