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

Mathushan Mohanarooban, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1104563865

Mathushan Mohanarooban, PHYSICIANASSISTANT is a Surgical Physician Assistant in Staten Island, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

1 Campus Rd
Staten Island, NY 10301-4479
Phone: (718) 420-4151
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X

Record details

NPI number1104563865
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedMay 15, 2022
Last updated in NPPESMay 15, 2022
Certification dateMay 15, 2022

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