NANUET MEDICAL PROFESSIONALS, LLC (NPI# 1073700076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073700076 |
| Entity Type | Organization |
| Organization Name | NANUET MEDICAL PROFESSIONALS, LLC |
| Practice Address |
36 College Ave Nanuet NY 10954-3093 |
| Practice Telephone | 8456232456 |
| Practice Fax Number | 8456236420 |
| Mailing Telephone | 8456232456 |
| Mailing Fax Number | 8456236420 |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | DR. JOSEPH THOMAS INGRASSIA (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 8456232456 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 128583 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00410206 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | NANUET MEDICAL PROFESSIONALS, LLC | 36 College Avenue, Nanuet, Ny 10954 |
| Street Address |
36 COLLEGE AVE |
| City | NANUET |
| State | NY |
| Zip Code | 10954-3093 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740269000 | Gerald David Karetnick | Family Medicine | 36 College Ave, Nanuet, NY 10954-3093 | 2006-01-13 |
| 1891140794 | Michael Louis Goldberg | Internal Medicine | 36 College Ave, Nanuet, NY 10954-3093 | 2016-04-28 |
| 1760813257 | Advanced Physical Therapy of Rockland, Pllc | Clinic/Center | 36 College Ave, Nanuet, NY 10954-3093 | 2013-12-09 |
| 1194950618 | Advanced Physical Therapy of Rockland, Pllc | Clinic/Center | 36 College Ave, Nanuet, NY 10954-3093 | 2009-05-28 |
| 1780721084 | Denny W Walters | Psychiatry & Neurology | 36 College Ave, Nanuet, NY 10954-3093 | 2007-01-30 |
| 1306911136 | Joseph Thomas Ingrassia | Family Medicine | 36 College Ave, Nanuet, NY 10954-3093 | 2006-11-21 |
| 1003917519 | Gail S Bock-frankel | Physical Therapist | 36 College Ave, Nanuet, NY 10954-3093 | 2006-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063042497 | Kh Acupuncture, PC | Acupuncturist | 25 Smith St. Ste 203, Nanuet, NY 10954 | 2020-01-24 |
| 1760953681 | Nisha Zachariah | Nurse Practitioner | 17 Terrace Ave, Nanuet, NY 10954 | 2018-12-17 |
| 1861963068 | Nicole Letizia | Lactation Consultant, Non-RN | 6 Klint Court, Nanuet, NY 10954 | 2018-12-16 |
| 1023502457 | Jessica Basir | Behavioral Analyst | 8 James Court, Nanuet, NY 10954 | 2018-06-19 |
| 1093232811 | Custom Orthopedic Supply LLC | Durable Medical Equipment & Medical Supplies | 100 Lawrence Street, Suite 201, Nanuet, NY 10954 | 2017-08-23 |
| 1164960290 | Saintulia Vicsama | Licensed Practical Nurse | 43 Ewing Ave, Nanuet, NY 10954 | 2017-02-09 |
| 1043755549 | Karen M Hawkins | Registered Nurse | 34 West Nyack Road, St. Anthony's School, Nanuet, NY 10954 | 2016-12-20 |
| 1215488580 | Berdina Boirond | Licensed Practical Nurse | 8 Clark Drive, Nanuet, NY 10954 | 2016-10-20 |
| 1861851032 | Donna Harris | Specialist | 11 Lancaster Ct, Nanuet, NY 10954 | 2016-02-17 |
| 1023484698 | Julie Gonzalez | Registered Nurse | 20 Old Turnpike Road, Suite 307, Nanuet, NY 10954 | 2015-08-18 |
| Find all providers in zip 10954 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477700284 | Alain Mass, Md P.C. | Family Medicine | 55 Old Nyack Tpke Ste 103, Townehouse Office Park, Nanuet, NY 10954-2449 | 2008-08-22 |
| 1871654897 | Shirley Nelson | Family Medicine | 55 Old Nyack Tpke Ste 507, Nanuet, NY 10954-2453 | 2006-12-13 |
| 1740269000 | Gerald David Karetnick | Family Medicine | 36 College Ave, Nanuet, NY 10954-3093 | 2006-01-13 |
| 1326277260 | Matthew James Zeppieri | Family Medicine | 256 E Route 59, Nanuet, NY 10954-2905 | 2009-07-14 |
| 1154583011 | Paul Robert Ostroy | Family Medicine | 259 N Middletown Rd, Nanuet, NY 10954-1220 | 2008-07-01 |
| 1487825352 | Steve Z Douer | Family Medicine | 259 N Middletown Rd, Nanuet, NY 10954-1220 | 2008-03-18 |
| 1881732758 | Zev Mark Cohen | Family Medicine | 259 N Middletown Rd, Nanuet, NY 10954-1220 | 2007-02-02 |
| 1306911136 | Joseph Thomas Ingrassia | Family Medicine | 36 College Ave, Nanuet, NY 10954-3093 | 2006-11-21 |
| 1356448088 | Alain M Mass | Family Medicine | 55 Old Nyack Tpke, Townehouse Office Park, Suite 103, Nanuet, NY 10954-2461 | 2006-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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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.