MS. ALIYAMMA SAMUEL (NPI# 1023114352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023114352 |
| Entity Type | Individual |
| Full Name | MS. ALIYAMMA SAMUEL |
| Credential | NP |
| Practice Address |
82-68 164th St Jamaica NY 11432-1121 |
| Mailing Address |
79-01 Broadway D1-01 Elmhurst NY 11373-1329 |
| Practice Telephone | 7188833225 |
| Practice Fax Number | 7188836193 |
| Mailing Telephone | 7183341920 |
| Mailing Fax Number | 7183345958 |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F303426 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246075 | 05 |
| Street Address |
82-68 164TH ST |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770197519 | Jill Modi | Pharmacist | 82-68 164th St, Jamaica, NY 11432-1121 | 2020-08-31 |
| 1992328264 | Anoosh Zafar Gondal | Student in an Organized Health Care Education/Training Program | 82-68 164th St, Jamaica, NY 11432 | 2020-05-21 |
| 1265088983 | Gifty Baffour-addo | Nurse Practitioner | 82-68 164th St, Jamaica, NY 11432-1121 | 2019-08-18 |
| 1790286201 | Grace Kim | Pediatrics | 82-68 164th St, Suite P113, Jamaica, NY 11432-1121 | 2018-02-21 |
| 1053845065 | Tomilade Adepoju | Student in an Organized Health Care Education/Training Program | 82-68 164th St, Jamaica, NY 11432 | 2017-04-17 |
| 1376074328 | Matthew Benjamin Marck | Student in an Organized Health Care Education/Training Program | 82-68 164th St, Jamaica, NY 11432-1121 | 2017-03-22 |
| 1285096081 | Dovid Herskowitz | Physician Assistant | 82-68 164th St, Suite 1b-02, Jamaica, NY 11432 | 2016-03-22 |
| 1326324831 | Zimatu Urenna Chukumerije | Emergency Medicine | 82-68 164th St, Jamaica, NY 11432 | 2011-10-27 |
| 1184933673 | Yvonetta F Morgan | Registered Nurse | 82-68 164th St, Jamaica, NY 11432-1121 | 2010-09-30 |
| 1184958597 | Jennifer Daniel | Art Therapist | 82-68 164th St, Jamaica, NY 11432-1121 | 2009-10-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053929364 | Sophia Brown-buchanan | Nurse Practitioner | 17447 129th Ave, Jamaica, NY 11434-5831 | 2020-07-22 |
| 1023635430 | Jessica Obidimalor | Nurse Practitioner | 165-17 145th Road, Jamaica, NY 11434 | 2020-07-01 |
| 1063040038 | Laura Alana Inabinett | Nurse Practitioner | 11432 128th St, Jamaica, NY 11420-2128 | 2020-03-27 |
| 1306330626 | Angela Aronova | Nurse Practitioner | 8011 169th St, Jamaica, NY 11432-1329 | 2018-06-20 |
| 1740644137 | Nermala Persaud | Nurse Practitioner | 14437 87th Rd, Jamaica, NY 11435-3123 | 2016-04-11 |
| 1619319803 | Shaundel Serita Clarke | Nurse Practitioner | 13908 90th Ave, Jamaica, NY 11435-4128 | 2013-07-29 |
| 1598023582 | Hea Rim Kwon | Nurse Practitioner | 8248 135th St Apt 2h, Jamaica, NY 11435-1429 | 2012-04-26 |
| 1366444234 | Jacqueline Irene De Leon Dy | Nurse Practitioner | 8449 168th St, Unit 6a, Jamaica, NY 11432-2048 | 2005-08-11 |
| 1538639448 | Nermine Mounas | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2018-12-04 |
| 1023505955 | Immacula Samson | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2018-04-17 |
| Find all providers in JAMAICA | ||||
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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.