Active NPI
Donna Snow M.D. P.C.
- Internal Medicine Physician
- Staten Island, NY
National Provider Identifier
1881991917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 174630
- Legal business name
- DONNA SNOW M.D. P.C.
- Practice address
- 4622 Amboy Rd
Staten Island, NY 10312-4145 - Phone
- (718) 967-3762
- Fax
- (718) 967-8463
- NPI assigned
- Feb 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Donna M Snow, M.D.
- Title
- Physician
- Phone
- (718) 967-3762
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 174630 | NY | Primary |
Addresses
Primary practice location
4622 Amboy Rd
Staten Island, NY 10312-4145
Mailing address
4622 Amboy Rd
Staten Island, NY 10312-4145
Phone (718) 967-3762
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01450724 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
4622 Amboy Rd
Staten Island, NY 10312
Phone (718) 967-3762
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1427018779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1298592000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298592000000",
"number": "1881991917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4622 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103124145",
"telephone_number": "718-967-3762",
"fax_number": "718-967-8463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4622 AMBOY RD",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103124145",
"telephone_number": "718-967-3762",
"fax_number": "718-967-8463"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DONNA SNOW M.D. P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-02-25",
"last_updated": "2011-02-25",
"status": "A",
"authorized_official_last_name": "SNOW",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "718-967-3762",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "174630",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01450724",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.