MR. JARED THOMAS STRACK (NPI# 1013549385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013549385 |
| Entity Type | Individual |
| Full Name | MR. JARED THOMAS STRACK |
| Credential | RN |
| Practice Address |
1075 Broadway Pleasantville NY 10570-2346 |
| Mailing Address |
96 Washington Ave N White Plains NY 10603 |
| Practice Telephone | 9147414564 |
| Mailing Telephone | 9148829068 |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
662008 | NY | Nursing Service Providers |
| Street Address |
1075 BROADWAY |
| City | PLEASANTVILLE |
| State | NY |
| Zip Code | 10570-2346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811931314 | Patricia Lawrence | Social Worker | 1075 Broadway, Pleasantville, NY 10570-2346 | 2006-06-15 |
| 1861014292 | Merrill Mcgarity | Social Worker | 1075 Broadway, Pleasantville, NY 10570-2346 | 2020-05-07 |
| 1306470273 | Sandy Glansilda Surgeon | Registered Nurse | 1075 Broadway, Pleasantville, NY 10570-2346 | 2020-02-28 |
| 1164056230 | Debra Bisio | Licensed Practical Nurse | 1075 Broadway, Pleasantville, NY 10570-2346 | 2020-02-27 |
| 1245864388 | Nelida P Bush | Social Worker | 1075 Broadway, Pleasantville, NY 10570-2346 | 2020-02-27 |
| 1508490871 | Jessica Amber Schutte | Psychologist | 1075 Broadway, Pleasantville, NY 10570-2346 | 2020-02-26 |
| 1841823531 | Ashley Elizabeth Feldman | Psychologist | 1075 Broadway, Pleasantville, NY 10570-2346 | 2020-02-20 |
| 1588295240 | Jennifer Dunn Newmark | Registered Nurse | 1075 Broadway, Pleasantville, NY 10570-2346 | 2020-01-31 |
| 1295366227 | Denise Ann Doran | Registered Nurse | 1075 Broadway, Pleasantville, NY 10570-2346 | 2020-01-29 |
| 1619508744 | Dawn Pettenati | Registered Nurse | 1075 Broadway, Pleasantville, NY 10570-2346 | 2020-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356983597 | Lorraine Elizabeth Roes | Social Worker | Jcca Start Roes, 1075 Broadway, Pleasantville, NY 10570 | 2019-10-09 |
| 1700376720 | Pilar B. Wellansky | Psychologist | 400 Bedford Road, Room #207, Pleasantville, NY 10570 | 2018-05-15 |
| 1073021606 | Seokmin Han | Counselor | 411 Manville Rd, Pleasantville, NY 10570 | 2018-01-17 |
| 1891186771 | Daria Joan Zetlen | Social Worker | 51 Cedar Ave, Pleasantville, NY 10570 | 2015-02-12 |
| 1023437753 | Sheree L Loftus | Nurse Practitioner | 4 Stella Lane, Pleasantville, NY 10570 | 2014-04-09 |
| 1508123639 | Philip B. Blank Jr. D.o. P.C. | Dermatology | 325 Manville Rd., Pleasantville, NY 10570 | 2012-04-13 |
| 1760759476 | Elizabeth N. Sousa | Family Medicine | 130, Lake Shore Drive, Pleasantville, NY 10570 | 2011-11-23 |
| 1265714414 | Josephine B Reyes | Registered Nurse | 25 Booth Street, Pleasantville, Pleasantville, NY 10570 | 2011-09-14 |
| 1619121175 | Karen Ann Teters | Physical Therapist | 54 Washington Ave, Pleasantville, NY 10570 | 2008-11-11 |
| 1447411400 | Christina A. Repp | Social Worker | 351 Manville Rd., Suite 109, Pleasantville, NY 10570 | 2008-06-23 |
| Find all providers in zip 10570 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306470273 | Sandy Glansilda Surgeon | Registered Nurse | 1075 Broadway, Pleasantville, NY 10570-2346 | 2020-02-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889197 | Larisa Yushuva | Registered Nurse | 7741 170th St, Fresh Meadows, NY 11366-1345 | 2020-07-29 |
| 1457978165 | Anthony Ugbala | Registered Nurse | 450 Baldwin Ave, North Baldwin, NY 11510-2501 | 2020-06-29 |
| 1285254185 | Paula Rose Brooks-obas | Registered Nurse | 166 Brown Ave, Hempstead, NY 11550-7139 | 2020-04-21 |
| 1093349870 | Phyllis Mcevoy | Registered Nurse | 225 Central Dr, Briarcliff Manor, NY 10510-1212 | 2020-03-02 |
| 1548891450 | Veronica Lopez-santana | Registered Nurse | 20 Pierces Rd Apt 61, Newburgh, NY 12550-3244 | 2020-01-29 |
| 1073159398 | Tanya Cornelius | Registered Nurse | 12 S Hedley St, Cheektowaga, NY 14206-2508 | 2019-11-21 |
| 1770129173 | Donna Patricia Parchment | Registered Nurse | 12039 198th St, Saint Albans, NY 11412-3729 | 2019-11-20 |
| 1255982831 | Luz Deliz Santana | Registered Nurse | 76 Starr St Apt 3a, Brooklyn, NY 11237-2299 | 2019-09-24 |
| 1558924118 | Marie Roosevelt Mallebranche | Registered Nurse | 25742 145th Ave, Rosedale, NY 11422-3315 | 2019-04-19 |
| 1336609585 | Caroline Ortiz | Registered Nurse | 1982 University Ave Apt 1d, Bronx, NY 10453-4414 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
| City | PLEASANTVILLE |
| Zip Code | 10570 |
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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.