JENNIFER SLAGUS (NPI# 1023428455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023428455 |
| Entity Type | Individual |
| Full Name | JENNIFER SLAGUS |
| Credential | M.D. |
| Practice Address |
48 Route 25a Ste 207 Smithtown NY 11787-1448 |
| Mailing Address |
900 Merchants Concourse Ste 216 Westbury NY 11590-5114 |
| Practice Telephone | 6318623800 |
| Practice Fax Number | 6312655520 |
| Mailing Telephone | 5162268373 |
| Enumeration Date | 2014-05-07 |
| Last Update Date | 2019-12-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 294675 | NY | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
294675 | NY | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
294675 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 219 Bryant St, University At Buffalo Department of Ob-gyn, Buffalo, NY 142222006 | 7168787750 | |
| 2500 Route 347 Bldg 10a, Stony Brook, NY 117902553 | 6317510934 |
| Street Address |
48 ROUTE 25A STE 207 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-1448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043320344 | Charles T Mann | Obstetrics & Gynecology | 48 Route 25a Ste 207, Smithtown, NY 11787-1448 | 2006-08-30 |
| 1972622520 | Lisa Nelly Amorin | Obstetrics & Gynecology | 48 Route 25a Ste 207, Smithtown, NY 11787-1448 | 2007-03-28 |
| 1932219110 | Michael Gentilesco | Obstetrics & Gynecology | 48 Route 25a Ste 207, Smithtown, NY 11787-1448 | 2006-08-30 |
| 1467562645 | Morisa J Marin | Obstetrics & Gynecology | 48 Route 25a Ste 207, Smithtown, NY 11787-1448 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992164974 | David M. Shobin, Md,women's Health, Pllc | Obstetrics & Gynecology | 498 Route 111, Suite B, Smithtown, NY 11787-4732 | 2016-02-18 |
| 1609263318 | Lindsey Buchin | Obstetrics & Gynecology | 48 Ny-25, #207, Smithtown, NY 11787-1178 | 2015-04-20 |
| 1477644698 | Polly Kanganis | Obstetrics & Gynecology | 200 E Main St Ste 1e, Smithtown, NY 11787-2812 | 2006-09-27 |
| 1043320344 | Charles T Mann | Obstetrics & Gynecology | 48 Route 25a Ste 207, Smithtown, NY 11787-1448 | 2006-08-30 |
| 1770765414 | St. Catherine's Bone Density | Obstetrics & Gynecology | 50 Route 25a, Smithtown, NY 11787-1348 | 2007-12-05 |
| 1972622520 | Lisa Nelly Amorin | Obstetrics & Gynecology | 48 Route 25a Ste 207, Smithtown, NY 11787-1448 | 2007-03-28 |
| 1730248659 | Nicholas John Kleopoulos M.d. | Obstetrics & Gynecology | 200 E Main St, Smithtown, NY 11787-2812 | 2006-12-06 |
| 1861563504 | Dinesh Lalji Vadher | Obstetrics & Gynecology | 48 Route 25a, Suite 202, Smithtown, NY 11787-2814 | 2006-11-13 |
| 1962588640 | Theodore Blaszczyk | Obstetrics & Gynecology | 200 E Main St Ste 1e, Smithtown, NY 11787 | 2006-10-27 |
| 1447360615 | Jerry A Wider | Obstetrics & Gynecology | 48 Route 25a, Suite 207, Smithtown, NY 11787-1431 | 2006-08-30 |
| Find all providers in SMITHTOWN | ||||
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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.