JENNIFER KOCH (NPI# 1033465141) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033465141 |
| Entity Type | Individual |
| Full Name | JENNIFER KOCH |
| Practice Address |
255 Executive Dr Plainview NY 11803-1718 |
| Mailing Address |
1815 Devonshire Rd Hauppauge NY 11788-4503 |
| Practice Telephone | 6313388180 |
| Mailing Telephone | 6313388180 |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2012-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 549490111 | NY | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700304029 | Jennifer Koch | Speech-Language Pathologist | 327 Valleyview Ct, Peoria, IL 61615-1371 | 2017-09-07 |
| 1073987293 | Jennifer Koch | Physical Therapy Assistant | 209 S Indiana Ave, Morton, IL 61550-2627 | 2015-11-26 |
| 1912322538 | Jennifer Kaye Koch | Registered Nurse | 324 E Maple St, Hubbard, IA 50122-7725 | 2014-02-19 |
| 1528207784 | Jennifer Elizabeth Koch | Psychologist | 2502 E Empire St Ste C, Bloomington, IL 61704-3739 | 2009-02-11 |
| 1952574782 | Jennifer A Koch | Pharmacist | 57 Sea Spray Ave, Niantic, CT 06357-3337 | 2008-04-13 |
| 1780614925 | Jennifer Koch | Speech-Language Pathologist | 3070 Rita Way Se, Smyrna, GA 30080-4179 | 2006-07-04 |
| 1770123291 | Jennifer M Koch | Behavioral Analyst | 2785 Som Center Rd, Willoughby Hills, OH 44094-6501 | 2020-01-13 |
| 1548786635 | Jennifer Koch | Physician Assistant | 7250 Clearvista Dr Ste 355, Indianapolis, IN 46256-5609 | 2017-08-21 |
| 1407194970 | Jennifer Lynn Koch | Psychologist | 1530 S Union Ave, Suite 16, Tacoma, WA 98405-1954 | 2013-01-17 |
| 1649501289 | Jennifer Koch | Social Worker | 2120 Thibodo Rd, Suite 230, Vista, CA 92081-7901 | 2010-01-21 |
| Street Address |
255 EXECUTIVE DR |
| City | PLAINVIEW |
| State | NY |
| Zip Code | 11803-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578602132 | Deanna M Deprizio | Specialist | 255 Executive Dr, Ll107, Plainview, NY 11803-1718 | 2007-02-06 |
| 1235745159 | All About Kids | Preferred Provider Organization | 255 Executive Dr, Plainview, NY 11803-1718 | 2020-09-16 |
| 1174139000 | Macamelle Dumo | Specialist | 255 Executive Dr, Plainview, NY 11803-1718 | 2020-09-16 |
| 1124641543 | Nadia Appollonio | Specialist | 255 Executive Dr, Plainview, NY 11803-1718 | 2020-05-20 |
| 1750915070 | Paola Gomez | Specialist | 255 Executive Dr, Plainview, NY 11803-1718 | 2020-02-25 |
| 1659911915 | Dana Meredith Korin | Specialist | 255 Executive Dr, Plainview, NY 11803 | 2020-01-14 |
| 1811547854 | Michelle Katherine Weiman | Speech-Language Pathologist | 255 Executive Dr, Plainview, NY 11803-1718 | 2019-09-11 |
| 1558918474 | Alyssa Dibartolo | Speech-Language Pathologist | 255 Executive Dr, Plainview, NY 11803-1718 | 2019-08-26 |
| 1891268777 | Nicole Rivara | Specialist | 255 Executive Dr, Plainview, NY 11803-1718 | 2019-01-03 |
| 1770053159 | Ashley Nichole Cassidy | Speech-Language Pathologist | 255 Executive Dr, Plainview, NY 11803-1718 | 2018-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730797010 | Lynn Marie Viscusi | Chiropractor | 1163 Old Country Road, Plainview, NY 11803 | 2020-07-22 |
| 1649798240 | Audrey Demas | Early Intervention Provider Agency | 255 Executive Drive Suite Ll 105/108, Plainview, NY 11803 | 2017-09-03 |
| 1649798521 | Danielle J Walowitz | Specialist | 19 Pearl Drive, Plainview, NY 11803 | 2017-08-31 |
| 1437676178 | Jaclyn Heather Rosenblum | Speech-Language Pathologist | 2 Edgewood Gate, Plainview, NY 11803 | 2017-08-24 |
| 1548784531 | Giselle Cortez | Registered Nurse | 53 Belmont Avenue, Plainview, NY 11803 | 2017-08-01 |
| 1528500808 | Michelle Tamarez | Nurse Practitioner | 131 E. Ames Ct, Plainview, NEW YORK 11803 | 2016-11-17 |
| 1649656646 | Marjorie Elise Tirsun | Specialist | 10 Crestwood Drive, Plainview, NY 11803 | 2015-08-03 |
| 1295110872 | Elizabeth Scisci | Dentist | 146a Manetto Hill Rd Ste 100, Plainview, NY 11803 | 2015-07-24 |
| 1114332905 | Alberto Roman Cabezas | Internal Medicine | Sanchez, Curridabat, SAN JOSE 11803 | 2014-06-30 |
| 1568883148 | Chiropractic Doc Spine, PC | Chiropractor | 42 Ruby Ln, Plainview, NY 11803 | 2013-12-26 |
| Find all providers in zip 11803 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682406 | Jennifer J Kudryavaya | Specialist | 8 Audrey Ave, Plainview, NY 11803-3402 | 2020-08-31 |
| 1902433071 | Michael Larkin | Specialist | 163 S Service Rd, Plainview, NY 11803-4105 | 2020-03-26 |
| 1588299382 | Arielle Staci Sloyer | Specialist | 998c Old Country Rd Ste 401, Plainview, NY 11803-4917 | 2020-03-12 |
| 1306300918 | Danielle Maloney | Specialist | 30 Hofstra Dr, Plainview, NY 11803-1840 | 2019-01-28 |
| 1851887368 | Yoonhee Lee | Specialist | 17 Netto Ln, Plainview, NY 11803-3125 | 2018-07-09 |
| 1649798521 | Danielle J Walowitz | Specialist | 19 Pearl Drive, Plainview, NY 11803 | 2017-08-31 |
| 1568984672 | Ruth Frances Brachman | Specialist | 35 Southwick Ct S, Plainview, NY 11803-4040 | 2017-07-10 |
| 1871034967 | Carol Ostrove | Specialist | 128 Central Park Rd, Plainview, NY 11803-2080 | 2017-03-09 |
| 1437600319 | Kate Lieberman | Specialist | 8 Kings Ct, Plainview, NY 11803-6012 | 2016-10-17 |
| 1861846198 | Alissa Fink | Specialist | 24 Mitchell Ave, Plainview, NY 11803-3019 | 2016-04-23 |
| Find all providers in PLAINVIEW | ||||
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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.