Maridanielle D. Annicchiarico, Registered Physician Assistant-Certifie

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

005535-1 Issued in NY

Legal business name

MARIDANIELLE D. ANNICCHIARICO, REGISTERED PHYSICIAN ASSISTANT-CERTIFIE

Practice address

15 Black Angus CT
Newburgh, NY 12550-1567

Phone

(845) 566-4595

NPI assigned

Nov 13, 2008

Last updated

Nov 13, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Maridanielle D. Annicchiarico, RPA-C

Title

Director

Phone

(845) 566-4595

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1801040126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10082",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125520082",
            "telephone_number": "845-566-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BLACK ANGUS CT",
            "city": "NEWBURGH",
            "state": "NY",
            "postal_code": "125501567",
            "telephone_number": "845-566-4595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIDANIELLE D. ANNICCHIARICO, REGISTERED PHYSICIAN ASSISTANT-CERTIFIE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "ANNICCHIARICO",
        "authorized_official_first_name": "MARIDANIELLE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "845-566-4595",
        "authorized_official_credential": "RPA-C"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "005535-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Nicole Manz, PA
• Sarah Gannon Maouris
• Marsha Maragh-Forester, LPN
• Debra Marchetti, OSC
• Maria C David MD PC
• Timothy Marino
• Victoria Lynn Markouizos, LMFT
• Angel Marquez, DO
• Christian Marquez
• Liezel Marquez, OTR/L

• Surgical Physician Assistant in Newburgh, NY
• Providers in Newburgh, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.