JENNIFER ANNE ZETHNER (NPI# 1003115528) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003115528 |
| Entity Type | Individual |
| Full Name | JENNIFER ANNE ZETHNER |
| Credential | RN,MS,PNP |
| Practice Address |
220 Fort Salonga Rd Suite 101 Northport NY 11768-3900 |
| Mailing Address |
112 Adams St Centerport NY 11721-1036 |
| Practice Telephone | 6312628505 |
| Practice Fax Number | 6317542909 |
| Mailing Telephone | 6314273001 |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F381350-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
220 FORT SALONGA RD SUITE 101 |
| City | NORTHPORT |
| State | NY |
| Zip Code | 11768-3900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780767657 | Alan P Sherr | Chiropractor | 220 Fort Salonga Rd, 25a, Northport, NY 11768 | 2006-10-23 |
| 1457715914 | Sherr Development Corporation | Durable Medical Equipment & Medical Supplies | 220 Fort Salonga Rd, Northport, NY 11768-3900 | 2016-04-11 |
| 1265795199 | Ari Medical, PC | Physical Medicine & Rehabilitation | 220 Fort Salonga Rd, Northport, NY 11768-3900 | 2012-06-15 |
| 1841521069 | Julio Ballestas | Psychiatry & Neurology | 220 Fort Salonga Rd, 301, Northport, NY 11768-3900 | 2010-01-28 |
| 1538490925 | Jason Jay Kolbe | Acupuncturist | 220 Fort Salonga Rd, Northport, NY 11768-3900 | 2010-01-25 |
| 1023343837 | Michael James Reid | Chiropractor | 220 Fort Salonga Rd, Northport, NY 11768-3900 | 2009-10-12 |
| 1245401686 | Alan P Sherr Dc PC | Chiropractor | 220 Fort Salonga Rd, Northport, NY 11768-3900 | 2008-03-13 |
| 1851569321 | Lawrence Bruce Palevsky | Pediatrics | 220 Fort Salonga Rd, Suite 101, Northport, NY 11768-3900 | 2008-02-18 |
| 1316161326 | Corso Rehabilitation & Physical Therapy of Northport PC | Physical Therapist | 220 Fort Salonga Rd, Northport, NY 11768-3900 | 2007-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649753088 | Tania Morris | Developmental Therapist | 130 Main St, #1, Northport, Ny 11768, Northport, NY 11768 | 2018-09-12 |
| 1639698343 | Karen Yuan Wong | Student in an Organized Health Care Education/Training Program | 79 Middleviille Rd., Optometry 123, Northport, NY 11768 | 2017-09-13 |
| 1821514795 | Village Speech and Language Pllc | Clinic/Center | 62 Makamah Beach Rd, Northport, NY 11768 | 2017-08-22 |
| 1073960415 | Dennis Falco | Private Vehicle | 5 Captain Richards Ln, Fort Salonga, NY 11768 | 2016-05-16 |
| 1679938252 | Debra Marie Failla | Psychologist | 260 Main Street, Suite 202, Northport, NY 11768 | 2015-12-23 |
| 1649649096 | Lillian Patricia Fais | Specialist | 26 Josephine Lane, Fort Salonga, NY 11768 | 2015-09-16 |
| 1427349505 | Kathleen Ann Korwasky | Occupational Therapist | 18 Dick Court, Northport, NY 11768 | 2011-04-25 |
| 1043448822 | Gianna Rose Ferranti | Dentist | 19 Winkle Point Road, Northport, NY 11768 | 2009-06-30 |
| 1861658213 | Barbara Ann Hansen | Registered Nurse | 78 Eatons Neck Rd, Northport, NY 11768 | 2008-08-05 |
| 1902060148 | Dana Ruth Cohen | Psychiatry & Neurology | 79 Middleville Road, Bldg 64, Northport Vamc, Northport, NY 11768 | 2008-07-16 |
| Find all providers in zip 11768 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740532357 | Andrea Austin Barry | Nurse Practitioner | 920 Rose Dr., Northport, AL 35476 | 2012-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
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| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.