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PROGRESSIVE MEDICAL PLLC
NPI 1508413097
Internal Medicine in Staten Island, NY

Active since August 20, 2019
455 JERSEY ST, STATEN ISLAND, NY 10301(718) 524-5611 Get Directions Write a Review

NPPES record last updated: December 23, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 23, 2019, Aug 20, 2019 (2 updates tracked since 2019).

About Progressive Medical Pllc NPPES

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

PROGRESSIVE MEDICAL PLLC (NPI 1508413097) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since August 2019. The organization lists Ellis Enabosi, Owner, as its authorized official.

NPPES Registry Identity

NPI1508413097
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROGRESSIVE MEDICAL PLLC
Location Address455 JERSEY STStaten Island, NY 10301-2976
Mailing Address460 N Maple AveEast Orange, NJ 07017-4674
Phone(718) 524-5611
Organization SubpartNo
Authorized OfficialEllis EnabosiOwner · (973) 280-9600
Enumeration DateAugust 20, 2019
Last NPPES UpdateDecember 23, 20192 updates tracked since enumeration
✔ NPI 1508413097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
455 JERSEY ST, Staten Island, NY 10301
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Other Identifiers 1

Medicaid04996732NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. ELLIS ENABOSI M.D.
Internal Medicine
455 JERSEY ST
STATEN ISLAND, NY 10301
Richmond County (187) 524-5611

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 Progressive Medical PLLC's NPI number?

The NPI number for Progressive Medical PLLC is 1508413097. It was assigned to this organization in the NPPES registry on August 20, 2019.

Where is Progressive Medical PLLC located?

Progressive Medical PLLC is located at 455 Jersey St, Staten Island, NY 10301. The listed phone number is (718) 524-5611.

What is Progressive Medical PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Progressive Medical PLLC was last updated on December 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.