Wanipa Muwowo-nwade
Physician Assistant

Address: 4802 10th Ave Rm 301, Brooklyn, NY 11219
Phone: 6176591975

Wanipa Muwowo-nwade (NPI# 1023588746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1023588746
Entity Type Individual
Full Name Wanipa Muwowo-nwade
Credential PA
Gender Female
Practice Address 4802 10th Ave Rm 301
Brooklyn
NY 11219
Practice Telephone 6176591975
Mailing Address 4802 10th Ave Rm 301
Brooklyn
NY 11219-2916
Mailing Telephone 7182838137
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2018-11-26
Last Update Date 2019-02-10

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers 023104 NY
No 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers NY

Secondary Practice Locations

Address Telephone Number Fax Number
724 E 27th St Apt 2g, Brooklyn, NY 112102221 6176591975

Physician Overview

NPI 1023588746
PAC ID by PECOS 8820321979
Professional Enrollment ID I20190605001722
Full Name Wanipa Muwowo-nwade
Organization Legal Name MAIMONIDES FACULTY PRACTICE PLAN
Phone Number 7182836000
Gender F
Medical School STATE UNIVERSITY OF NEW YORK DOWNSTATE MEDICAL CENTER
Graduation Year 2018
Primary Specialty PHYSICIAN ASSISTANT
Group Practice PAC ID 7012808348
Number of Group Practice Members 147
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
330194 MAIMONIDES MEDICAL CENTER

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114523396 Annie Liu Physician Assistant 73 Chester Ave, Brooklyn, NY 11218-2001 2020-12-11
1669077202 Shalini S Zachariah Physician Assistant 1660 E 14th St Ste 401, Brooklyn, NY 11229-1112 2020-12-02
1952902256 Billy Phuoctan Truong Physician Assistant 8832 18th Ave, Brooklyn, NY 11214-6002 2020-11-03
1700486560 Jayanti Rao Physician Assistant 1059 Union St Apt 3g, Brooklyn, NY 11225-1268 2020-10-29
1376142737 Amanda Shinall Physician Assistant 28 Old Fulton St Apt 4b, Brooklyn, NY 11201-6909 2020-10-18
1497353825 Tsz Yan Soo Physician Assistant 8825 26th Ave Fl 2, Brooklyn, NY 11214-5408 2020-10-16
1497369342 Krystal Renee Alexander Physician Assistant 2225 Ditmas Ave Apt 1a, Brooklyn, NY 11226-6993 2020-09-08
1578177390 Celia Chen Physician Assistant 2628 E 18th St, Brooklyn, NY 11235-3659 2020-08-31
1669084547 Peter Forman Physician Assistant 86 Saint Felix St, Brooklyn, NY 11217-3032 2020-08-20
1699383646 Fabienne Mondelus Physician Assistant 715 E 108th St Apt 3c, Brooklyn, NY 11236-2929 2020-07-15
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Office Location

Street Address 4802 10TH AVE RM 301
City BROOKLYN
State NY
Zip Code 11219

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073127163 Chava Bokchin Registered Nurse 6200 15th Avenue, Brooklyn, NY 11219 2020-09-04
1164033643 Debbie Evadne Evans-wright Nurse Practitioner 979 48th Street, Brooklyn, NY 11219 2020-08-10
1528614559 Jonathan Benjamin Goldstein Specialist Yeled Vyalda 1312 38 Street, Brooklyn, NY 11219 2019-08-15
1235782301 Vanessa Walton Social Worker 4012 New Utrecht Avenue, Apt 1, Brooklyn, NY 11219 2019-07-18
1083184618 Sandra Murray Licensed Practical Nurse 6321 New Utrecht Avenue Second Floor, Brooklyn, NY 11219 2018-11-27
1366919896 Evelin Ponce Licensed Practical Nurse 6321 New Utrecht Avenue, Second Floor, Brooklyn, NY 11219 2018-11-02
1083180301 Yefim Simkhayev Occupational Therapist 1317 52nd St, Brooklyn, NY 11219 2018-10-15
1598240186 F & D Pharmacy Inc Pharmacy 5504 -13 Ave, Brooklyn, NY 11219 2018-09-28
1245737469 Yekaterina Joltikov Student in an Organized Health Care Education/Training Program Miamonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219 2018-04-13
1952800922 Claudia Cassandra Chambersjohnson Registered Nurse Maimonides Medicalcenter, Brooklyn, NY 11219 2018-02-06
Find all providers in zip 11219

Competitor

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City BROOKLYN
Zip Code 11219

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.