BRUCE W MARTIN (NPI# 1003359266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003359266 |
| Entity Type | Individual |
| Full Name | BRUCE W MARTIN |
| Credential | FNP |
| Practice Address |
101 Saint Andrews Ln Glen Cove NY 11542-2254 |
| Practice Telephone | 5166747461 |
| Mailing Telephone | 5166747461 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2016-11-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
341243 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215226998 | Bruce S Martin | Behavioral Analyst | 712 Rutger St, Utica, NY 13501-2508 | 2011-04-01 |
| 1831399559 | Bruce W. Martin | Optometrist | 49 Deer Run Rd, Cadiz, KY 42211-9474 | 2007-07-20 |
| 1841419710 | Bruce E Martin | Technician/Technologist | 30 Gibraltar Dr, Powder Mill Plaza, Rt 10 East, Morris Plains, NJ 07950-1273 | 2007-04-25 |
| 1043390974 | Bruce D Martin | Pediatrics | 12461 Timberland Blvd, Suite 309, Fort Worth, TX 76244-5213 | 2006-10-16 |
| 1457322141 | Bruce A Martin | Internal Medicine | 370 Cline Ave Ste B3, Mansfield, OH 44907-1057 | 2006-01-30 |
| 1598759979 | Bruce Richard Martin | Internal Medicine | 5210 Linton Blvd Ste 303, Delray Beach, FL 33484-6537 | 2005-08-31 |
| 1023012366 | Bruce W Martin | Family Medicine | 3101 Summit View Dr., Dacono, CO 80514 | 2005-06-01 |
| 1437403649 | Bruce Wayland Martin Jr. | Counselor | 200 E Washington Ave, Escondido, CA 92025-1806 | 2012-11-09 |
| 1871725309 | Bruce Ernest Martin | Pharmacist | 114 N Main St, North Syracuse, NY 13212-2325 | 2009-08-17 |
| 1942318092 | Bruce Martin | Occupational Therapy Assistant | 4065 N 35th St, Milwaukee, WI 53216 | 2006-08-28 |
| Street Address |
101 SAINT ANDREWS LN |
| City | GLEN COVE |
| State | NY |
| Zip Code | 11542-2254 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932105707 | David Berger | Anesthesiology | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2005-06-24 |
| 1043837859 | Bryan Paul Jean-baptiste | Nurse Practitioner | 101 Saint Andrews Ln, Glen Cove, NY 11542-2263 | 2020-06-26 |
| 1912526823 | Moses Joseph Syldort | Student in an Organized Health Care Education/Training Program | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2020-04-10 |
| 1306474572 | Victoria Beata Toro | Student in an Organized Health Care Education/Training Program | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2020-03-31 |
| 1144858614 | Jose Alejandro Cortes | Student in an Organized Health Care Education/Training Program | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2020-03-31 |
| 1235767633 | Khadija Khan | Student in an Organized Health Care Education/Training Program | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2020-03-31 |
| 1649808270 | Kevin Chavez | Student in an Organized Health Care Education/Training Program | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2020-03-30 |
| 1881222370 | Aaline Ahmad | Student in an Organized Health Care Education/Training Program | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2020-03-30 |
| 1952939506 | George Vincent Alvarez | Student in an Organized Health Care Education/Training Program | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2020-03-30 |
| 1134774227 | Caitlin Marie Carpenter | Nurse Practitioner | 101 Saint Andrews Ln, Glen Cove, NY 11542-2263 | 2019-08-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104468461 | Yvonne N Valcourt | Registered Nurse | 14 Burns Ave, Glen Cove, NY 11542 | 2019-10-08 |
| 1508419771 | Gregory Stephen Bonistalli | Audiologist | 70 Glen St Ste 100, Glen Cove, NY 11542 | 2019-07-17 |
| 1861954646 | Pulkit Malik | Student in an Organized Health Care Education/Training Program | Northwell Health Glen Cove Hospital, 101 St. Andrews Lane, Glen Cove, NY 11542 | 2019-04-02 |
| 1912498783 | Rays of Light Companion Care Agency LLC | Long Term Care Hospital | 70 Forest Ave # 2g, Glen Cove, NY 11542 | 2018-05-28 |
| 1164978391 | Nithin Kuruvilla | Pharmacist | 421 Glen Cove Road, East Hills, NY 11542 | 2016-08-28 |
| 1063879245 | Kerri A Sujeski | Physician Assistant | 104 Forest Avenue, Glen Cove, NY 11542 | 2016-01-19 |
| 1093110884 | Sherri Meagher | Social Worker | 130 Glen Street, Glen Cove, NY 11542 | 2014-10-23 |
| 1174946537 | Lori Seele | Psychologist | Ridge Drive, Connolly Elementary School, Glen Cove, NY 11542 | 2014-01-21 |
| 1255671210 | Wendy S Grossman | Speech-Language Pathologist | 2 Dosoris Lane, Deasy School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-27 |
| 1033459318 | Kristin Strelec | Social Worker | Seaman & Walnut Roads, Gribbin School Glen Cove School District, Glen Cove, NY 11542 | 2013-02-22 |
| Find all providers in zip 11542 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154848828 | Jaimee Anne Carlos | Nurse Practitioner | 50 Glen St Ste 107, Glen Cove, NY 11542-2701 | 2017-08-24 |
| 1598277881 | Fatim Sambou-barry | Nurse Practitioner | 50 Glen St Ste 107, Glen Cove, NY 11542-2701 | 2017-10-26 |
| 1487164141 | Simy J Antony | Nurse Practitioner | 50 Glen St Ste 107, Glen Cove, NY 11542-2701 | 2017-10-09 |
| 1922544469 | Margaret K Szydlak | Nurse Practitioner | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2017-01-09 |
| 1275885683 | Carole Falletta | Nurse Practitioner | 101 Saint Andrews Ln, Glen Cove, NY 11542-2254 | 2012-10-09 |
| 1669695953 | Elizabeth Dias Dunst | Nurse Practitioner | 128a Glen St, Glen Cove, NY 11542-2737 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
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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.