GABRIELLE TAKINA ROCHA DE ASSIS (NPI# 1114579737) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114579737 |
Entity Type | Individual |
Full Name | GABRIELLE TAKINA ROCHA DE ASSIS |
Credential | CPNP-PC |
Practice Address |
291 Main Street Middleburgh NY 12122 |
Mailing Address |
451 Woodland Dr Olivebridge NY 12461-5719 |
Practice Telephone | 5188273625 |
Mailing Telephone | 8455146929 |
Enumeration Date | 2019-07-13 |
Last Update Date | 2019-12-12 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
383025 | NY | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
291 MAIN STREET |
City | MIDDLEBURGH |
State | NY |
Zip Code | 12122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659882298 | Middleburgh Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 119 Market Street, Middleburgh, NY 12122 | 2017-10-23 |
1063931467 | Aida Melendez | Licensed Practical Nurse | 1564 Clauverwie Road, Middleburgh, NY 12122 | 2017-09-17 |
1356421309 | Peter H Bennett | Family Medicine | 109 Baker Avenue, Middleburgh, NY 12122 | 2006-10-16 |
1902913437 | Lisa M Donnini | Pharmacist | 4448 State Highway 30, Middleburgh, NY 12122 | 2006-08-23 |
1578552337 | Melissa J Becker-kaplanowski | Nurse Practitioner | 270 Main Street, Middleburgh, NY 12122 | 2005-10-14 |
1326032269 | Aaron I Harrison | Family Medicine | 109 Baker Ave, Bassett Healthcare Network, Middleburgh, NY 12122 | 2005-09-07 |
1770991226 | Mourad Drug Corp | Pharmacy | 312 Main Street, Middleburgh, NY 12122 | 2014-07-29 |
1477820710 | Joanne P Coonradt | Physical Therapist | 245 Main Street, Middleburgh, NY 12122 | 2011-11-30 |
1821365164 | Shari Ann Sauter | Speech-Language Pathologist | 245 Main Street, Middleburgh, NY 12122 | 2011-11-30 |
1780951020 | Rebecca L. Quinn | Occupational Therapist | 245 Main Street, Middleburgh, NY 12122 | 2011-11-30 |
Find all providers in zip 12122 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
Find all providers with the same taxonomy |
City | MIDDLEBURGH |
Zip Code | 12122 |
Please comment or provide details below to improve the information on GABRIELLE TAKINA ROCHA DE ASSIS.
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.