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Mona Trinette Lipnitskiy

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

475 Seaview Ave, Staten Island, NY 10305-3436

PECOS Enrollment

This provider is enrolled in PECOS as MONA LIPNITSKIY.

Based on the most recent information from CMS, provider Mona Trinette Lipnitskiy is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1487303228
Provider Type
Individual
Full Name
Lipnitskiy, Mona Trinette
Credential
PA

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/21/2022
Last Updated
3/21/2022

Contact Information

Practice Location

475 Seaview Ave, Staten Island, NY 10305-3436

(718) 226-9000

Unlisted Fax

Mailing Location

1 Campus Rd, Staten Island, NY 10301-4495

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363A00000X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License 363A00000X New York

Mona Trinette Lipnitskiy

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Tomasini, Gabriella

Lantowski, Agnieszka

Xi, Mandy

Sommers, Stephanie

Cusumano, Nicole Joann

Bruccoleri, Adam R

Otterbeck, Victoria Angela

Jacob, Stacy

Juliano, Jamie E

Calcutta, Samantha