Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Progressive Medical PLLC

Organization Internal Medicine Physician · NPI 1508413097

Progressive Medical PLLC is an Internal Medicine Physician in Staten Island, New York. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

455 Jersey St
Staten Island, NY 10301-2976
Phone: (718) 524-5611
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1508413097
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ellis Enabosi — Owner · (973) 280-9600
NPI enumeratedAugust 20, 2019
Last updated in NPPESDecember 23, 2019
Certification dateDecember 23, 2019
Mailing address460 N Maple Ave, East Orange, NJ 07017-4674

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