PERSONAL CARE NP ADULT HEALTH PRACTICE PLLC (NPI# 1063871523) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063871523 |
| Entity Type | Organization |
| Organization Name | PERSONAL CARE NP ADULT HEALTH PRACTICE PLLC |
| Practice Address |
19105 Jamaica Ave Hollis NY 11423-2527 |
| Practice Telephone | 7182177111 |
| Practice Fax Number | 7182177113 |
| Mailing Telephone | 7182177111 |
| Mailing Fax Number | 7182177113 |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-10-07 |
| Authorized Official Name | RALPH EDOUARD (NURSE PRACTIONER) |
| Authorized Official Telephone | 7182177111 |
| Authorized Official Credential | ANP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
3053411 | NY | Ambulatory Health Care Facilities |
| Street Address |
19105 JAMAICA AVE |
| City | HOLLIS |
| State | NY |
| Zip Code | 11423-2527 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598058224 | Ralph Edouard | Nurse Practitioner | 19105 Jamaica Ave, Hollis, NY 11423-2527 | 2011-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679112668 | Mandip Kaur | Student in an Organized Health Care Education/Training Program | 89 - 06 - 188 Street, First Floor, Hollis, NY 11423 | 2019-12-23 |
| 1437633690 | Lisa Martins-mueller | Speech-Language Pathologist | 90-11 191 St Avenue, Nyc School District 29 Superintendents Office, Hollis, NY 11423 | 2018-09-23 |
| 1114407491 | Moamen Mohamed Hassanen | Physical Therapist | 204-12 Hillside Ave, Hollis, NY 11423 | 2018-08-16 |
| 1114403730 | Favour Osemwota | Licensed Practical Nurse | 10036 203rd St, Hollis, NY 11423 | 2018-07-17 |
| 1417448234 | Hollis Primary Care P.C. | Internal Medicine | 196 22 Hillside Ave, Hollis, NY 11423 | 2018-05-29 |
| 1801309984 | Roh Physical Therapy P.C. | Clinic/Center | 205-16 Jamaica Ave, Hollis, NY 11423 | 2017-11-10 |
| 1780113167 | Lissamma George | Registered Nurse | 88 45 199 Street, Queens, NY 11423 | 2017-06-08 |
| 1881121499 | Calvin Wu | Case Manager/Care Coordinator | 8762 188th Street, Hollis, NY 11423 | 2017-05-12 |
| 1932635182 | Lauren Irene Sutherland | Licensed Practical Nurse | 10216 Farmers Blvd, Hollis, NY 11423 | 2017-05-10 |
| 1023541190 | Gwyneth Julien-squire | Licensed Practical Nurse | 190-25 Woodhull Apt. 3h, Hollis, NY 11423 | 2017-04-06 |
| Find all providers in zip 11423 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1972159333 | Ap Medical Care PC | Clinic/Center | 3506 73rd St Ste 2, Jackson Heights, NY 11372-4104 | 2019-08-12 |
| 1982258422 | Schenk Primary Care Medicine, Pllc | Clinic/Center | 2350 Maple Road Suite 100, Amherst, NY 14221 | 2019-08-01 |
| 1356993976 | Mingzhu Medical Office, P.C. | Clinic/Center | 5615 7th Ave Fl 2, Brooklyn, NY 11220-3509 | 2019-07-13 |
| 1417509357 | Henderson Health Services Family Nurse Practitioner Pllc | Clinic/Center | 4 Clarion Dr, White Plains, NY 10603-2868 | 2019-07-11 |
| 1154988897 | Bissalam Medical LLC | Clinic/Center | 3391 3rd Ave Ste 1, Bronx, NY 10456-5355 | 2019-05-28 |
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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.