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

MS. Adrienne M. Viviano, PA

Individual provider Surgical Physician Assistant · NPI 1215174099

MS. Adrienne M. Viviano, PA is a Physician Assistant in Staten Island, New York. Qualified in 2002, 24 years ago. Practices with North Shore-Lij Medical PC, a 6,350-clinician group and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
24
Licensed in
NJ, NY
In the registry since
2009
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

375 Seguine Ave
Staten Island, NY 10309-3932
Phone: (718) 226-2377
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 008946 (NY)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 25MP00101800 (NJ)

Record details

NPI number1215174099
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 15, 2009
Last updated in NPPESMarch 30, 2009

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice North Shore-Lij Medical Pc — 6350 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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