Medical Group Of New York, P.c. | |
107 S Country Rd Bellport NY 11713-2523 | |
(866) 389-2727 | |
(401) 406-3539 |
Full Name | Medical Group Of New York, P.c. |
---|---|
Speciality | Nurse Practitioner |
Location | 107 S Country Rd, Bellport, New York |
Authorized Official Name and Position | Deborah Pincince (ADMINISTRATOR) |
Authorized Official Contact | 4017703813 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Group Of New York, P.c. Po Box 772 Minuteclinic Credentialing-mc2295 Woonsocket RI 02895-0784 Ph: (401) 770-3813 | Medical Group Of New York, P.c. 107 S Country Rd Bellport NY 11713-2523 Ph: (866) 389-2727 |
NPI Number | 1487983516 |
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Provider Enumeration Date | 12/21/2009 |
Last Update Date | 07/29/2024 |
Certification Date | 07/29/2024 |
Medicare PECOS PAC ID | 2567642044 |
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Medicare Enrollment ID | O20110216000235 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487983516 | NPI | - | NPPES |
Provider Name | Chioma Ogbogu-chukwuemeka |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659450211 PECOS PAC ID: 8628011483 Enrollment ID: I20050603000060 |
Provider Name | Yelena Gayetskaya |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851304372 PECOS PAC ID: 2567464209 Enrollment ID: I20070208000248 |
Provider Name | Daniel Cotter |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1003018102 PECOS PAC ID: 3375635238 Enrollment ID: I20090505000421 |
Provider Name | Diane Stella |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053573238 PECOS PAC ID: 8729133681 Enrollment ID: I20090831000055 |
Provider Name | Tolulope D Ojeyemi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013241223 PECOS PAC ID: 2163569708 Enrollment ID: I20091030000055 |
Provider Name | Shannon S Morgan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740423375 PECOS PAC ID: 1759410178 Enrollment ID: I20100524000583 |
Provider Name | Robert Villegas |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1508885534 PECOS PAC ID: 9133226715 Enrollment ID: I20120330000031 |
Provider Name | Brenda St Louis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851658868 PECOS PAC ID: 6305095027 Enrollment ID: I20121012000247 |
Provider Name | David Cheriyan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356658801 PECOS PAC ID: 7911157573 Enrollment ID: I20121017000656 |
Provider Name | Jane Kopacki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912257114 PECOS PAC ID: 9133372857 Enrollment ID: I20130109000120 |
Provider Name | Jessica A Flanagan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730433608 PECOS PAC ID: 6800031105 Enrollment ID: I20130313000570 |
Provider Name | Shelley Gibson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588741599 PECOS PAC ID: 0446492342 Enrollment ID: I20130806000013 |
Provider Name | Melissa L Morrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013289115 PECOS PAC ID: 1456594175 Enrollment ID: I20130828000759 |
Provider Name | Melissa M Russell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740628106 PECOS PAC ID: 7517194954 Enrollment ID: I20131211000381 |
Provider Name | Kimberly D Callender |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144661760 PECOS PAC ID: 6204063654 Enrollment ID: I20131211000552 |
Provider Name | Christopher M Fecarotta |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1003072018 PECOS PAC ID: 1557539038 Enrollment ID: I20140509002050 |
Provider Name | Carolyn B Rinon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1336553668 PECOS PAC ID: 6507084274 Enrollment ID: I20140822000536 |
Provider Name | Ajay R Balladin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134541733 PECOS PAC ID: 1456570829 Enrollment ID: I20140917000453 |
Provider Name | Sandra A Waugh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194904607 PECOS PAC ID: 7214157908 Enrollment ID: I20141001000089 |
Provider Name | Shana S Chacko |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962804963 PECOS PAC ID: 9436473634 Enrollment ID: I20150116001352 |
Provider Name | Jessica E Chung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326438136 PECOS PAC ID: 2466772959 Enrollment ID: I20150526000050 |
Provider Name | Tina Lu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306288410 PECOS PAC ID: 3971810102 Enrollment ID: I20150921000296 |
Provider Name | Jeanne M Orzano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629444088 PECOS PAC ID: 5294043469 Enrollment ID: I20151008000201 |
Provider Name | Sarah Onyenwe |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184986176 PECOS PAC ID: 4486963170 Enrollment ID: I20151020001686 |
Provider Name | Christine M Nightingale |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376934240 PECOS PAC ID: 5092015149 Enrollment ID: I20151123001121 |
Provider Name | Michelle Frasca |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912383746 PECOS PAC ID: 5799089140 Enrollment ID: I20160205001013 |
Provider Name | Grace O Dada |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972995199 PECOS PAC ID: 9830496033 Enrollment ID: I20160404001084 |
Provider Name | Susan N Ngobi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861945057 PECOS PAC ID: 9032405253 Enrollment ID: I20160914000377 |
Provider Name | Karen Chung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083167902 PECOS PAC ID: 3173802089 Enrollment ID: I20161117000787 |
Provider Name | Aluem Tark |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922481159 PECOS PAC ID: 0345529939 Enrollment ID: I20161123000913 |
Provider Name | Anissa L Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972855401 PECOS PAC ID: 2163674474 Enrollment ID: I20161205002150 |
Provider Name | Cecilia L Ajang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558814517 PECOS PAC ID: 0446532964 Enrollment ID: I20170118001380 |
Provider Name | Quanisha N Hamm |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245671890 PECOS PAC ID: 5597084871 Enrollment ID: I20170201001258 |
Provider Name | Nicole M Cardwell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1003355868 PECOS PAC ID: 9133497704 Enrollment ID: I20170622002595 |
Provider Name | Cristina A Mathew |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649686437 PECOS PAC ID: 2163796129 Enrollment ID: I20170914003576 |
Provider Name | Lauren V Ghazal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992162978 PECOS PAC ID: 4587942909 Enrollment ID: I20171023000222 |
Provider Name | Kyoungsun Hong |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669982724 PECOS PAC ID: 7113284076 Enrollment ID: I20171130002121 |
Provider Name | Erica L Edmund |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811261605 PECOS PAC ID: 0941577357 Enrollment ID: I20171130002818 |
Provider Name | Mary E Mccormack |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225169121 PECOS PAC ID: 8527023274 Enrollment ID: I20171228000131 |
Provider Name | Elizabeth Philip |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598278160 PECOS PAC ID: 9638438740 Enrollment ID: I20180118001239 |
Provider Name | Jeannie Bernard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740532894 PECOS PAC ID: 1759644792 Enrollment ID: I20180404001898 |
Provider Name | Esther Romilus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073954897 PECOS PAC ID: 3779848692 Enrollment ID: I20180524001317 |
Provider Name | Robert Isokari Okolie |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083857882 PECOS PAC ID: 8224265988 Enrollment ID: I20180620000319 |
Provider Name | Alexandra Mary Christodoulou |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467828889 PECOS PAC ID: 1658621248 Enrollment ID: I20180831000851 |
Provider Name | Monique Brock |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902385685 PECOS PAC ID: 5698027480 Enrollment ID: I20181005000290 |
Provider Name | Tina Marie-ann Rolston-duncan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861905101 PECOS PAC ID: 1951653062 Enrollment ID: I20181017001975 |
Provider Name | Cara Scarpato |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477037620 PECOS PAC ID: 7911251152 Enrollment ID: I20181107000613 |
Provider Name | Simone Gamble |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992290787 PECOS PAC ID: 2769726678 Enrollment ID: I20181204001827 |
Provider Name | Yoojin Jung |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780152165 PECOS PAC ID: 9830435957 Enrollment ID: I20190110002626 |
Provider Name | Danielle E Capierseho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528543618 PECOS PAC ID: 3577800523 Enrollment ID: I20190129001541 |
Provider Name | Evelyn N Giannetti |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1497225460 PECOS PAC ID: 9032456975 Enrollment ID: I20190130001430 |
Provider Name | Brittani L Turner |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1376028514 PECOS PAC ID: 0648517508 Enrollment ID: I20190130001996 |
Provider Name | Jasmine Hegde |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699255711 PECOS PAC ID: 2264784149 Enrollment ID: I20190508002539 |
Provider Name | Ching-yi Wu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548727944 PECOS PAC ID: 3476896770 Enrollment ID: I20190529001904 |
Provider Name | Benjamin A Stephens |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447626981 PECOS PAC ID: 4789991621 Enrollment ID: I20190807004019 |
Provider Name | Barbara Baptiste |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356983167 PECOS PAC ID: 0042642878 Enrollment ID: I20191118000928 |
Provider Name | Wiliana E Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669026662 PECOS PAC ID: 4789018011 Enrollment ID: I20191219002271 |
Provider Name | Ashley Nicole Stropoli |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871144998 PECOS PAC ID: 1850728205 Enrollment ID: I20200224002070 |
Provider Name | Christopher O'brien |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1629263421 PECOS PAC ID: 9537337555 Enrollment ID: I20200409000531 |
Provider Name | Miyoung Lee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821544347 PECOS PAC ID: 3274963038 Enrollment ID: I20200417001884 |
Provider Name | Linda Bruce |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548645153 PECOS PAC ID: 6608297163 Enrollment ID: I20200609001805 |
Provider Name | Edema Obaseki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487884318 PECOS PAC ID: 7810312428 Enrollment ID: I20200729003725 |
Provider Name | Amber N Habib |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1487119921 PECOS PAC ID: 1557601622 Enrollment ID: I20200811002758 |
Provider Name | Sara Mae Steward |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1164051470 PECOS PAC ID: 4385064674 Enrollment ID: I20201027001276 |
Provider Name | Le-jeune Sealey-horsford |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427512441 PECOS PAC ID: 3577974161 Enrollment ID: I20201203001559 |
Provider Name | Karen E Gil |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679180533 PECOS PAC ID: 9739591140 Enrollment ID: I20201208003298 |
Provider Name | Leah A Montaque |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801493135 PECOS PAC ID: 9739591553 Enrollment ID: I20201218000779 |
Provider Name | Kimberly Elaine Harrison |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386244663 PECOS PAC ID: 2365854031 Enrollment ID: I20201222001884 |
Provider Name | Antoinette D Moore-thomas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104244128 PECOS PAC ID: 9436563897 Enrollment ID: I20210126000403 |
Provider Name | Stephanie Ramdehall |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326661661 PECOS PAC ID: 9436563707 Enrollment ID: I20210127002308 |
Provider Name | Ruth Moze |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205206893 PECOS PAC ID: 9830503069 Enrollment ID: I20210130000188 |
Provider Name | Daisylyn Pascua |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619444064 PECOS PAC ID: 2466866264 Enrollment ID: I20210205000316 |
Provider Name | Monique Corbett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699368076 PECOS PAC ID: 7012324858 Enrollment ID: I20210324000072 |
Provider Name | Ansu Roy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285230631 PECOS PAC ID: 9133536816 Enrollment ID: I20210324002402 |
Provider Name | Ifeoma Obumneme-akaneme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184288045 PECOS PAC ID: 4587071261 Enrollment ID: I20210324002477 |
Provider Name | Jennifer Dawn Saunders |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932748373 PECOS PAC ID: 7719394360 Enrollment ID: I20210325002044 |
Provider Name | Aderonke Adeniyi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1528656360 PECOS PAC ID: 9739596388 Enrollment ID: I20210325002345 |
Provider Name | Elisa C Alleyne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871807180 PECOS PAC ID: 9537576194 Enrollment ID: I20210325002480 |
Provider Name | Tanya Williams-hinds |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740518265 PECOS PAC ID: 6901214337 Enrollment ID: I20210422002584 |
Provider Name | Marine Brown |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902449424 PECOS PAC ID: 3173931565 Enrollment ID: I20210423002081 |
Provider Name | Alicia Ferdinand |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073106019 PECOS PAC ID: 6901215102 Enrollment ID: I20210428002922 |
Provider Name | Johnna Sullivan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356930804 PECOS PAC ID: 2466851969 Enrollment ID: I20210603002601 |
Provider Name | Jinah Choi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730490657 PECOS PAC ID: 6901206168 Enrollment ID: I20210610001218 |
Provider Name | Heather Thompson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134706856 PECOS PAC ID: 3870993827 Enrollment ID: I20210611001620 |
Provider Name | Alyssa Luft |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033682380 PECOS PAC ID: 4981007192 Enrollment ID: I20210726003374 |
Provider Name | Saphira Juste |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1700456159 PECOS PAC ID: 7416352349 Enrollment ID: I20210816002707 |
Provider Name | Danielle Goldman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1982226536 PECOS PAC ID: 5890190458 Enrollment ID: I20210819000777 |
Provider Name | Josephine Budinger |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053802504 PECOS PAC ID: 3072878693 Enrollment ID: I20210922002312 |
Provider Name | Maurice Edward Pugh |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316178320 PECOS PAC ID: 8921406265 Enrollment ID: I20211018000919 |
Provider Name | Sarah Aljahmi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053089060 PECOS PAC ID: 4183022452 Enrollment ID: I20211018002327 |
Provider Name | Manny A Lopez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1427573484 PECOS PAC ID: 1254729320 Enrollment ID: I20211021001654 |
Provider Name | Frances Priolo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053517730 PECOS PAC ID: 4587747043 Enrollment ID: I20211021001891 |
Provider Name | Sitiwe T Eaves |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093254997 PECOS PAC ID: 1557603727 Enrollment ID: I20211027000976 |
Provider Name | Oluyemisi I Adedokun |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437224490 PECOS PAC ID: 0840422168 Enrollment ID: I20211116000314 |
Provider Name | John T Lehr |
---|---|
Provider Type | Practitioner - Ophthalmology |
Provider Identifiers | NPI Number: 1447211289 PECOS PAC ID: 8123156122 Enrollment ID: I20211117000632 |
Provider Name | Kester King J Payumo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790457208 PECOS PAC ID: 8729478789 Enrollment ID: I20211206001562 |
Provider Name | Taniana Rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609414556 PECOS PAC ID: 9638569379 Enrollment ID: I20211210002431 |
Provider Name | Maria Luisa Quidilla |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740562586 PECOS PAC ID: 5193115863 Enrollment ID: I20211213000790 |
Provider Name | Mini Mathew |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689127623 PECOS PAC ID: 8426449463 Enrollment ID: I20211229001320 |
Provider Name | Subhanna J Asrar-khan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881266195 PECOS PAC ID: 1052702925 Enrollment ID: I20220104000410 |
Provider Name | Marsha Prescod |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134600349 PECOS PAC ID: 9436541562 Enrollment ID: I20220121000449 |
Provider Name | Aisha Payne |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295283521 PECOS PAC ID: 4981096799 Enrollment ID: I20220127001517 |
Provider Name | Valessa Mesidor |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972276285 PECOS PAC ID: 4284027079 Enrollment ID: I20220129000222 |
Provider Name | Melissa H Cohen |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1750829800 PECOS PAC ID: 2769875079 Enrollment ID: I20220209002162 |
Provider Name | Dwayne Blake |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194480335 PECOS PAC ID: 0648665398 Enrollment ID: I20220316003497 |
Provider Name | Brittney Mcnab |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639768377 PECOS PAC ID: 2163818121 Enrollment ID: I20220331001583 |
Provider Name | Amirose Cardines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972256642 PECOS PAC ID: 6709272768 Enrollment ID: I20220331001594 |
Provider Name | Elizabeth Medina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386289007 PECOS PAC ID: 7618355801 Enrollment ID: I20220531001031 |
Provider Name | Tameca Nichole Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730833435 PECOS PAC ID: 7810376985 Enrollment ID: I20220620001774 |
Provider Name | Cody Peters |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649918749 PECOS PAC ID: 9739560814 Enrollment ID: I20220720003126 |
Provider Name | Alexander Saitta |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023774320 PECOS PAC ID: 7012398183 Enrollment ID: I20220728001064 |
Provider Name | Misha Vernatter |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1962150086 PECOS PAC ID: 6507248564 Enrollment ID: I20220808001655 |
Provider Name | Mark Goleski |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1720247802 PECOS PAC ID: 3375780570 Enrollment ID: I20220907000978 |
Provider Name | Molly M Sutton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285975961 PECOS PAC ID: 8921245598 Enrollment ID: I20220919000278 |
Provider Name | Michele Corrice |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821085143 PECOS PAC ID: 0244243400 Enrollment ID: I20220919000945 |
Provider Name | Karren Agyekum |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508296542 PECOS PAC ID: 1557598653 Enrollment ID: I20220920001701 |
Provider Name | Sierra Barr |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1659864593 PECOS PAC ID: 5991054447 Enrollment ID: I20220926000781 |
Provider Name | Charneice E Harris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255888145 PECOS PAC ID: 1254608276 Enrollment ID: I20221012001457 |
Provider Name | Simranjit Kaur |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205572930 PECOS PAC ID: 8820464100 Enrollment ID: I20221012002396 |
Provider Name | Michelle Parcells |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851972384 PECOS PAC ID: 0244606994 Enrollment ID: I20221020001170 |
Provider Name | Khovita Jainarine |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1013387513 PECOS PAC ID: 2466829551 Enrollment ID: I20221102001218 |
Provider Name | Laurie Edwards |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023435831 PECOS PAC ID: 8224251418 Enrollment ID: I20221115001353 |
Provider Name | Giuliana Ruiz Moreno |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972276780 PECOS PAC ID: 2163890617 Enrollment ID: I20221115001478 |
Provider Name | Sapna Makhijani |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114569951 PECOS PAC ID: 5991138042 Enrollment ID: I20221128000210 |
Provider Name | Navjot Dhillon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033885371 PECOS PAC ID: 7517336050 Enrollment ID: I20221206001103 |
Provider Name | Alisha Vernacchio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225558687 PECOS PAC ID: 1153681077 Enrollment ID: I20221209000822 |
Provider Name | Rebecca Thomlinson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215477179 PECOS PAC ID: 2961789433 Enrollment ID: I20221216000577 |
Provider Name | Elizabeth Higgins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699301408 PECOS PAC ID: 2668893496 Enrollment ID: I20230110000822 |
Provider Name | Amaya Edge |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053943647 PECOS PAC ID: 8628485422 Enrollment ID: I20230118001358 |
Provider Name | Jodit Beyene |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073891305 PECOS PAC ID: 5193997914 Enrollment ID: I20230120002253 |
Provider Name | Kathryn Roush |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114395423 PECOS PAC ID: 6103126024 Enrollment ID: I20230123001061 |
Provider Name | Stanislav Leshchinskiy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1245858497 PECOS PAC ID: 3274904347 Enrollment ID: I20230127001718 |
Provider Name | Mary Ellen Tracey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033236328 PECOS PAC ID: 0941672281 Enrollment ID: I20230214001565 |
Provider Name | Starr Eaddy |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568173664 PECOS PAC ID: 9032581293 Enrollment ID: I20230216000961 |
Provider Name | Jasmine Ruffin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851807275 PECOS PAC ID: 4789058041 Enrollment ID: I20230328001954 |
Provider Name | Karen Dougherty |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124593868 PECOS PAC ID: 7719222140 Enrollment ID: I20230331002090 |
Provider Name | Jaclyn Shoemaker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295257673 PECOS PAC ID: 5193098010 Enrollment ID: I20230331002296 |
Provider Name | Rashidat Jolaoluwa |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689006983 PECOS PAC ID: 0648645911 Enrollment ID: I20230419001259 |
Provider Name | Leyla Farraj |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1720529290 PECOS PAC ID: 5991170284 Enrollment ID: I20230419002301 |
Provider Name | Daria Niedzwiecki |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619527306 PECOS PAC ID: 5597120576 Enrollment ID: I20230426001334 |
Provider Name | Ying Hui Tee |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386361533 PECOS PAC ID: 3274998984 Enrollment ID: I20230503000443 |
Provider Name | Shante L Rochester |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124723978 PECOS PAC ID: 3577929546 Enrollment ID: I20230517000958 |
Provider Name | Catherine Idowu |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013623081 PECOS PAC ID: 8022474923 Enrollment ID: I20230518003453 |
Provider Name | Jenny Bradley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952098154 PECOS PAC ID: 6800252735 Enrollment ID: I20230519001209 |
Provider Name | Virginia Tran |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356996904 PECOS PAC ID: 5698132728 Enrollment ID: I20230606001083 |
Provider Name | Antoinette Spina |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639895048 PECOS PAC ID: 7012374143 Enrollment ID: I20230606001200 |
Provider Name | Jessica Myers |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316228646 PECOS PAC ID: 0143492934 Enrollment ID: I20230606001681 |
Provider Name | Laura Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568061570 PECOS PAC ID: 2961869953 Enrollment ID: I20230607000358 |
Provider Name | Olanike Olorunoje |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1710522164 PECOS PAC ID: 2668839325 Enrollment ID: I20230612001385 |
Provider Name | Shanika Reid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639899289 PECOS PAC ID: 4183083835 Enrollment ID: I20230629000239 |
Provider Name | Melinda Santana |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033893318 PECOS PAC ID: 8729441373 Enrollment ID: I20230829003702 |
Provider Name | Amalia Fnp Beckett |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346938651 PECOS PAC ID: 6204280209 Enrollment ID: I20230925002840 |
Provider Name | Shanique Salisha Morris |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861118200 PECOS PAC ID: 4486008018 Enrollment ID: I20230929001926 |
Provider Name | Yashi Gordon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568093003 PECOS PAC ID: 7113371659 Enrollment ID: I20231002002830 |
Provider Name | Robert Np Carroll |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1780187096 PECOS PAC ID: 5193171601 Enrollment ID: I20231019001099 |
Provider Name | Carolyn Rines |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1952936528 PECOS PAC ID: 6507271442 Enrollment ID: I20231019002699 |
Provider Name | Cassidy Bernstein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1699454306 PECOS PAC ID: 2365898368 Enrollment ID: I20231027000573 |
Provider Name | Sari Krumholz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518748029 PECOS PAC ID: 4587013073 Enrollment ID: I20231208002641 |
Provider Name | Hilary Karabin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801172184 PECOS PAC ID: 0446484042 Enrollment ID: I20240109001080 |
Provider Name | Christine Dimino |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1508374273 PECOS PAC ID: 0941561070 Enrollment ID: I20240305000328 |
Medical Group Of New York, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S Country Rd, Bellport, NY 11713 Phone: 855-417-2486 | |
Wellness At Its Best Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 Champlin Avenue, Bellport, NY 11713 Phone: 631-661-5518 | |
Medical Group Of New York, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 S Country Rd, Bellport, NY 11713 Phone: 866-389-2727 | |
Erena Digonis Lcsw Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 926 S Country Rd, Bellport, NY 11713 Phone: 917-750-4811 |