JORDANA KOZUPSKY (NPI# 1114427721) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114427721 |
| Entity Type | Individual |
| Full Name | JORDANA KOZUPSKY |
| Practice Address |
100 Port Washington Blvd Roslyn NY 11576-1347 |
| Mailing Address |
3024 38th St Apt 1r Astoria NY 11103-3842 |
| Practice Telephone | 9144948836 |
| Mailing Telephone | 9144948836 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2018-02-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
308587 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
100 PORT WASHINGTON BLVD |
| City | ROSLYN |
| State | NY |
| Zip Code | 11576-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768624 | Jack Soterakis | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2005-05-23 |
| 1700499779 | Olivia Paige Omage | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-08-28 |
| 1871101006 | Mark Granados | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-07-14 |
| 1871110692 | Nicole Amanda Waxner | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-06-27 |
| 1710509062 | Allison L Chan | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-05-09 |
| 1730715269 | Sreeja Nair | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-03-16 |
| 1871127027 | Laura Grace Krukowski | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576 | 2020-02-26 |
| 1518591015 | Punam Patel | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-02-24 |
| 1306486196 | Brendan Heitz | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-01-09 |
| 1740829613 | Johanna Eve Schwartz | Social Worker | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-12-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075998 | Haley W Feit | Optometrist | 1085 Northern Blvd, Roslyn, NY 11576 | 2019-10-25 |
| 1346765187 | Fern Wendi Schanback | Counselor | 24 Mackay Way, Roslyn, NY 11576 | 2017-08-12 |
| 1932577574 | Soma Fit Physical Therapy Pllc | Physical Therapist | 55 Lumber Rd, Suite 105, Roslyn, NY 11576 | 2015-09-14 |
| 1679953699 | Linda D.r. Miller | Speech-Language Pathologist | 7 Woodland Road, Roslyn, NY 11576 | 2015-06-04 |
| 1629463450 | Angela Maria Taveras | Social Worker | 141 Old Northern Blvd, Rosalyn, NY 11576 | 2015-03-30 |
| 1043594922 | Robin Hananel | Speech-Language Pathologist | 29 The Oaks, Roslyn, NY 11576 | 2011-10-10 |
| 1073838207 | Lucille A Barker | Occupational Therapist | 1441old Northern Blvd, Roslyn, NY 11576 | 2010-03-31 |
| 1518100163 | Robert Eugene Goldberger | Surgery | 4 The Birches, Roslyn, NY 11576 | 2009-04-13 |
| 1336388461 | Sarah Lamattina | Counselor | 1441 Old Northern Boulevard, Roslyn, NY 11576 | 2009-02-12 |
| 1508001553 | Leslie Jane Brownstein | Speech-Language Pathologist | 174 Mimosa Drive, Roslyn, N.y 11576, New York City, NY 11576 | 2008-12-04 |
| Find all providers in zip 11576 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710509062 | Allison L Chan | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-05-09 |
| 1467000703 | Lori Lodigkeit | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2019-08-29 |
| 1962058560 | Megan Schieferstein | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-08-11 |
| 1972162071 | Kristin Rocco | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-06-12 |
| 1609431188 | Maura C Swanson | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-05-09 |
| 1780169045 | Tammy Halkias | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2018-10-02 |
| 1821575309 | Katie Sobey Rodriguez | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2018-07-26 |
| 1144737164 | Jessica L Molina Amaya | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2017-12-29 |
| 1043720394 | Thomas Michael Schneider | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2017-09-30 |
| 1184163420 | Karen Leeman | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2017-02-20 |
| Find all providers in ROSLYN | ||||
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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.