MS. PATRICIA PLOVER MCNULTY (NPI# 1154414860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154414860 |
| Entity Type | Individual |
| Full Name | MS. PATRICIA PLOVER MCNULTY |
| Credential | NP |
| Practice Address |
82-68 164th St Jamaica NY 11432-1121 |
| Mailing Address |
79-01 Broadway D1-01 Elmhurst NY 11373-1329 |
| Practice Telephone | 7188833225 |
| Practice Fax Number | 7188836193 |
| Mailing Telephone | 7183341920 |
| Mailing Fax Number | 7183345958 |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F380655 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00246075 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033768650 | Patricia Susan Mcnulty | Social Worker | 890 7th North St, Liverpool, NY 13088-6558 | 2019-09-06 |
| 1164924031 | Patricia A Mcnulty | Counselor | 2015 Martins Grant Ct, Crownsville, MD 21032-1932 | 2018-03-06 |
| 1710149018 | Patricia L Mcnulty | Family Medicine | 1168 First Colonial Rd, Virginia Beach, VA 23454-2444 | 2008-06-27 |
| 1619097391 | Patricia Colleen Mcnulty | Registered Nurse | 4130 San Ernesto Ave, Anchorage, AK 99508-2875 | 2007-03-29 |
| 1306982996 | Patricia Ann Mcnulty | Massage Therapist | 111 E Magnesium Rd, Suite F, Spokane, WA 99208-5923 | 2007-01-30 |
| Street Address |
82-68 164TH ST |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432-1121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023114352 | Aliyamma Samuel | Nurse Practitioner | 82-68 164th St, Jamaica, NY 11432-1121 | 2006-09-15 |
| 1770197519 | Jill Modi | Pharmacist | 82-68 164th St, Jamaica, NY 11432-1121 | 2020-08-31 |
| 1992328264 | Anoosh Zafar Gondal | Student in an Organized Health Care Education/Training Program | 82-68 164th St, Jamaica, NY 11432 | 2020-05-21 |
| 1265088983 | Gifty Baffour-addo | Nurse Practitioner | 82-68 164th St, Jamaica, NY 11432-1121 | 2019-08-18 |
| 1790286201 | Grace Kim | Pediatrics | 82-68 164th St, Suite P113, Jamaica, NY 11432-1121 | 2018-02-21 |
| 1053845065 | Tomilade Adepoju | Student in an Organized Health Care Education/Training Program | 82-68 164th St, Jamaica, NY 11432 | 2017-04-17 |
| 1376074328 | Matthew Benjamin Marck | Student in an Organized Health Care Education/Training Program | 82-68 164th St, Jamaica, NY 11432-1121 | 2017-03-22 |
| 1285096081 | Dovid Herskowitz | Physician Assistant | 82-68 164th St, Suite 1b-02, Jamaica, NY 11432 | 2016-03-22 |
| 1326324831 | Zimatu Urenna Chukumerije | Emergency Medicine | 82-68 164th St, Jamaica, NY 11432 | 2011-10-27 |
| 1184933673 | Yvonetta F Morgan | Registered Nurse | 82-68 164th St, Jamaica, NY 11432-1121 | 2010-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548510894 | Rosalie White | Nurse Practitioner | 8268 164th St Ste 1b-02, Jamaica, NY 11432-1121 | 2012-09-13 |
| 1326356544 | Michelle Annette Waddy | Nurse Practitioner | 17738 135th Ave, Jamaica, NY 11434-4010 | 2010-09-22 |
| 1306090253 | Ann Elizabeth Auld | Nurse Practitioner | 12520 Sutphin Blvd, Medical Office, Jamaica, NY 11434-2340 | 2008-11-05 |
| 1073738878 | Diane Marie Battle | Nurse Practitioner | 8930 161st St, Jamaica, NY 11432-6105 | 2007-04-16 |
| 1215575261 | Lynn Sara Smith | Nurse Practitioner | 8712 175th St Unit 2a, Jamaica, NY 11432-5776 | 2019-12-19 |
| 1033478656 | Simone Alicia Belle | Nurse Practitioner | 8900 Van Wyck Expy, Jamaica, NY 11418-2832 | 2012-05-16 |
| 1538433032 | Angela Chinwe Okike | Nurse Practitioner | 12520 Sutphin Blvd, Jamaica, NY 11434-2340 | 2012-03-01 |
| 1992903983 | Kimberly Ann Defatta | Nurse Practitioner | 8268 164th St, Jamaica, NY 11432-1121 | 2007-07-11 |
| 1689877805 | Donna Marie (dillane) Hallas | Nurse Practitioner | 8930 161st St, Jamaica, NY 11432-6105 | 2007-06-06 |
| 1386740611 | Julie Victoria Wyatt | Nurse Practitioner | 82-68 164th St, Jamaica, NY 11432-1121 | 2006-09-15 |
| Find all providers in JAMAICA | ||||
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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.