Sisay Dejene · Student in an Organized Health Care Education/Training Program

327 Beach 19th St, Far Rockaway, NY 11691-4423

Overview

Sisay Dejene is a Student in an Organized Health Care Education/Training Program practicing in Far Rockaway, New York. The National Provider Identifier (NPI) is #1558821876, which was assigned on March 22, 2019, and the registration record was last updated on March 22, 2019. The practitioner's main practice location is at 327 Beach 19th St, Far Rockaway, NY 11691-4423; the contact telephone number is 7188697000. The primary taxonomy of Sisay Dejene is Student in an Organized Health Care Education/Training Program (390200000X).

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Provider Information

NPI 1558821876
Entity Type Individual
Provider Name SISAY DEJENE
Gender Male
Credential MD
Practice Address 327 Beach 19th St
Far Rockaway
NY 11691-4423
Practice Telephone 7188697000
Mailing Address 7805 Lewis Chapel Cir Apt 203
Lorton
VA 22079-1938
Mailing Telephone 7035934733
Enumeration Date 2019-03-22
Last Update Date 2019-03-22
Is Sole Proprietor N

Doctor and Clinician Information

PAC ID 1557730165
Medicare Provider Enrollment and Chain/Ownership System (PECOS) Associate Control (PAC) ID
Full Name SISAY G DEJENE
Primary Specialty HOSPITALIST
Organization Legal Name HOSPITAL MEDICINE SERVICES OF VA LLC
Address 4600 Spotsylvania Pkwy
Fredericksburg
VA 22408-7762

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y390200000XStudent in an Organized Health Care Education/Training Program

Secondary Practice Locations

AddressTelephoneFax
327 Beach 19th St, Far Rockaway, NY 1169144237188697000

Taxonomy Information

Primary Taxonomy

Code 390200000X
Taxonomy Student in an Organized Health Care Education/Training Program
Classification Student in an Organized Health Care Education/Training Program
Grouping Student, Health Care
Definition: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Zachary Gentzler 2301 Holmes St, Kansas City, MO 64108-2640Student in an Organized Health Care Education/Training Program2025-01-11
Morgan Martin 1305 Princess Ave, Reno, NV 89502-3009Student in an Organized Health Care Education/Training Program2025-01-11
Gino Buffa 1201 Karon Dr, Saint Charles, MO 63304-7011Student in an Organized Health Care Education/Training Program2025-01-11
Lydia Amador 1001 Fremont Ave # 267, South Pasadena, CA 91030-3224Student in an Organized Health Care Education/Training Program2025-01-11
Payton England 2723 Victory Ave, Grafton, WV 26354-7865Student in an Organized Health Care Education/Training Program2025-01-11
Kendra Bohm 2501 S 38th St, Grand Forks, ND 58201-5922Student in an Organized Health Care Education/Training Program2025-01-11
Jillian Dunn 14 Conscience Cir, Setauket, NY 11733-3106Student in an Organized Health Care Education/Training Program2025-01-11
Riza Ali 3333 Green Bay Rd, North Chicago, IL 60064-3037Student in an Organized Health Care Education/Training Program2025-01-11
Daniel Rhea 1111 W 17th St, Tulsa, OK 74107-1886Student in an Organized Health Care Education/Training Program2025-01-11
Alexis Lee Glotfelty · Alexis Lee Burow Po Box 9100, Morgantown, WV 26506-9100Student in an Organized Health Care Education/Training Program2025-01-11
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Location Information

Street Address 327 BEACH 19TH ST
City FAR ROCKAWAY
State NY
Zip Code 11691-4423
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Desiree Genilo Marquez Santos 327 Beach 19th St, Far Rockaway, NY 11691-4423Student in an Organized Health Care Education/Training Program2024-04-05
Jerusha Deepthi Gudapati 327 Beach 19th St, Far Rockaway, NY 11691-4423Student in an Organized Health Care Education/Training Program2024-04-08
Amna Muneer 327 Beach 19th St, Far Rockaway, NY 11691-4423Student in an Organized Health Care Education/Training Program2024-04-12
Hector Sandoval Jr. 327 Beach 19th St, Far Rockaway, NY 11691-4423Student in an Organized Health Care Education/Training Program2024-04-26
Andrieh Darwich 327 Beach 19th St, Far Rockaway, NY 11691-4423Student in an Organized Health Care Education/Training Program2024-04-24
Titilopemi Odunlami 327 Beach 19th St, Far Rockaway, NY 11691-4423Student in an Organized Health Care Education/Training Program2024-04-22
Mahima Ravikant Master 327 Beach 19th St, Far Rockaway, NY 11691-4423Student in an Organized Health Care Education/Training Program2024-04-05
Sarah Diana Singh 327 Beach 19th St, Far Rockaway, NY 11691-4423Student in an Organized Health Care Education/Training Program2024-04-08
David Wu 327 Beach 19th St, Far Rockaway, NY 11691-4423Student in an Organized Health Care Education/Training Program2024-04-04
Jenee Brock 327 Beach 19th St, Far Rockaway, NY 11691-4423Emergency Registered Nurse2024-08-07
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Manuel Garcia Morell 327 Beach 19 Th St, Far Rockaway, Queens, NY 11691Internal Medicine Physician2020-03-20
Tandicka Barker 718-720 Beach 20th Street, Far Rockaway, NY 11691Mental Health Counselor2019-10-09
Sneha Satheesh Menon 265 Beach 20th Street Far Rockaway, Queens, NY 11691Physical Therapist2020-09-16
Menaka Abeyewardene St. John's Episcopal Hospital, 327 Beach 19th Street, Far Rockaway, NY 11691Student in an Organized Health Care Education/Training Program2019-02-06
Erience Reid Dickerson Sr. 694 20th Street Far Rockaway Ny, Far Rockaway Queens, NY 11691Mental Health Counselor2023-03-10
Carla Malinda Small · Carla Small 2205 Loretta Road, Apt F1, Far Rockaway, NY 11691Mental Health Counselor2024-07-15
Savetry Deodharry 1711 Brookhaven Avenue, Far Rockaway, Ny, NY 11691Licensed Practical Nurse2021-07-13
Jalpa Dholaria 265 Beach 20th Street, Far Rockaway, NY 11691Physical Therapist2020-09-30
Maureen Brissett 1530 Dunbar St, Far Rockaway, New York, NY 11691Licensed Practical Nurse2021-09-20
Aaleyah Coppin 20-04 Seagint Blvd, Far Rockaway, NY 11691Registered Nurse2020-12-07
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Similar Providers

Providers with similar names

Provider NameAddressTaxonomyEnumeration Date
Solomon Dejene 15755 E Center Ave, Aurora, CO 80017-2017Non-emergency Medical Transport (VAN)2020-08-04
Brook A Dejene 1944 Route 33, Mid-Atlantic Surgical Associates - Suite 201, Neptune, NJ 07753-4862Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician2005-08-09
Armot Dejene 2677 Zoe Ave Ste 304, Huntington Park, CA 90255-3699Rehabilitation Practitioner2019-05-09
Dejene Getachew Kassaye 500 Martha Jefferson Dr, Charlottesville, VA 22911-4668Internal Medicine Physician2012-06-21
Dejene Abebe 471 W Tennessee St, Tallahassee, FL 32301-1025Child & Adolescent Psychiatry Physician2006-12-08
Abel Dejene 2922 N River Walk Dr, Chicago, IL 60618-1167Mental Health Counselor2020-09-07
Samson Dejene Tadesse 743 Spring St Ne, Gainesville, GA 30501-3715Internal Medicine Physician2013-06-26
Biruktawit Dejene 7826 Eastern Ave Nw Ste Ll16, Washington, DC 20012-1328Home Health Registered Nurse2012-08-09
Fitsum N Dejene 11458 Se Mceachron Ave, Milwaukie, OR 97222-1264Mental Health Counselor2018-03-19
Desta Dejene 2152 Leah Ln, Reynoldsburg, OH 43068-3518Health Educator2014-12-31

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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.