GRACE MROZ NP IN PSYCHIATRY PLLC (NPI# 1164984498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164984498 |
| Entity Type | Organization |
| Organization Name | GRACE MROZ NP IN PSYCHIATRY PLLC |
| Practice Address |
450 Waverly Ave Building 4 Suite 11 Patchogue NY 11772 |
| Practice Telephone | 6317307503 |
| Practice Fax Number | 6313079422 |
| Mailing Telephone | 6317307503 |
| Mailing Fax Number | 6313079422 |
| Enumeration Date | 2019-04-04 |
| Last Update Date | 2019-04-04 |
| Authorized Official Name | GRACE MROZ (OWNER) |
| Authorized Official Telephone | 6317307503 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346704038 | Grace Mroz Np In Psychiatry Pllc | Nurse Practitioner | 450 Waverly Ave Ste 11, Patchogue, NY 11772-1555 | 2019-01-26 |
| Street Address |
450 WAVERLY AVE BUILDING 4 SUITE 11 |
| City | PATCHOGUE |
| State | NY |
| Zip Code | 11772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962444869 | Cathy Coleman | Pediatrics | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2006-06-12 |
| 1831720945 | Faroqui Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2 Ste 1, Patchogue, NY 11772 | 2020-01-28 |
| 1477184679 | Singh's Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2, Suite 1, Patchogue, NY 11772 | 2020-01-28 |
| 1578194783 | Stambler Medical PC | Internal Medicine | 450 Waverly Ave, Bldg 2 Ste 1, Patchogue, NY 11772 | 2020-01-28 |
| 1578004750 | John Mroz | Nurse Practitioner | 450 Waverly Ave, Suite 11, Patchogue, NY 11772-1555 | 2017-03-20 |
| 1437596434 | Patchogue Diagnostic Radiology,pc | Specialist | 450 Waverly Ave, Building 2, Patchogue, NY 11772-1555 | 2013-05-30 |
| 1831459684 | Parkway Imaging & Diagnostic PC | Radiology | 450 Waverly Ave, Patchogue, NY 11772-1555 | 2012-05-25 |
| 1013202944 | Laura Anne Van Schaick-harman | Psychologist | 450 Waverly Ave, Building 4 Suite 11, Patchogue, NY 11772-1555 | 2011-06-20 |
| 1790084275 | Jenna Ann Mastromarino | Social Worker | 450 Waverly Ave, Building #3, Patchogue, NY 11772-1555 | 2011-03-23 |
| 1285930347 | Annette Mahoney Cross | Social Worker | 450 Waverly Ave, Building #3, Patchogue, NY 11772-1555 | 2011-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
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| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346429115 | Brookhaven Memorial Hospital Medical Center | Psychiatry & Neurology | 101 Hospital Road, Patchogue, NY 11772-4870 | 2007-10-30 |
| 1902094824 | Ronald J. Taddeo, M.d., P.c | Psychiatry & Neurology | 4 Phyllis Dr, Suite H, Patchogue, NY 11772-2900 | 2007-10-04 |
| 1861522245 | Ronald J Taddeo | Psychiatry & Neurology | 4 Phyllis Dr, Suite H, Patchogue, NY 11772-2900 | 2007-03-06 |
| 1376617944 | Lisa Marie Bonvino | Psychiatry & Neurology | 101 Hospital Rd, Patchogue, NY 11772-4870 | 2006-11-17 |
| 1417046921 | Zaiwang Paul Jin | Psychiatry & Neurology | 365 E Main St, Patchogue, NY 11772-3145 | 2006-10-12 |
| 1619918562 | Ali Sayed Aziz | Psychiatry & Neurology | 101 Hospital Rd, Patchogue, NY 11772 | 2006-06-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447850276 | Nyc Psychiatric Associates | Psychiatry & Neurology | 385 5th Ave Rm 1106, New York, NY 10016-3340 | 2020-10-30 |
| 1063010718 | Integrative Medicine Psychiatry P.C. | Psychiatry & Neurology | 200 Prospect Park W Ste 1r, Brooklyn, NY 11215-5717 | 2020-10-14 |
| 1760097927 | Vital Balance Osteopathy, Pllc | Psychiatry & Neurology | 10 Bond Street, Ste 1, #290, Great Neck, NY 11021 | 2020-09-14 |
| 1356955934 | Hillside Tms Pllc | Psychiatry & Neurology | 1575 Hillside Ave Ste 208, New Hyde Park, NY 11040-2501 | 2020-09-01 |
| 1730706169 | Scott Dibartolo | Psychiatry & Neurology | 426 W 45th St Apt 5fe, New York, NY 10036-9066 | 2020-07-01 |
| 1669096699 | Preserving Healthy Minds, Nurse Practitioner of Psychiatry Pllc | Psychiatry & Neurology | 493 Shoddy Hollow Rd, Middletown, NY 10940-7509 | 2020-06-05 |
| 1104449701 | Clear Minds Nyc, LLC | Psychiatry & Neurology | 210 E 121st St Apt 2m, New York, NY 10035-3053 | 2020-05-19 |
| 1215556774 | Allexian, LLC | Psychiatry & Neurology | 418 E 71st St Ph Fl, New York, NY 10021-4894 | 2020-04-14 |
| 1427682350 | Brian Francis Esposito | Psychiatry & Neurology | 435 E 70th St Apt 27h, New York, NY 10021-5349 | 2020-02-29 |
| 1972135416 | Cnypsychiatry | Psychiatry & Neurology | 1/2 Orange St Ste 2, Marcellus, NY 13108-1216 | 2020-02-12 |
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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.