MATHUSHAN MOHANAROOBAN PHYSICIAN ASSISTANT
NPI 1104563865
Physician Assistant - Surgical in Staten Island, NY

Active since May 15, 2022
1 CAMPUS RD, STATEN ISLAND, NY 10301(718) 420-4151 Get Directions Write a Review

NPPES record last updated: May 15, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mathushan Mohanarooban Physician Assistant NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATHUSHAN MOHANAROOBAN PHYSICIAN ASSISTANT (NPI 1104563865) is an individual surgical provider in Staten Island, New York and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1104563865
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMATHUSHAN MOHANAROOBANCredential: PHYSICIAN ASSISTANT
Location Address1 CAMPUS RDStaten Island, NY 10301-4479
Mailing Address595 Woolley AveStaten Island, NY 10314-6820 · (347) 822-1427
Sole ProprietorNo
Enumeration DateMay 15, 2022
NPPES CertifiedMay 15, 2022
NPI 1104563865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
1 CAMPUS RD, Staten Island, NY 10301

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Physician Assistant (Surgical)
1 CAMPUS RD
STATEN ISLAND, NY 10301
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301
Physician Assistant (Medical)
1 CAMPUS RD
STATEN ISLAND, NY 10301
Physician Assistant
1 CAMPUS RD
STATEN ISLAND, NY 10301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mathushan Mohanarooban's NPI number?

The NPI number for Mathushan Mohanarooban is 1104563865. It was assigned to this individual provider in the NPPES registry on May 15, 2022.

Where is Mathushan Mohanarooban located?

Mathushan Mohanarooban practices at 1 Campus Rd, Staten Island, NY 10301. The listed phone number is (718) 420-4151.

What is Mathushan Mohanarooban's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Mathushan Mohanarooban was last updated on May 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.