MEDICARE: MR. ELLYAGAPE PAUL URASSA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1629965157
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ELLYAGAPE PAUL URASSA

Provider Business Mailing Address
First Line	:	ST. BARNABAS HOSPITAL
Second Line	:	4422 THIRD AVENUE, MILLS BUILDING, 4TH FLOOR, ROOM 406
City	:	BRONX
State	:	NY
Zip	:	10457-2594
Country	:	US
Telephone Number	:	718-960-6635
Fax Number	:	718-960-9418

Provider Business Practice Location Address
First Line	:	ST. BARNABAS HOSPITAL
Second Line	:	4422 THIRD AVENUE, MILLS BUILDING, 4TH FLOOR, ROOM 406
City	:	BRONX
State	:	NY
Zip	:	10457-2594
Country	:	US
Telephone Number	:	718-960-6635
Fax Number	:	718-960-9418

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2025
Last Update Date	:	03/18/2026

Similar Medicare Providers

1376491480 — ROSS DAVID LIECHTUNG
Practice Location Address:

4422 3RD AVE
BRONX, NY
10457-2594

Practice Phone: 718-960-9000
Practice Fax:

1922991066 — MS. SHILPA MUDDULURU M.D.
Practice Location Address:

ST. BARNABAS HOSPITAL , 4422 THIRD AVENUE, MILLS BUILDING, 4TH FLOOR, ROOM 406
BRONX, NY
10457-2594

Practice Phone: 718-960-6635
Practice Fax: 718-960-9418

1144114778 — DEVINA PANDE MD
Practice Location Address:

ST. BARNABAS HOSPITAL , 4422 THIRD AVENUE, MILLS BUILDING, 4TH FLOOR, ROOM 406
BRONX, NY
10457-2594

Practice Phone: 718-960-6635
Practice Fax: 718-960-9418

1538052824 — MR. CHIJIOKE CHUKWUKAELO MBONU M.D
Practice Location Address:

ST. BARNABAS HOSPITAL , 4422 THIRD AVENUE MILLS BUILDING, 4TH FLOOR, ROOM 406
BRONX, NY
10457-2594

Practice Phone: 718-960-6635
Practice Fax: 718-960-9418

1134195324 — DR. KATHRYN R KO M.D.
Practice Location Address:

3RD AVENUE AND 183RD STREET , ST. BARNABAS HOSPITAL
BRONX, NY
10457-2594

Practice Phone: 718-960-3788
Practice Fax:

1508828609 — DR. JOEL A SENDER M.D.
Practice Location Address:

4422 3RD AVE FL 4
BRONX, NY
10457-2594

Practice Phone: 718-960-3100
Practice Fax: 718-960-5049

Directions to “ MR. ELLYAGAPE PAUL URASSA ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.