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

MS. Santa Ann Marie Mirabella, RPA-C

Individual provider Physician Assistant · NPI 1821237611

MS. Santa Ann Marie Mirabella, RPA-C is a Physician Assistant in Staten Island, New York. Licensed in New Jersey and New York. Registered with an NPI since 2009.

Licensed in
NJ, NY
In the registry since
2009
Specialties on file
2

Practice location Address checks out

1504 Richmond Rd
Staten Island, NY 10304
Phone: (718) 667-0890
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 005789-1 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 25MP00063600 (NJ)

Record details

NPI number1821237611
Entity typeIndividual (Type 1)
GenderFemale
Credentials RPA-C
Sole proprietorNo
NPI enumeratedFebruary 18, 2009
Last updated in NPPESMay 24, 2010

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