MARCIA J NACKENSON (NPI# 1154320174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154320174 |
| Entity Type | Individual |
| Full Name | MARCIA J NACKENSON |
| Credential | MD |
| Practice Address |
503 Grasslands Rd Ste. 200 Valhalla NY 10595-1503 |
| Mailing Address |
503 Grasslands Rd Ste 200 Valhalla NY 10595-1503 |
| Practice Telephone | 9143045288 |
| Practice Fax Number | 9143451755 |
| Mailing Telephone | 9143045288 |
| Mailing Fax Number | 9143451755 |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2013-07-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080A0000X |
Pediatrics Specialization: Adolescent Medicine |
156197 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01026246 | 05 |
| Street Address |
503 GRASSLANDS RD STE. 200 |
| City | VALHALLA |
| State | NY |
| Zip Code | 10595-1503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117851 | Cynthia Marie Quijano | Speech-Language Pathologist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2020-09-08 |
| 1538783394 | Carla Michelle Byrd | Specialist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2020-06-07 |
| 1205318045 | Tamara Araceli Cervantes | Case Manager/Care Coordinator | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-08-29 |
| 1972095545 | Denise Lopez | Occupational Therapy Assistant | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-05-30 |
| 1629570155 | Hannah Zetlin Wong | Nurse Practitioner | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-02-28 |
| 1821597303 | Marie Pavia | Specialist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2018-02-09 |
| 1265951321 | Caitlin Rose King | Speech-Language Pathologist | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2017-09-11 |
| 1639604226 | Sabina Mary Mathew | Nurse Practitioner | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2017-04-21 |
| 1669911855 | Jessica Medranda | Registered Nurse | 503 Grasslands Rd, Valhalla, NY 10595-1503 | 2017-02-21 |
| 1134668478 | Jessica Askar | Nurse Practitioner | 503 Grasslands Rd, Suite 200, Valhalla, NY 10595-1503 | 2017-02-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126946 | Evan Alexander Formosa | Student in an Organized Health Care Education/Training Program | 40 Sunshine Cottege Road, New York Medical College Student Affairs Suite 122a, Valhalla, NY 10595 | 2020-02-18 |
| 1124673223 | Mozibur Rahman | Student in an Organized Health Care Education/Training Program | C/o Pathology, 100 Woods Rd, Valhalla, NY 10595 | 2019-08-06 |
| 1235650243 | Ana Karla F Arias | Psychologist | 503 Grasslands Roas, Suite 101, Valhalla, NY 10595 | 2017-06-29 |
| 1336682327 | Adriana Josandy Arias | Case Manager/Care Coordinator | 503 Grasslands Rd, Suite 101, Valhalla, NY 10595 | 2016-11-23 |
| 1740632934 | Philippe Hoffmann | Counselor | 1700 Old Orchard, Valhalla, NY 10595 | 2016-07-12 |
| 1396195020 | Elizabeth Hendricks | Social Worker | 1700 Old Orchard St, Valhalla, NY 10595 | 2016-06-14 |
| 1427437771 | Stephany Rodriguez | Case Manager/Care Coordinator | 503 Grasslands Road, Suite 101, Valhala, NY 10595 | 2015-05-20 |
| 1437536182 | Shajiuddin Faraz Mohammed | Psychiatry & Neurology | 100 Woods Road Behavioral Health Center Suite-n314, Westchester Medical Center, Department of Psychiatry, Valhalla, NY 10595 | 2015-05-01 |
| 1841685013 | Barbara Constantine | Physical Therapist | 70 Colubus Ave., Valhalla, NY 10595 | 2015-04-03 |
| 1316330418 | Victor Tseng | Anesthesiology | 100 Woods Rd Rm D-228, Valhalla, NY 10595 | 2015-03-12 |
| Find all providers in zip 10595 | ||||
| Taxonomy Code | 2080A0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Adolescent Medicine |
| A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962613802 | Kathy Ann Silverman | Pediatrics | 95 Bradhurst Ave, Valhalla, NY 10595-1637 | 2007-05-24 |
| 1487654653 | Wallace Russell Jenkins | Pediatrics | 503 Grasslands Rd, Ste 200, Valhalla, NY 10595 | 2005-07-28 |
| 1457351645 | Monique Micheline Regard | Pediatrics | 503 Grasslands Rd, Ste. 200, Valhalla, NY 10595-1503 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902438039 | Joanna Catherine Cross | Pediatrics | 6049 Transit Rd Ste 101, East Amherst, NY 14051-1803 | 2020-02-06 |
| 1720498306 | Ashley M Yazdani | Pediatrics | 3950 East Robinson Road, Suite 205, West Amherst, NY 14228 | 2014-05-05 |
| 1699103879 | Pediatric&adolescent Medical Care Pllc | Pediatrics | 450 76th St, Brooklyn, NY 11209-3204 | 2013-10-24 |
| 1962837377 | Mariam Machabeli | Pediatrics | 765 Grand St, Brooklyn, NY 11211-5797 | 2013-09-05 |
| 1013352392 | Pediatric Associates of Plainview | Pediatrics | 400 S Oyster Bay Rd Ste 207, Hicksville, NY 11801-3500 | 2013-05-01 |
| 1174876650 | Theodore Fink | Pediatrics | 1 Rudolph Dr, Apt. 1s, Carle Place, NY 11514-1095 | 2012-10-20 |
| 1376804096 | Melissa Ellen Dere | Pediatrics | 732 5th Ave, Brooklyn, NY 11232 | 2012-05-30 |
| 1386915544 | Marvin Lieber | Pediatrics | 58 Sycamore Cir, Stony Brook, NY 11790-3147 | 2012-01-19 |
| 1508134578 | Hicksville Pediatrics PC | Pediatrics | 535 S Broadway, Suite 1, Hicksville, NY 11801-5029 | 2011-12-06 |
| 1245523513 | Khalida Itriyeva | Pediatrics | 410 Lakeville Rd Ste 108, New Hyde Park, NY 11042 | 2011-05-19 |
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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.