MRS. MARIBETH C. JIMENEZ (NPI# 1114119971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114119971 |
| Entity Type | Individual |
| Full Name | MRS. MARIBETH C. JIMENEZ |
| Credential | FNP |
| Practice Address |
105 Havell St Ossining NY 10562-3458 |
| Practice Telephone | 9149238367 |
| Mailing Telephone | 9149238367 |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F335333 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 HAVELL ST |
| City | OSSINING |
| State | NY |
| Zip Code | 10562-3458 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225065824 | David Degenhardt | Emergency Medicine | 105 Havell St, Ossining, NY 10562-3458 | 2006-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013370600 | Zachary Vonderach | Optometrist | 217 N Highland Ave Apt 1308, Ossining, NY 10562 | 2016-03-31 |
| 1265824494 | Inese B. Cederbaums | Pharmacist | 105 Croton Av, Ossining, NY 10562 | 2015-02-25 |
| 1578902151 | Kevork Basmaci | Psychiatry & Neurology | 21 Grandview Ave, Ossining, NY 10562 | 2013-06-18 |
| 1831453893 | Laura Pizzuto Lividini | Specialist | 807 Syska Road, Ossining, NY 10562 | 2012-06-25 |
| 1700149622 | Madeline Alicea | Licensed Practical Nurse | 29 South Highland Ave, Ossining High School, Ossining, NY 10562 | 2012-06-18 |
| 1720363930 | Annette Marie Washington | Licensed Practical Nurse | 6 Washington Avenue, Ossining, NY 10562 | 2011-10-19 |
| 1063708758 | Susan Fay Kelly | Social Worker | 100 So. Highland, Ossining, NY 10562 | 2011-06-22 |
| 1679883193 | Msaf Group LLC | Skilled Nursing Facility | 15 Spring Valley Road, Pharmacy, Ossining, NY 10562 | 2010-10-18 |
| 1770801045 | Ryford Estores | Licensed Practical Nurse | 9 Sparta View, Ossining, NY 10562 | 2010-05-12 |
| 1528386745 | Kimberly Alichia Mair | Licensed Practical Nurse | 35 Snowden Ave Apt 6r, Ossining, NY 10562 | 2010-05-12 |
| Find all providers in zip 10562 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649819269 | Oneil Anthony Goulbourne | Nurse Practitioner | 10 Fowler Ave, Ossining, NY 10562-1918 | 2019-12-30 |
| 1750936795 | Bianca Pierre-louis | Nurse Practitioner | 70 Croton Ave Apt 4j, Ossining, NY 10562-7908 | 2019-08-06 |
| 1265906119 | Judy Guariglia | Nurse Practitioner | 13 Birch Ct, Ossining, NY 10562-5100 | 2019-01-14 |
| 1447666060 | Rosa Angelica Villavicencio | Nurse Practitioner | 119 S Highland Ave Apt 1b, Ossining, NY 10562-5842 | 2014-07-02 |
| 1215598990 | Young Ju Lee | Nurse Practitioner | 15 Spring Valley Rd, Ossining, NY 10562-2001 | 2019-06-24 |
| 1205398286 | Tammie C Carey | Nurse Practitioner | 165 Main St, Ossining, NY 10562-4702 | 2019-04-01 |
| 1174980288 | Valerie Jane Monroe | Nurse Practitioner | 354 Hunter Street, Sing Sing Correctional Facility, Ossining, NY 10562 | 2016-01-20 |
| 1336177070 | Debra Dresden | Nurse Practitioner | 165 Main St, Ossining, NY 10562-4702 | 2006-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184225880 | Aleksandr Gurgov | Nurse Practitioner | 740 E 9th St, Brooklyn, NY 11230-2202 | 2020-11-08 |
| 1437750171 | Dana Alberico Lonis | Nurse Practitioner | 246 Waldorf Pkwy, Syracuse, NY 13224-2118 | 2020-11-07 |
| 1396346136 | Amarachukwu U Egbujor | Nurse Practitioner | 565 Pine St, Brooklyn, NY 11208-3901 | 2020-11-06 |
| 1568063378 | Valerie Cantave | Nurse Practitioner | 152 Somerset Dr, Suffern, NY 10901-6904 | 2020-11-06 |
| 1366043259 | Lora Hong | Nurse Practitioner | 55 Underhill Rd, Scarsdale, NY 10583-1040 | 2020-11-05 |
| 1235730102 | Lane Marie Knight | Nurse Practitioner | 8145 Rapallo Way, Clay, NY 13041-8893 | 2020-11-05 |
| 1073114112 | Karen Liu | Nurse Practitioner | 154 Bay 35th St, Brooklyn, NY 11214-5308 | 2020-11-04 |
| 1871194027 | Wai Ying Chan | Nurse Practitioner | 659 Britton Ave, Staten Island, NY 10304-4463 | 2020-11-04 |
| 1063013258 | Iris Massiel Garcia | Nurse Practitioner | 2206 Dr Martin L King Jr Blvd, Bronx, NY 10453-1307 | 2020-11-04 |
| 1104427525 | Jeanine R Williams | Nurse Practitioner | 4213 Foster Ave, Brooklyn, NY 11203-5711 | 2020-11-03 |
| 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.