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RAKEB TEMESELEW MAMO
NPI 1275460206
Student in an Organized Health Care Education/Training Program in Staten Island, NY

Active since May 05, 2026
355 BARD AVE, STATEN ISLAND, NY 10310(710) 818-1234 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rakeb Temeselew Mamo NPPES

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

RAKEB TEMESELEW MAMO (NPI 1275460206) is an individual student in an organized health care education/training program in Staten Island, New York and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1275460206
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameRAKEB TEMESELEW MAMO
Location Address355 BARD AVEStaten Island, NY 10310
Mailing AddressYeka B180 14Addis Ababa, ADDIS ABABA 10000
Phone(710) 818-1234
Sole ProprietorNo
Enumeration DateMay 5, 2026
✔ NPI 1275460206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
355 BARD AVE, Staten Island, NY 10310
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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.

MRS. DONNA MARIE LUTZ MSCCC-A
Audiologist-Hearing Aid Fitter
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-2250
ALL ISLAND PHYSICIAN PRACTICE PC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-3327
SAINT VINCENT CATHOLIC MEDICAL CENTER
Psychiatric Unit
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
LISA MAHER PA
Physician Assistant
355 BARD AVE, RICHMOND UNIVERSITY MEDICAL CENTER
STATEN ISLAND, NY 10310
Richmond County (718) 818-1117
MRS. ANNA MENZA FNP
Nurse Practitioner (Family)
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
CAROLINE MEURER DA CUNHA
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-1234
ALLEN CHO
Student in an Organized Health Care Education/Training Program
355 BARD AVE
STATEN ISLAND, NY 10310
Richmond County (718) 818-2419
EDWARD ADRIAN M.D.
Emergency Medicine
355 BARD AVE, EMERGENCY DEPT
STATEN ISLAND, NY 10310
Richmond County (718) 818-2055

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 Rakeb Mamo's NPI number?

The NPI number for Rakeb Mamo is 1275460206. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Rakeb Mamo located?

Rakeb Mamo practices at 355 Bard Ave, Staten Island, NY 10310. The listed phone number is (710) 818-1234.

What is Rakeb Mamo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Rakeb Mamo was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.